Two systems of telephone follow-up of discharged patients were compare
d in this 3-month study. All medical and surgical patients on five nur
sing units of one acute care institution were included, yielding a sam
ple of over 1,400 patients. One group of patients was called 2 to 3 da
ys after discharge; another group received a brochure describing a nur
se-run telephone service they could call. A third group of patients re
ceived no intervention. More than 90% of patients who were called had
questions about self-care and recovery at home. Only nine patients ini
tiated calls to the nurse telephone service. The three groups did not
differ in patient satisfaction with health education or readmission ra
tes within 30 days of discharge. This study suggests that patients hav
e continued health education needs after discharge but are unlikely to
actively seek needed information from a hospital-based telephone serv
ice. Copyright (C) 1996 by W.B. Saunders Company