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Making it work: organization and processes of telephone nursing advice services
Barbara Valanis1, Susan Moscato, Christine Tanner
1Epidemiology and Disease Prevention, Kaiser Permanente Center for Health Research, Portland, OR 97227, USA. barbara.valanis@kpchr.org
Abstract:
Efforts of health plans to balance service quality with cost control have spurred rapid growth in telephone nursing advice services. Service system design can affect costs, patient outcomes, and staff retention. Research has not addressed how the organization of nursing services affects practice outcomes in telephone advice settings. We describe observed variations in telephone advice nursing services and the organizational and process factors the nurses identified as supporting or hindering their work.
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