Universal telenursing triage in Australia and New Zealand - a new primary health service.

BACKGROUND Most Australian and all New Zealand residents now have 24 hour access to free telephone advice and symptom triage. Australasia is following an international trend triggered by a perceived need for standardised advice, demand management (primary care and emergency department), and equity of access. A growing literature describes the impact of this new service on existing primary health services. OBJECTIVE This article summarises the results of telephone triage projects in Australia and New Zealand to acquaint Australian general practitioners with nurse led telephone triage services that have health call centre technology. DISCUSSION Australian and New Zealand services are similar with respect to the demographics of callers, when they call, and the issues on which they seek advice. Further study is needed in order to understand how telenursing can best be integrated with general practice and other primary care services.

[1]  F. Sassi,et al.  Cost analysis of nurse telephone consultation in out of hours primary care: evidence from a randomised controlled trial , 2000, BMJ : British Medical Journal.

[2]  M. J. Carey,et al.  Telephone advice about an infant given by after-hours clinics and emergency departments. , 1995, The New Zealand medical journal.

[3]  I. St George,et al.  Healthline: do primary care doctors agree with the advice? , 2005, The New Zealand medical journal.

[4]  M. Franzcp,et al.  Telephone triage reduces out-of-hours work for country doctors , 2003 .

[5]  I. George,et al.  Primary care ‘demand management’ pilot in New Zealand: Telephone triage using symptom-based algorithms , 2003 .

[6]  I. St George,et al.  The Healthline pilot: call centre triage in New Zealand. , 2001, The New Zealand medical journal.

[7]  David Magid,et al.  How Safe Is Triage by an After-Hours Telephone Call Center? , 2006, Pediatrics.

[8]  M. Moore Nurse telephone triage in out of hours primary care: a pilot study , 1997 .

[9]  J. E. George,et al.  Emergency department telephone advice. , 1995, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[10]  B Marklund,et al.  Computer-supported telephone nurse triage: an evaluation of medical quality and costs. , 2007, Journal of nursing management.

[11]  A telephone advice line does not decrease the number of presentations to Christchurch Emergency Department, but does decrease the number of phone callers seeking advice. , 2003, The New Zealand medical journal.

[12]  Judith E Hupcey,et al.  Nursing telephone triage and its influence on parents' choice of care for febrile children. , 2005, Journal of pediatric nursing.

[13]  K. Monroe,et al.  Evaluation of Emergency Department Referrals by Telephone Triage , 2000, Pediatrics.

[14]  D. Isaacman,et al.  Pediatric telephone advice in the emergency department: results of a mock scenario. , 1992, Pediatrics.

[15]  A. Gittelsohn,et al.  Variations in medical care among small areas. , 1982, Scientific American.

[16]  Peter Sprivulis,et al.  Triage nurses validly and reliably estimate emergency department patient complexity , 2005, Emergency medicine Australasia : EMA.

[17]  P. Davis,et al.  The "supply hypothesis" and medical practice variation in primary care: testing economic and clinical models of inter-practitioner variation. , 2000, Social science & medicine.

[18]  M. Gallagher,et al.  Telephone triage of acute illness by a practice nurse in general practice: outcomes of care. , 1998, The British journal of general practice : the journal of the Royal College of General Practitioners.

[19]  J. Dale,et al.  Telephone triage--how good are the decisions? (Part 2). , 1998, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[20]  R. Pong,et al.  An audit of the appropriateness of teletriage nursing advice. , 2004, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[21]  G. ter Riet,et al.  Nurse telephone triage in out-of-hours GP practice: determinants of independent advice and return consultation , 2006, BMC family practice.

[22]  A. Raymont,et al.  The Waikato Medical Care (WaiMedCa) Survey 1991-1992. , 1994, The New Zealand medical journal.