The Effect of Telehealth Ontario on Non-urgent Emergency Department Use at The Hospital for Sick Children
研究概览
详细说明
Some studies have shown that certain telephone nursing advice lines are effective in reducing non-urgent emergency department use. However, to my knowledge, no study has investigated the efficacy of Telehealth Ontario in particular. There are important differences between Telehealth Ontario and other phone lines that have been evaluated, in terms of the method in which calls are handled, the diversity of the population served, and the place of the phone-in line within the health care system. These studies, the results of which cannot be extrapolated directly to Telehealth Ontario, should not replace the direct study of the impact and utility of Telehealth Ontario.
Currently Telehealth Ontario receives over 3000 calls daily from residents of Ontario who are concerned about their health. These callers rely on the advise of Telehealth nurses to direct the care they seek out for themselves and for their families. The provincial government also relies on Telehealth Ontario - to provide a useful service within the health care system, relieving the pressure on over-crowded emergency departments by directing patients with non-urgent medical complaints to more appropriate avenues of treatment. This will be the first study to examine the impact of Telehealth Ontario. Although only a small aspect of Telehealth's impact will be examined - the impact on non-urgent emergency department use at Sick Kids - it is an important first step. The results of this study may serve to guide modifications to Telehealth that will make it more accessible to specific groups within the community, more reliable in the advice it provides, and more effective in delivering its message to callers.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Ontario
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Toronto、Ontario、加拿大、M5G 1X8
- The Hospital for Sick Children
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
All children presenting to the ED between 0600 and 2400 during the study period
Exclusion Criteria:
- Children arriving without an adult, as consent could not be obtained.
- Children with whose parents communication was not possible in English, as it was not possible to provide translation services for this study.
- Children arriving by direct transfer from another hospital.
- Children arriving by ambulance summoned by someone other than the parent or guardian.
- Children arriving at the ED for a pre-arranged visit/appointment.
- Children requiring immediate resuscitation.
学习计划
研究是如何设计的?
设计细节
- 观测模型:仅案例
- 时间观点:预期
队列和干预
团体/队列 |
干预/治疗 |
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Group 1
Children presenting to the Emergency Department under the care of a parent or guardian, between 0600 and 2400 during the study period.
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After obtaining consent the survey will be completed.
After a staff physician has assessed the patient, the chart will be consulted to retrieve the triage notes, diagnosis, treatment, and discharge recommendations.
The physician will be asked to comment on the 'urgency' of the complaint and whether the patient would have been treated equally well at a walk-in clinic.
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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The triage categories among patients who did or did not have contact with a health care professional prior to arrival in the ED.
大体时间:At time of visit to the ED
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At time of visit to the ED
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次要结果测量
结果测量 |
大体时间 |
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The demographic and other details of patients arriving with urgent compared to non- urgent complaints.
大体时间:At time of visit to the ED
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At time of visit to the ED
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合作者和调查者
调查人员
- 学习椅:Dennis Scolnik, MB ChB、The Hospital for Sick Children
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 1000004841
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