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Telephone medicine for internists.

D M Elnicki1, P Ogden, M Flannery

  • 1West Virginia University, Morgantown, WV 26505, USA. melnicki@hsc.wvu.edu

Journal of General Internal Medicine
|June 7, 2000
PubMed
Summary

Telephone use in medicine is crucial but risky. Improving telephone care systems and internist training can reduce errors and enhance patient outcomes, making virtual care safer and more effective.

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Area of Science:

  • Medical Informatics
  • Healthcare Management
  • Primary Care Medicine

Background:

  • The telephone is integral to medical practice, yet presents significant challenges.
  • Errors in telephone diagnosis and triage carry severe consequences for patient safety.
  • Effective office systems can mitigate liability risks associated with telephone consultations.

Purpose of the Study:

  • To describe internists' telephone interactions with ambulatory patients.
  • To assess internists' preparedness for telephone medicine.
  • To analyze office telephone systems and compare with other primary care fields.

Main Methods:

  • Review of internists' telephone interactions with ambulatory patients.
  • Analysis of current office telephone systems and practices.
  • Comparison of telephone medicine approaches across primary care disciplines.

Main Results:

  • Internists often feel unprepared to manage telephone care effectively.
  • Telephone diagnosis and triage errors pose significant risks.
  • Effective systems can substitute for in-person visits, improving access.

Conclusions:

  • Residency education must prioritize telephone medicine skills, including documentation and feedback.
  • Future research should address outcomes, reimbursement, and technological advancements in telephone care.
  • Optimizing telephone systems and training is essential for safe and efficient medical practice.

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