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Rheumatology telephone helplines: An activity analysis

McCabe, Candy; MacDowell, J; Cushnaghan, J; Butts, S; Hewlett, Sarah; Stafford, S; O'Hea, J; Breslin, A

Authors

Candy McCabe Candy.Mccabe@uwe.ac.uk
Professor of Clinical Research and Practice

J MacDowell

J Cushnaghan

S Butts

S Stafford

J O'Hea

A Breslin



Abstract

Background: Anecdotal evidence suggests that the services offered by rheumatology telephone helplines in the UK vary widely between NHS Trusts because of the lack of national or European guidelines.

Objective: To conduct an activity analysis of six NHS Trust rheumatology telephone helplines in the south and west of England.

Methods: Serial data were collected on the first 100 calls received on or after 1 January 1999 by six rheumatology helplines in the south and west of England. Background information was gathered on the management, availability, setting and purpose of each helpline. Data on the time taken to manage these calls and patient satisfaction were not collected.

Results: Patients with rheumatoid arthritis were the major users and no significant differences were found in the outcome of their calls between centres, but wide variations were revealed in the management of the helplines, the populations they serve and the services they offer.

Conclusion: The rheumatology helpline services in six NHS Trusts in the south and west of England were shown to be the same in name only. They lacked uniformity in the delivery of care and accessibility to relevant patient groups. The geographical variation in service delivery may result in patient dissatisfaction and confusion if a number of hospitals are attended over the course of a patient's chronic disease. Further research is required to identify the helpline needs of the broader rheumatology population, patient satisfaction, outcomes and system costs, and to progress towards the development of national and European guidelines.

Citation

McCabe, C., MacDowell, J., Cushnaghan, J., Butts, S., Hewlett, S., Stafford, S., …Breslin, A. (2000). Rheumatology telephone helplines: An activity analysis. Rheumatology, 39, 1390-1395

Journal Article Type Article
Publication Date Jan 1, 2000
Journal Rheumatology
Print ISSN 1462-0324
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 39
Pages 1390-1395
Keywords rheumatology, helplines, telephone, guidelines
Public URL https://uwe-repository.worktribe.com/output/1095656
Publisher URL http://rheumatology.oxfordjournals.org/cgi/content/full/39/12/1390