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Title
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Agreement on urgency assessment between secretaries and general practitioners : an observational study in out-of-hours general practice service in Belgium
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Author
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Abstract
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| Background: In some European countries telephone triage (TT) during out-of-hours primary care showed to be safe and effective. Other countries, such as Belgium, may not have trained auxiliary personnel while their national health services want to establish TT. Objectives: To compare urgency levels assessed by secretaries and general practitioners in one general practice cooperative in Belgium. Methods: Percentage of correct-, under-, and over-triage were calculated in total and per reason for encounter. Inter-rater agreement was investigated. Results: The secretaries correctly triaged (same urgency level) 77% of the telephone calls, under-triaged 10% and over-triaged 13%.'Shortness of breath', 'skin cuts', 'chest pain', 'feeling unwell' and 'syncope' were often under-triaged. Conclusion: Before introducing TT, auxiliary staff should be trained and protocols should be used. |
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Language
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English
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Source (journal)
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Acta clinica Belgica / Belgian Society of Internal Medicine [Ghent]; Royal Belgian Society of Laboratory Medicine. - Gent, 1997, currens
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Publication
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Gent
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2015
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ISSN
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1784-3286
[print]
2295-3337
[online]
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DOI
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10.1179/2295333715Y.0000000017
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Volume/pages
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70
:5
(2015)
, p. 309-314
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ISI
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000369183700001
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Pubmed ID
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25819448
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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