Patient use and compliance with medical advice delivered by a web-based triage system in primary care

N. Nijland, Karlijn Cranen, Karlijn Cranen, Henk Boer, Hendrik Boer, Julia E.W.C. van Gemert-Pijnen, E.R. Seydel

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)

Abstract

We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 3812 patients went right through the triage process to the end. The most frequent complaints were common cold symptoms, such as cough and a sore throat (22%), itch problems (13%), urinary complaints (12%), diarrhoea (10%), headache (8%) and lower back pain (8%). Most commonly, the system generated the advice to contact a doctor (85%) and in 15% of the cases the system provided fully automated, problem-tailored, self-care advice. A total of 192 patients participated in a prospective study and completed an online survey immediately after the delivery of advice. A follow-up questionnaire on actual compliance was completed by 35 patients. Among these, 20 (57%) had actually complied with the advice provided by the system. A regression analysis revealed that intention to comply was strongly related to actual compliance. In turn, intention to comply was strongly related to attitude towards the advice (P < 0.001). Web-based triage can contribute to a more efficient primary care system, because it facilitates the gatekeeper function.
Original languageUndefined
Pages (from-to)8-11
JournalJournal of telemedicine and telecare
Volume16
Issue number1
DOIs
Publication statusPublished - 2010

Keywords

  • IR-71307
  • METIS-266211

Cite this

Nijland, N. ; Cranen, Karlijn ; Cranen, Karlijn ; Boer, Henk ; Boer, Hendrik ; van Gemert-Pijnen, Julia E.W.C. ; Seydel, E.R. / Patient use and compliance with medical advice delivered by a web-based triage system in primary care. In: Journal of telemedicine and telecare. 2010 ; Vol. 16, No. 1. pp. 8-11.
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Patient use and compliance with medical advice delivered by a web-based triage system in primary care. / Nijland, N.; Cranen, Karlijn; Cranen, Karlijn; Boer, Henk; Boer, Hendrik; van Gemert-Pijnen, Julia E.W.C.; Seydel, E.R.

In: Journal of telemedicine and telecare, Vol. 16, No. 1, 2010, p. 8-11.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - van Gemert-Pijnen, Julia E.W.C.

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