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Conclusions: The TDI is a sensitive, specific, and reliable instrument for diagnosing RLS by experienced interviewers in a brief, anonymous telephone encounter.
With base-case assumptions, intervention costs were estimated at $90 (s.d., $2) for home blood pressure monitoring, $345 (s.d., $64) for the behavioral intervention ($31 per telephone encounter), and $416 (s.d., $93) for the combined intervention.
A brief one-page summary of each telephone encounter is sent to the subject's health care provider.
ADR to medications, incident gout flares and abnormal laboratory parameters were recorded by the clinical pharmacist at each telephone encounter and were reviewed by the rheumatologist for management.
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The takeaway from Kato's telephone encounters was that the North Koreans had almost no sense of what was happening in the outside world.
The accuracy further improved by excluding visits for laboratory tests only and telephone encounters.
We agreed that patient navigators would document in the EHR their face to face visits as well as telephone encounters with patients.
Compared to normal surgery encounters, high-risk NSAID initiation was less common in telephone encounters (OR 0.68, 95% CI 0.52 to 0.89) and other/unknown encounters (OR 0.34, 95% CI 0.29 to 0.42).
"…this model has to address the time that we have and right now it's already over-utilized, with patient care, along with other things, and addressing telephone encounters.
If one takes a more sophisticated approach of excluding telephone encounters or visits with laboratory test only as non-specific, which can be easily done in most administrative databases including the VA, the specificity exceeded 95% and PPV exceeded 85%.
This includes information directly related to the FNP utilisation such as the number and percentage of completed visits by the FNP nurses as well as their duration, and the number of telephone encounters with the client.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com