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. 1989 Jan;35:123–128.

Doctor-Patient Communication on the Telephone

Peter Curtis, Susan Evens
PMCID: PMC2280438  PMID: 21253275

Abstract

Since its invention, the telephone has been an important tool in medical practice, particularly for primary care physicians. Approximately half the calls made to a physician's office during regular consulting hours are for clinical problems and most are handled effectively over the phone without an immediate office visit. Telephone encounters are generally very brief, and managing such calls requires a pragmatic approach that is often quite different from the approach taken in the office visit. The telephone encounter should be recognized and recorded as a specific medical interaction in the medical chart for both clinical and legal reasons. Effective telephone encounters depend on good communication skills; decision making regarding disposition is a major goal. The physician's perception of a medical problem may be different from the patient's; patients are frequently seeking advice and reassurance rather than diagnosis and treatment, and may call because of anxiety and psychological stress. For physicians and their families who are not prepared for after-hours telephone encounters, calls that interrupt more “legitimate” activities may result in anger or frustration for the physician and dissatisfaction for the patient.

Keywords: telephone encounters, primary care physicians, patient management

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Caplan S. E., Orr S. T., Skulstad J. R., Charney E. After-hours telephone use in urban pediatric primary care centers. Am J Dis Child. 1983 Sep;137(9):879–882. doi: 10.1001/archpedi.1983.02140350053013. [DOI] [PubMed] [Google Scholar]
  2. DiMatteo M. R., Hays R. The significance of patients' perceptions of physician conduct: a study of patient satisfaction in a family practice center. J Community Health. 1980 Fall;6(1):18–34. doi: 10.1007/BF01324054. [DOI] [PubMed] [Google Scholar]
  3. Evens S., Curtis P., Talbot A., Baer C., Smart A. Characteristics and perceptions of after-hours callers. Fam Pract. 1985 Mar;2(1):10–16. doi: 10.1093/fampra/2.1.10. [DOI] [PubMed] [Google Scholar]
  4. Freeman T. R. A study of telephone prescriptions in family practice. J Fam Pract. 1980 May;10(5):857–862. [PubMed] [Google Scholar]
  5. Goodman H. C., Perrin E. C. Evening telephone call management by nurse practitioners and physicians. Nurs Res. 1978 Jul-Aug;27(4):233–237. [PubMed] [Google Scholar]
  6. Greenlick M. R., Freeborn D. K., Gambill G. L., Pope C. R. Determinants of medical care utilization: the role of the telephone in total medical care. Med Care. 1973 Mar-Apr;11(2):121–134. doi: 10.1097/00005650-197303000-00004. [DOI] [PubMed] [Google Scholar]
  7. Helm-Estabrooks N., Ramsberger G. Aphasia treatment delivered by telephone. Arch Phys Med Rehabil. 1986 Jan;67(1):51–53. [PubMed] [Google Scholar]
  8. Hornblow A. R. The evolution and effectiveness of telephone counseling services. Hosp Community Psychiatry. 1986 Jul;37(7):731–733. doi: 10.1176/ps.37.7.731. [DOI] [PubMed] [Google Scholar]
  9. Infante-Rivard C., Krieger M., Petitclerc M., Baumgarten M. A telephone support service to reduce medical care use among the elderly. J Am Geriatr Soc. 1988 Apr;36(4):306–311. doi: 10.1111/j.1532-5415.1988.tb02356.x. [DOI] [PubMed] [Google Scholar]
  10. John E., Curtis P. Physicians' attitudes to after-hours callers: a five year study in a university based family practice centre. Fam Pract. 1988 Sep;5(3):168–173. doi: 10.1093/fampra/5.3.168. [DOI] [PubMed] [Google Scholar]
  11. Katz H. P., Pozen J., Mushlin A. I. Quality assessment of a telephone care system utilizing non-physician personnel. Am J Public Health. 1978 Jan;68(1):31–38. doi: 10.2105/ajph.68.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Levy J. C., Strasser P. H., Lamb G. A., Rosekrans J., Friedman M., Kaplan D., Sanofsky P. Survey of telephone encounters in three pediatric practice sites. Public Health Rep. 1980 Jul-Aug;95(4):324–328. [PMC free article] [PubMed] [Google Scholar]
  13. Lukasik M. H., Pratt G. The telephone: an overlooked technology for prevention in family medicine. Can Fam Physician. 1987 Sep;33:1997–2001. [PMC free article] [PubMed] [Google Scholar]
  14. Munroe D., Natale P. After-hours call in a primary care nursing practice. Nurse Pract. 1982 May;7(5):24–27. [PubMed] [Google Scholar]
  15. Murphy D., Dineen E. Nursing by telephone. Am J Nurs. 1975 Jul;75(7):1137–1139. [PubMed] [Google Scholar]
  16. Ott J. E., Bellaire J., Machotka P., Moon J. B. Patient management by telephone by child health associates and pediatric house officers. J Med Educ. 1974 Jun;49(6):596–600. doi: 10.1097/00001888-197406000-00009. [DOI] [PubMed] [Google Scholar]
  17. Perrin E. C., Goodman H. C. Telephone management of acute pediatric illnesses. N Engl J Med. 1978 Jan 19;298(3):130–135. doi: 10.1056/NEJM197801192980304. [DOI] [PubMed] [Google Scholar]
  18. Sloane P., Lekan-Rutledge D., Gilchrist P. Telephone contacts in the decision-making process. J Gerontol Nurs. 1986 Aug;12(8):35–39. doi: 10.3928/0098-9134-19860801-09. [DOI] [PubMed] [Google Scholar]
  19. Smith S. R., Fischer P. M. Patient management by telephone: a training exercise for medical students. J Fam Pract. 1980 Mar;10(3):463–466. [PubMed] [Google Scholar]
  20. Solberg L. I., Mayer T. R., Seifert M. H., Jr, Cole P. M., Holloway R. L. Office telephone calls in family practice. J Fam Pract. 1984 Apr;18(4):609-13, 616. [PubMed] [Google Scholar]
  21. Spencer D. C., Daugird A. J. The nature and content of physician telephone calls in a private practice. J Fam Pract. 1988 Aug;27(2):201–205. [PubMed] [Google Scholar]

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