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On call paediatricians were not better than advice nurses for after hours medical advice in a general paediatric population

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Q In a general paediatrics population, is medical advice from on call paediatricians compared with that from advice nurses associated with (1) fewer parents or guardians seeking unadvised medical care, and (2) fewer parents or guardians obtaining unadvised significant care for their children?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (healthcare providers).

Embedded ImageFollow up period:

72 hours.

Embedded ImageSetting:

a university general paediatrics faculty practice in Los Angeles, California, USA.

Embedded ImagePatients:

1182 parents or guardians who called for after hours telephone advice from the on call paediatrician regarding their children (mean age 3 y, 55% boys). Exclusion criteria: calls …

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  • For correspondence: Dr L J Baraff, Emergency Medicine Center, UCLA Medical School, Los Angeles, CA, USA.

  • Source of funding: Agency for Healthcare Research and Quality.