title: Telephone triage as a strategy to ensure 24-hour access to medical care after the closure of supporting medical activity.
abstract: OBJECTIVE
  The provision of telephone access to a medical officer during nonduty hours was implemented by one Army health clinic to ensure continuous access to cost-efficient care after the closure of its supporting medical activity.
  
  
  METHODS
  After-hours phone calls were tracked for 6 months. Callers were surveyed to determine if use of the system resulted in avoidance of self-referral to civilian medical facilities.
  
  
  RESULTS
  A mean of 70 calls per month (186 calls per 1,000 population per year) were placed to the on-call medical officer. Eight types of complaints accounted for more than three-quarters of calls. Fifty percent of callers were seen by the medical officer for an after-hours clinic visit, 38% were given advice for care at home, and 10% were referred to a civilian medical facility. Telephone triage yielded an estimated $8,447 in cost avoidance during a 6-week survey period.
  
  
  CONCLUSIONS
  Telephone triage can facilitate continuous access to cost-efficient care.
authors.affiliation: U.S. Army Health Clinic, Presidio of Monterey, CA 93944-5000, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Flynn
mesh_terms: D000465:Algorithms; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D006297:Health Services Accessibility / Q000592:standards*; D015277:Hotlines; D006801:Humans; D008887:Military Medicine / Q000458:organization & administration*; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration; D014218:Triage / Q000458:organization & administration*; D014481:United States