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This was likely a result of an intentional compensation of one interval for delays in another (i.e., a triage effect similar to the UK case detailed in the Introduction).
This finding led to the hypothesis that the introduction and increased utilization of the National Health Service's NHS Direct (a 24-hour telephone, online, and interactive digital TV service, which provided health advice and information) at this time had a "triage effect" on those seeking care for children in this age group.
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Staff reported diverse experiences and perceptions regarding the implementation of telephone triage, its effects on workload, and on the benefits of triage.
This evaluation study uses a concurrent mixed methods design (a combination of qualitative and quantitative research methods) to evaluate triage criteria, effects, processes and costs of the care provided in the three hospitals.
Tables 1, 2, 3, 4 and 5 show a complete overview of outcome variables and data collection instruments for demographics and triage (table 1), effect evaluation (tables 2 and 3), process evaluation (table 4) and cost evaluation (table 5).
In effect, triage may result in a gradual degradation of care with the increasing scale of the incident and become a 'societally mandated Do Not Resuscitate order'.
A three-way gender × triage × time interaction effect was found for the anxiety outcome (Table 2).
Harding KE, Taylor NF, Leggat SG, Stafford M. Effect of triage on waiting time for community rehabilitation: a prospective cohort study.
Study objectives: We measure the interobserver reliability of the triage process, examine the effect of vital signs on the triage process, and provide a context for the prior observation of poor interobserver agreement between in-person and telephonic interviews.
It remains to be seen, however, if the differences in triage decisions are an effect of the expert system.
Qualitative studies are warranted to further investigate factors influencing care-seeking behavior and triage decisions and the effect of these behaviors on access to healthcare and health outcomes for girls and women.
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