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The implementation of a call-back system reduces the doctor's workload, and improves accessibility by telephone in
Reinier A de Groot1, Jan de Haan, Henk E P Bosveld
1Department of Family Practice, University of Groningen, Antonius Deusinglaan 4, 9713 AW Groningen, The Netherlands. hapo@radegroot.demon.nl
Background:
In a general practice in The Netherlands, the demand for direct telephone consultation with the doctor became extreme, which resulted in poorly managed consultations, and poor telephone access due to busy lines. A call-back telephone appointment system was therefore introduced: all calls are answered and, when possible, managed by the practice assistant. If the assistant feels incapable, or if the patient prefers to speak to the doctor, a telephone appointment is scheduled, at which time the doctor returns the patient's call.
Objective:
Our aim was to evaluate the effects of a call-back telephone appointment system on doctors' workload and patients' telephone access to doctors.
Methods:
Telephone consultation data over 10 weeks were selected before and after the introduction of the call-back telephone appointment system. The outcomes measured were: number and duration of telephone calls to doctors, the reason for each call and how often telephone lines were engaged during the specified telephone hour.
Results:
The number of calls requiring the doctor's attention was reduced by 59% and total time spent on the telephone by the GPs was reduced by 39%. This reduction is explained by a change in the reasons for calling. Telephone accessibility improved, as busy telephone lines were no longer an issue.
Conclusion:
The call-back telephone appointment system is superior to the previously used open access telephone hour.