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At least 19 recordsLinked to original sources
PubMed1977

[Psychiatric first aid by telephone--"the telephone of trust"].

From the experiences of the telephone system for psychiatric advice "Telephone of Trust" installed in CSSR in 1964, and a closer observation of the telephone point which has been operating in Brno since 1965 (with over 48 calls to its name already) recommendations are being made regarding the eventual installation and operation of these telephone points, the usefulness of which, in the sense of advice in cases of "problems in life", has already been demonstrated, for primary and secondary prevention of psychic disorders, crisis intervention and psycho-hygiene.

Crisis Intervention↗
PubMed1978

Telephone performance of persons with hearing handicap in relation to speech reception threshold.

This investigation shows that there are four relevant methods of telephoning in Denmark for hearing-impaired persons: 1) Standard telephone without extra equipment for persons with a Speech Reception Threshold (SRT) up to about 40 dB in the better ear. 2) Standard telephone with receiving amplifier for persons with a SRT up to about 60 dB in the better ear. 3) Standard telephone plus individual hearing aid primarily in "T" position. Can be used by hearing-impaired persons with a SRT up to 70-75 dB in the better ear. 4) Standard telephone with receiving amplifier plus individual hearing aid primarily in "T" position. This is an effective and cheap solution for hearing losses above 70-75 dB in the better ear.

Aged↗
PubMed1978

Quality assessment of a telephone care system utilizing non-physician personnel.

An approach to providing medical care by telephone is described and its content and quality assessed by means of an outcome study. Pediatric health assistants have been trained to evaluate, triage and offer home management advice in lieu of an office visit for medical problems presented by parents via telephone. During a four-week study period, data were collected on all calls (N = 2520) using a telephone encounter form. Fifty-nine per cent of all calls involved requests for care of illness, 30 per cent of which were independently handled by the health assistant. Quality of care was evaluated for those cases who received advice in home management by means of a seven day follow-up interview with parents (N = 247). Access, parent satisfaction, residual symptoms, and the need for further care were ascertained. Greater than 90 per cent of parents expressed satisfaction and 92 per cent of problems had resolved. Results indicate that this telephone care system can effectively sort out and advise parents in home management for the many minor problems which occur in a pediatric practice, thereby increasing time for direct contact with patients.

Adolescent↗
PubMed1979

A comparison of mail, telephone, and home interview strategies for household health surveys.

The method of data collection in household health surveys can be a major determinant of cost and data quality. A survey strategy can comprise mail, telephone, or home interview methods, individually or in combination to follow up non-respondents. The purpose of this study in Montreal was to compare cost and data quality of various strategies. Strategies which began with mail or telephone contact, followed by the two other methods, provided response rates as high as a home interview strategy (all between 80 and 90 per cent), for one-half the cost of home interviews when used as the sole method. The telephone response rate was higher than the mail response rate. Comparing different follow-up approaches to strategies beginning with mail or telephone, it proved less costly, and equally effective, to use home interviewing as a last resort for persistent non-respondents. Validity of response (comparing individual responses with records of a government health insurance data bank) and willingness to answer sensitive questions were greatest in mail strategy.

Canada↗
PubMed1977

An evaluation of the effectiveness of a telephone counseling center.

Three-thousand questionnaires were distributed to students on campus to identify a sample of actual telephone counseling center users and their ratings of the effectiveness of the help received and of the counselor. Ratings of help received and impact of counseling on life as it is today were considered for sex of caller and counselor across type of problem. A sample of 66 actual callers was identified who had used the service for personal problems at least once. Of male callers, 67% reported that telephone counseling helped at least somewhat, while 80% of female callers reported favorable results of telephone counseling. Female callers who talked with male counselors reported a significantly greater impact on their life than did the callers in any other caller/counselor sex interaction. Only one average rating of counseling effectiveness by problem type fell below the neutral rating. Results are presented as evidence for the effectiveness of paraprofessional counselors.

Allied Health Personnel↗
PubMed1979

[Suicide prevention: role and efficacy of telephone assistance services].

This paper deals with the effectiveness of emergency telephonic help services in suicide prevention; it gives an historical account, describes the activity of Geneva's "Main Tendue" and proposes some practical principles on emergency telephonic help. 41 calls of 35 callers of Geneva's telephonic help service are briefly analyzed. A review of the literature available on this subject leaves a pessimistic impression about effectiveness of such services.

Adult↗
PubMed1976

Telephone management of poisonings using syrup of ipecac.

Seven hundred and seventy-six cases were studied during a six-month period to see if induction of emesis could be successfully managed at home by telephone. Emesis was successful in 98.8% of cases. In 6.7% of all cases, symptoms were found at 4-hour follow-up that were referrable to the ingestion, but all were considered to be of minor consequence. No complications of vomiting occurred. Twenty-four hour follow-up investigation indicated no significant complications of induction of emesis or complications from managing the patient by telephone. It is our conclusion that, with appropriate telephone supervision, home-induced emesis of ingestions expected to produce mild to moderate symptoms is as effective as emergency room or physician office management of cases. Furthermore, the absence of adverse affects of complications arising from the induction of emesis at home in our cases confirms that this form of management is quite safe.

Adolescent↗
PubMed1979

The nature and management of telephone utilization in a family practice setting.

