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Related Experiment Videos

A telephone advice line does not decrease the number of presentations to Christchurch Emergency Department, but does

David J Graber1, Michael W Ardagh, Paul O'Donovan

  • 1Emergency Department, Christchurch Hospital, Christchurch, New Zealand. DnJGraber@aol.com

The New Zealand Medical Journal
|July 16, 2003
PubMed
Summary
This summary is machine-generated.

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The Healthline telephone advice service had minimal impact on public hospital emergency department (ED) attendance but significantly reduced calls to the ED, easing nursing workload.

Area of Science:

  • Public Health
  • Healthcare Management

Background:

  • Public hospital emergency departments (EDs) face increasing demand.
  • Telephone advice services aim to manage healthcare access and reduce ED burden.

Purpose of the Study:

  • To evaluate the impact of the pilot national telephone advice service, Healthline, on a public hospital's emergency department.
  • To assess changes in ED attendance, patient acuity, and workload.

Main Methods:

  • Prospective data collection from Christchurch Hospital ED information systems over a six-month Healthline operational period.
  • Comparison with five prior non-operational periods of Healthline.
  • Analysis of Healthline call log data.

Main Results:

  • A minor increase (1.1%) in ED attendance was observed during the study.

Related Experiment Videos

  • Healthline referrals showed similar triage distribution but a lower admission rate (29%) compared to the general ED population (47%).
  • A significant decrease in telephone calls to the ED was recorded.

    • Conclusions:

    • Healthline demonstrated a limited effect on overall ED patient census.
    • The service appeared to refer patients with comparable acuity to those presenting directly to the ED.
    • Healthline effectively reduced the workload for ED nursing staff handling telephone inquiries.