Evidence map›Paper›PMID 19520019›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009

Telephone consulting in primary care: a triangulated qualitative study of patients and providers.

Brian McKinstry, Philip Watson, Hilary Pinnock, David Heaney, Aziz Sheikh

Open access · bronzeAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The impact of remote care approaches on continuity in primary care: a mixed-studies systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Pooled it
  4. Pooled it
  5. Safety-netting communication during telephone consultations: an observational study using recorded consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Observational
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  16. Nursing teleconsultation in primary health care: scoping review.Revista latino-americana de enfermagem · 2024
    Article
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brian McKinstryCentre of Population Health Sciences: General Practice Section, University of Edinburgh, Edinburgh, Scotland. brian.mckinstry@ed.ac.uk
Philip Watson
Hilary Pinnock
David Heaney
Aziz Sheikh
University of Edinburgh · GB

Funding

Chief Scientist Office CZG/2/299Chief Scientist Office CZH/4/303
6 · The paper itself

Abstract

backgroundInternationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of consulting differs from face-to-face encounters.

aimTo understand patient and healthcare-staff perspectives on how telephone consulting differs from face-to-face consulting in terms of content, quality, and safety, and how it can be most appropriately incorporated into routine health care. DESIGN OF STUDY: Focus groups triangulated by a national questionnaire.

settingPrimary care in urban and rural Scotland.

methodFifteen focus groups (n = 91) were conducted with GPs, nurses, administrative staff, and patients, purposively sampled to attain a maximum-variation sample. Findings were triangulated by a national questionnaire.

resultsTelephone consulting evolved in urban areas mainly to manage demand, while in rural areas it developed to overcome geographical problems and maintain continuity of care for patients. While telephone consulting was generally seen to provide improved access, clinicians expressed strong concerns about safety potentially being compromised, largely as a result of lack of formal and informal examination. Concerns were, to an extent, allayed when clinicians and patients knew each other well.

conclusionUsed appropriately, telephone consulting enhances access to health care, aids continuity, and saves time and travelling for patients. The current emphasis on use for acute triage, however, worried clinicians and patients. Given these findings, and until the safe use of telephone triage is fully understood and agreed upon by stakeholders, policymakers and clinicians should consider using the telephone primarily for managing follow-up appointments when diagnostic assessment has already been undertaken.

Indexed as

Patient SatisfactionQuality of Health CareAdolescentAdultAgedAged, 80 and overAttitude of Health PersonnelConfidentialityFamily PracticeFemaleHealth Services AccessibilityHumansMaleMiddle AgedPhysician-Patient RelationsRemote Consultation

Identifiers

PMID19520019
PMCPMC2688070
OpenAlexW2141148816

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.