Study of the telephone practice in four family practice settings reveals a complex interaction between patients, physicians, and receptionists. Patients present a limited number of complaints--80 percent of complaints represent 25 common chief complaints, and 95 percent represent 50 chief complaints. Little difference was observed between the symptoms reported by patients to the physicians as compared to those received by the receptionist staff. Physicians are more likely to use the telephone contact to treat the patient's complaint with home care advice or a prescription. Receptionists are more likely to use the telephone contact for scheduling an office visit.

Adolescent↗
PubMed1977

Use of the telephone for short-term follow-up.

We have instituted a telephone appointment system (TAS) to follow patients with well-defined relatively minor problems. The patient is asked to call a special phone number at a specified date and time to obtain test results or information. A senior physician reviews each chart beforehand and indicates in lay terms, the information to be given to the patient by the clerk. Initial contact was made with 235 (58%) of the 404 scheduled telephone appointments reviewed during a four-week period. Physician data review time averaged one minute per chart and two full-time clerks were required. Although no improvement in patient compliance was found, significant savings of patient, physician, and nursing time are obvious. Additional advantages include decreased total patient load and the opportunity for senior physicians to assess the quality of care and provide feedback to the emergency department house officers.

Aftercare↗
PubMedDate not supplied

Evening telephone call management by nurse practitioners and physicians.

History-taking, disposition, and telephone communication skills of pediatric nurse practitioners, pediatric house officers, and practicing pediatricians were assessed and compared. To evaluate the management of five common acute pediatric problems, a "programmed mother" made 148 unidentified calls to these health professionals during evening hours. The calls were tape recorded, and scored for history-taking, disposition, and interviewing skills. The scoring system, developed by a panel of 11 experts, assessed the relevance and completeness of each history obtained. Nurse practitioners averaged 79.6 percent of the total possible score, as compared to 52.6 percent for pediatricians (p less than .001). When disposition was similarly analyzed, the nurse practitioners scored significantly higher than pediatricians. Analyzing only those items of history-taking and disposition deemed most critical by the panel, nurse practitioners included 91 percent and pediatricians only 55 percent (p less than .001). Parameters of interviewing skill were scored by the interviewer and each author with agreement of 80 percent or above; nurse practitioners obtained significantly higher scores than pediatricians (p less than .001). Calls handled by nurses averaged 7.4 minutes, those by pediatricians 3.2 minutes (p less than .001). Nurse practitioners, it was concluded, can safely and effectively share responsibility with physicians for night and weekend telephone call coverage for a pediatric practice with adequate physician back up.

Child↗
PubMed1979

Instrumentation for the follow-up of pacemade patients. Telephone transmission of the electrocardiogram and self-check by the patient on pacemaker function and capture.

Logic circuitry has been added to an electrocardiogram telephone transmitter. It processes the electrocardiogram and permits frequent self-checks by the patient on rate, capture and sensing function of an implanted demand pulse generator system. Correct function is communicated to the patient by a green light. Malfunction with regard to any of these parameters produces an irreversible yellow light signaling the patient to contact his physician. The self-check is reassuring to the patient during intervals between visits to the physician's office or a specialized clinic. The system, at present, is applicable only to demand pulse generators with a high magnet test rate (90 ppm or higher) which assures capture in virtually all patients. This and other limitations are discussed. Their incidence is low, some can be remedied and in the majority of patients they do not impair the clinical usefulness of the system.

Electrocardiography↗
PubMed2026

Home-Based Cardiac Rehabilitation Using a Smart Ring and Telephone Counselling: A Randomized Controlled Trial.

BACKGROUND: Home-based cardiac rehabilitation (HB-CR) is a promising alternative to center-based cardiac rehabilitation as it can address several barriers impeding CR implementation because of its enhanced accessibility. However, to date, HB-CR has not garnered adequate attention due to a lack of communication between patients and medical staff. In this study, we aimed to investigate the effectiveness of HB-CR by monitoring the pulse rate (PR) using a smart ring equipped with photoplethysmography. METHODS: Patients with cardiovascular disease were educated on structured HB-CR methods following a symptom-limited cardiopulmonary exercise test (CPET), and were instructed to wear the device during the exercise session. The recorded PR was uploaded to a website via a smartphone and monitored by medical staff. Patients were randomly assigned to one of two groups: intervention or control group. The intervention group received weekly telephone counselling and was encouraged to maintain optimal levels of physical activity. In contrast, the control group only recorded their exercise data without additional interventions. After 3 months of training, the CPET was performed. RESULTS: Among the 64 randomized patients (32 in each group), an intention-to-treat analysis showed that peak oxygen consumption increased over time in both the groups, with a significantly greater improvement in the intervention group. The group-by-time interaction for peak oxygen consumption was statistically significant (estimated mean difference, 2.0 mL/kg/min; 95% confidence interval, 0.7-3.3; P = 0.004). CONCLUSION: HB-CR using a smart device was effective in improving oxygen consumption. However, appropriate monitoring and timely counselling by medical professionals are important for improved outcomes. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0005893.

Humans↗
PubMed1978

Bacterial contamination of telephones in an intensive care unit.

Pathogenic and potentially pathogenic bacteria were found on telephones of an intensive care unit. Direct contamination by microorganisms from throats, hands, and noses of the staff members is real although airborne contamination would also play a role. The awareness of environmental risk in intensive care units is underlined.

Asepsis↗