Abstract：
INTRODUCTION:Internationally, nurse-led models of telephone triage have become commonplace in unscheduled healthcare delivery. Various existing models have had a positive impact on the delivery of healthcare services, often reducing the demand on accident and emergency departments and staff workload 'out of hours'. Our objective was to assess whether a model of centralised nurse telephone triage (NHS 24, introduced in Scotland in 2001) was appropriate for remote and rural areas. In this qualitative study the views and perspectives of health professionals across Scotland are explored. METHODS:Thirty-five participants were purposively selected for interviews during 2005. Two types of interview were conducted: detailed, semi-structured, face-to-face interviews with key stakeholders of NHS 24; and briefer telephone interviews with partners from NHS Boards across Scotland. A constant comparative approach was taken to analysis. Ethical approval for the study was obtained from the Scottish Multi-site Research Ethics Committee. RESULTS:The findings are comparable with other research studies of new service developments in remote and rural health care. The rigidity of the centralised triage model introduced, the need to understand variation of health service delivery, and the importance of utilising local professional knowledge were all key issues affecting performance. CONCLUSION:Remote and rural complexities need to be considered when designing new healthcare services. It is suggested that new health service designs are 'proofed' for remote and rural complexities. This study highlights that a centralised nurse-led telephone triage model was inappropriate for remote and rural Scotland, and may not be appropriate for all geographies and circumstances.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Roberts A,Heaney D,Haddow G,O'Donnell CAsubject
Has Abstractpub_date
2009-04-01 00:00:00pages
1079issue
2issn
1445-6354pii
1079journal_volume
9pub_type
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journal_title：Rural and remote health
pub_type： 杂志文章
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更新日期：2004-07-01 00:00:00
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journal_title：Rural and remote health
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journal_title：Rural and remote health
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更新日期：2016-01-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2004-01-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2007-04-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION: Marginalization is a significant issue in Mexico, involving a lack of access to health services with differential impacts on Indigenous, rural and urban populations. The objective of this study was to understand Mexico’s public health problem across three population areas, Indigenous, rur...
journal_title：Rural and remote health
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journal_title：Rural and remote health
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更新日期：2009-10-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2010-07-01 00:00:00
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journal_title：Rural and remote health
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2008-04-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2016-10-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：INTRODUCTION:Violence and injuries are under-reported in developing countries, especially during natural disasters such as floods. Compounding this, affected areas are isolated from the rest of the country. During 2007 Bangladesh experienced two consecutive floods which affected almost one-third of the country. The obj...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2008-10-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2019-04-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5227
更新日期：2019-09-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4384
更新日期：2018-05-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION:Following a percutaneous coronary intervention (PCI), emphasis is placed on healthy lifestyle modification by means of secondary prevention. The literature suggests Australians have difficulty within the period following a PCI, particularly the rural cohort. Despite having a higher incidence of cardiac dis...
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更新日期：2019-05-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2009-10-01 00:00:00
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更新日期：2006-04-01 00:00:00
