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Biomedical subjects

B Marklund

Publications and source records attributed to B Marklund.

24 records · Page 2Linked to original sources
PubMed1990

Evaluation of the telephone advisory activity at Swedish primary health care centres.

The telephone advisory function was evaluated by interviewing 100 persons from each of five Swedish health centres one week after they had contacted the health centre for telephone advice. Altogether 497 telephone calls were registered during the study period, and 494 (99%) of those who called could be contacted. Of those who had been given advice about self-care (in all 173 pieces of advice to 98 subjects), 98% stated that they had followed the advice given. In the total series, 91% of the subjects stated that they were content with the contact with the telephone advisers. The majority of those who were not content with the contact had been recommended self-care or given an appointment time with a delay of more than one week. In 10% of the cases the telephone advisers (all of them nurses) considered that they could not give adequate advice because of lack of appointment times with the doctor. In 4% of the cases decisions were made which agreed with the subject's wishes but were not in agreement with what the nurse considered most adequate. When a suitable appointment time was available (422 calls), all but three calls were considered as handled medically correctly, and all but two cases were considered to have been referred to correct level of care. It was concluded that the nurses handled the telephone advisory service in an adequate way.

Adult↗
PubMed1990

Uniform guidance for medical care. A description of the process for preparing guidelines accepted by different levels of care.

Advice by telephone is an important part of primary health care service. Telephone advice is given at different levels of care. In order to give people confidence in the health care system it is important that personnel at different levels give similar advice for the same symptom or complaint. In order to establish generally accepted guidelines, discussions were held between personnel at different levels of care. This procedure was laborious but successful. Generally accepted guidelines could be agreed upon for all the symptoms and complaints discussed, altogether more than 60. This paper describes the procedure used during the collaborative work to provide these guidelines. It must be emphasised, though, that the guidelines should be adapted to local circumstances before being used as a practical aid in the health care service at health centres and at other outpatient units.

Clinical Protocols↗
PubMed1989

Medical advice by telephone at Swedish health centres: who calls and what are the problems?

Advice by telephone is an important activity at Swedish health centres and is mainly dealt with by nurses. This telephone counselling was studied during one week (Monday to Friday) at six Swedish health centres which were representative of rural as well as of urban populations. Based on the figures obtained from this study it could be calculated that about 20 million calls of this type are dealt with at Swedish health centres each year (population of Sweden about eight million). It was more common for women than for men to contact the health centre by telephone. About 70% of the calls were made by the patients themselves. Pain was the most common reason for contacting the health centre by telephone, followed by signs of infection. The majority of the telephone calls dealt with sick care, a minority were classified as administrative. About 40% of all calls were managed by the telephone adviser without involving the doctor at the health centre. Of all incoming calls, 44% resulted in an appointment time for a visit to a physician at the health centre, more than half of these being given for a visit during the same day. As the telephone counsel function is an important part of the activity at a Swedish health centre, it is important to evaluate its content and consequences.

Community Health Centers↗
PubMed1989

Evaluation of an educational programme for telephone advisers in primary health care.

Telephone advisers, usually registered nurses, have a very important role in the Swedish primary health care service. In order to improve this service, a special educational programme has been worked out for registered nurses working at a Swedish health centre. The purpose of this paper is to evaluate this educational programme at one of the health centres. The quality of the telephone advice was evaluated by a blind observer. After the educational programme the quality of advice was improved. Among the participating nurses, the confidence and the satisfaction with the work increased after the educational programme.

Attitude of Health Personnel↗