Telephone triage: results of adolescent clinic responses to a mock patient with pelvic pain.
OBJECTIVE
The purpose of this study was to evaluate the appropriateness of telephone advice given by adolescent clinics.


METHODS
Using a mock scenario simulated by a teenage actress, adolescent clinics nationwide were telephoned by a 16-year-old female complaining of acute onset of "belly pain" in her left lower side. Upon questioning the mock patient, clinics were able to obtain further information. In short, it could be determined that the mock patient was sexually active, did not use contraception, was "late" for her period, and had just begun spotting. With the information available, a potentially life-threatening ectopic pregnancy could not be ruled out. Telephone triage of 35 clinics was evaluated according to the final disposition. Appropriate advice included arranging to see the patient that day or referring the patient to another facility (i.e., emergency department) to be seen that day.


RESULTS
Sixty-three percent of the clinics gave appropriate advice; 37% gave inappropriate advice. Nonprofessional personnel rendered the advice in over 60% of the calls.


CONCLUSIONS
This study suggests a need to reevaluate the procedures utilized to provide proper telephone advice to adolescents.
Rupp
R E
RE
Adolescent Medicine Program, William Beaumont Army Medical Center, El Paso, TX.
Ramsey
K P
KP
Foley
J D
JD
D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards*; D003151:Community Health Centers / Q000592:standards*; D003376:Counseling; D005260:Female; D006302:Health Services Research; D006801:Humans; D017699:Pelvic Pain / Q000175:diagnosis*; D015397:Program Evaluation; D011787:Quality of Health Care; D013689:Telephone; D013781:Texas; D014218:Triage