Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol.
BACKGROUND
Quality assessment and continuous quality feedback to the staff is crucial for safety and efficiency of teleconsultation and triage. This study evaluates whether it is feasible to use an already existing telephone triage protocol to assess the appropriateness of point-of-care and time-to-treat recommendations after teleconsultations.


METHODS
Based on electronic patient records, we retrospectively compared the point-of-care and time-to-treat recommendations of the paediatric telephone triage protocol with the actual recommendations of trained physicians for children with abdominal pain, following a teleconsultation.


RESULTS
In 59 of 96 cases (61%) these recommendations were congruent with the paediatric telephone protocol. Discrepancies were either of organizational nature, due to factors such as local referral policies or gatekeeping insurance models, or of medical origin, such as milder than usual symptoms or clear diagnosis of a minor ailment.


CONCLUSIONS
A paediatric telephone triage protocol may be applicable in healthcare systems other than the one in which it has been developed, if triage rules are adapted to match the organisational aspects of the local healthcare system.
Swiss Center for Telemedicine Medgate, Gellertstr, 19, 4020 Basel, Switzerland. eva.blozik@medgate.ch.
Gabrielle Marmier
GM
Staub
Jan
J
von Overbeck
Eva
E
Blozik
D015746:Abdominal Pain / Q000628:therapy*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols / Q000592:standards*; D019468:Disease Management; D005240:Feasibility Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics / Q000295:instrumentation / Q000379:methods / Q000592:standards; D012189:Retrospective Studies; D012720:Severity of Illness Index; D017216:Telemedicine / Q000592:standards*; D013689:Telephone / Q000706:statistics & numerical data