Telephone advice nursing services in a US health maintenance organization

Susan E. Shapiro, Shigeko Izumi, Christine A. Tanner, Susan R. Moscato, Barbara G. Valanis, Marion R. David, Christina M. Gullion

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


We studied telephone advice nursing (TAN) in the US. We recorded 4269 TAN calls in four regions served by Kaiser Permanente, a health maintenance organization. A call description form was used to record information regarding both calls and callers. The mean call length was 5.9 min (SD 3.6, range 0.3-35.8); 300 calls lasted less than 2 min. The mean call length differed significantly across regions, from 4.4 min in Hawaii to 8.7 min in Southern California. Calls to call centres lasted an average of 6.5 min (SD 3.8), compared with 4.2 min (SD 2.9) for those to medical offices. These differences were significant. Although 42% of calls required some further medical management, only 18% (n=754) resulted in an urgent disposition, and only 16% (n=121; 3% of all calls) of the urgent dispositions involved referral to emergency services. The likelihood of urgent disposition varied significantly by region. Callers generally used the TAN services for the right reasons, that is, with questions or concerns that could be reasonably handled by telephone advice nurses.

Original languageEnglish (US)
Pages (from-to)50-54
Number of pages5
JournalJournal of telemedicine and telecare
Issue number1
StatePublished - 2004

ASJC Scopus subject areas

  • Health Informatics


Dive into the research topics of 'Telephone advice nursing services in a US health maintenance organization'. Together they form a unique fingerprint.

Cite this