After-Hours Telephone Use in Urban Pediatric Primary Care Centers

Steven E. Caplan, Suezanne Tangerose Orr, John R. Skulstad, Evan Charney

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Controversy exists regarding use of after-hours telephone systems by families unaccustomed to formal call systems. Our study compared the use of these systems by patients from two urban pediatric health centers with that by enrollees from three suburban private practices. The age-adjusted call rates were similar for all practices. However, a significantly higher proportion of health center calls came late at night and resulted in examination of the child. For all practices, call rates varied with age, from 6.0 calls per night per 1,000 patients for infants to 0.2 call per night per 1,000 patients for teenagers. Calls concerning younger children and late-night calls were more frequently judged inappropriate. Parents using health centers communicated their concerns as effectively as those using private practices and were similarly satisfied. Of all health center patients seeking advice after hours, 80% properly followed established pathways.

Original languageEnglish (US)
Pages (from-to)879-882
Number of pages4
JournalAmerican Journal of Diseases of Children
Issue number9
StatePublished - Sep 1983
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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