Follow-up After Telephone Consultations at Out-of-Hours Primary Care

Huibers, Linda; Koetsenruijter, Jan; Grol, Richard; Giesen, Paul; Wensing, Michel

doi:10.3122/jabfm.2013.04.120185

Cited by 15 publications

(14 citation statements)

References 21 publications

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“…We theorize that the reason for these findings may be related to elderly patients having multiple (including mobility) issues and would therefore be more likely to ensure that their concerns were fully resolved by the visiting AHHC doctors on each particular visit. This finding seems to differ somewhat from those a Dutch study published in 2013, which reported an increased probability of follow‐ups in patients aged 65 or over. This comparison should be made with caution, though, as the Dutch study focused on patients who used OOH telephone consultations, and not home visits.…”

Section: Discussion Conclusion and Recommendationscontrasting

confidence: 99%

“…Of equal interest is our finding that, after the AHHC consultations, 40.0% of the patients seen required no further follow‐ups (Table ), and this group were significantly more satisfied with the AHHC service on all scales of satisfaction (Table ). This latter observation is consistent with the report that patients with positive experiences of OOH consultations are less likely to require follow‐ups …”

Section: Discussion Conclusion and Recommendationssupporting

confidence: 92%

“…Few studies in this area have been undertaken globally, and the few that have been reported focused only on follow‐up with regular‐hour general practitioners (GPs), but not on other follow‐up options. In Australia, apart from a publication related to this particular paper but with a focus solely on emergency departments (EDs), no other study has so far addressed this area, despite the rapid growth of AHHC in the country .…”

Section: Introductionmentioning

confidence: 99%

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Continuity of care in after‐hours house call medical services: An exploration of follow‐up patterns in an Australian context

Ifediora

Rogers

2018

Evaluation Clinical Practice

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Section: Discussion Conclusion and Recommendationscontrasting

confidence: 99%

Section: Discussion Conclusion and Recommendationssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Continuity of care in after‐hours house call medical services: An exploration of follow‐up patterns in an Australian context

Ifediora

Rogers

2018

Evaluation Clinical Practice

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“…95 In particular, older patients were more likely to have follow-up contacts after receiving telephone advice. 114 The evaluation of NHS 111 pilot sites found no impact on attendances at EDs and contacts with urgent primary care services but a statistically significant increase in ambulance incidents. 105 Five studies found that the introduction of a telephone advice service for low-urgency ambulance service patients resulted in fewer ambulance responses being required.…”

Section: Service Impactsmentioning

confidence: 99%

“…Seventeen studies reported impacts on their own service or other services, either from increased or reduced service use and or increased or reduced staff workload [68][69][70]86,95,98,99,[101][102][103]105,109,112,114,122,126,134 One study found that NHS Direct referred a higher proportion of patients to other services when compared with general practice. 134 A RCT by Lattimer et al 68 reported a 38% reduction in primary care appointments and a 23% reduction in home visits, whereas another study reported no change in primary care appointments but home visits reduced by 18%.…”

Section: Service Impactsmentioning

confidence: 99%

What evidence is there on the effectiveness of different models of delivering urgent care? A rapid review

Turner

Coster

Chambers

et al. 2015

Health Serv Deliv Res

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BackgroundIn 2013 NHS England set out its strategy for the development of an emergency and urgent care system that is more responsive to patients’ needs, improves outcomes and delivers clinically excellent and safe care. Knowledge about the current evidence base on models for provision of safe and effective urgent care, and the gaps in evidence that need to be addressed, can support this process.ObjectiveThe purpose of the evidence synthesis is to assess the nature and quality of the existing evidence base on delivery of emergency and urgent care services and identify gaps that require further primary research or evidence synthesis.Data sourcesMEDLINE, EMBASE, The Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and the Web of Science.MethodsWe have conducted a rapid, framework-based, evidence synthesis approach. Five separate reviews linked to themes in the NHS England review were conducted. One general and five theme-specific database searches were conducted for the years 1995–2014. Relevant systematic reviews and additional primary research papers were included and narrative assessment of evidence quality was conducted for each review.ResultsThe review was completed in 6 months. In total, 45 systematic reviews and 102 primary research studies have been included across all five reviews. The key findings for each review are as follows: (1) demand – there is little empirical evidence to explain increases in demand for urgent care; (2) telephone triage – overall, these services provide appropriate and safe decision-making with high patient satisfaction, but the required clinical skill mix and effectiveness in a system is unclear; (3) extended paramedic roles have been implemented in various health settings and appear to be successful at reducing the number of transports to hospital, making safe decisions about the need for transport and delivering acceptable, cost-effective care out of hospital; (4) emergency department (ED) – the evidence on co-location of general practitioner services with EDs indicates that there is potential to improve care. The attempt to summarise the evidence about wider ED operations proved to be too complex and further focused reviews are needed; and (5) there is no empirical evidence to support the design and development of urgent care networks.LimitationsAlthough there is a large body of evidence on relevant interventions, much of it is weak, with only very small numbers of randomised controlled trials identified. Evidence is dominated by single-site studies, many of which were uncontrolled.ConclusionsThe evidence gaps of most relevance to the delivery of services are (1) a requirement for more detailed understanding and mapping of the characteristics of demand to inform service planning; (2) assessment of the current state of urgent care network development and evaluation of the effectiveness of different models; and (3) expanding the current evidence base on existing interventions that are viewed as central to delivery of the NHS England plan by assessing the implications of increasing interventions at scale and measuring costs and system impact. It would be prudent to develop a national picture of existing pilot projects or interventions in development to support decisions about research commissioning.FundingThe National Institute for Health Research Health Services and Delivery Research Programme.

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Veiligheid en doelmatigheid van telefonische triage op de Nederlandse huisartsenpost

Huibers

Smits

Wensing

et al. 2016

Tijdschr Gezondheidswet

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Follow-up After Telephone Consultations at Out-of-Hours Primary Care

Cited by 15 publications

References 21 publications

Continuity of care in after‐hours house call medical services: An exploration of follow‐up patterns in an Australian context

Continuity of care in after‐hours house call medical services: An exploration of follow‐up patterns in an Australian context

What evidence is there on the effectiveness of different models of delivering urgent care? A rapid review

Veiligheid en doelmatigheid van telefonische triage op de Nederlandse huisartsenpost

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