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Telephone-based interventions in outpatient care
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Introduction |
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Telephone calls have long been integral to health care delivery. Patients often contact physicians to determine whether symptoms require a face to face visit, and physicians call patients to follow up office visits. As it became increasingly clear that patient education for chronic disease requires time beyond a single office visit, telephone-based intervention became viewed as a potential effective way to overcome pragmatic obstacles (for example, space, time) to educate patients in already busy outpatient settings. Telephone contacts also provide an excellent vehicle through which to monitor patients' health between office visits, particularly when patients need to travel long distances to receive medical care.
More than a decade ago, we began to examine the impact of proactively
using telephone-based interventions for patients with osteoarthritis
(OA). An uncontrolled, longitudinal study observed that, following
biweekly telephone calls during a six month period, patients with OA
reported significant improvements in functional status.1
Perhaps
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