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Characterizing after-hours hematology/oncology clinic calls
Quan H Phung1, Rebecca H Masel1, Sharan Bijlani1
1Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
After-hour calls from cancer patients often involve symptom reporting. Understanding these needs can help practices improve care delivery and reduce after-hours burdens.
Area of Science:
- Oncology
- Hematology
- Healthcare Management
Background:
- After-hour calls present a significant challenge to medical practices, often being unreimbursable.
- This study addresses the need to characterize after-hours care for hematology/oncology patients.
Purpose of the Study:
- To review after-hour calls from cancer patients.
- To identify after-hours care needs and gaps.
- To find opportunities for improving outpatient healthcare delivery.
Main Methods:
- A descriptive, retrospective study analyzed 500 after-hour patient calls.
- Data collected from June 2015 to February 2021 in an academic hematology/oncology practice.
- Calls were categorized by patient demographics, clinical history, reason, and urgency.
Main Results:
- The average patient was 62 years old; 52% were female.
- Most calls (65%) were for symptom reporting, followed by lab/test follow-up (13%).
- Oncology patients (67%) with gastrointestinal, hematologic, and thoracic cancers generated the most calls.
Conclusions:
- After-hour calls reveal diverse patient needs outside of regular clinic hours.
- Systematic analysis of calls can inform strategies to manage after-hours care.
- Improved strategies can reduce call burden and enhance patient care quality.
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