Evidence map›Paper›PMID 20423575›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Comparison of face-to-face and telephone consultations in primary care: qualitative analysis.

Heather Hewitt, Joseph Gafaranga, Brian McKinstry

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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
  4. Article
  5. Review
  6. The effect of workload on primary care doctors on referral rates and prescription patterns: evidence from English NHS.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
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  15. The impact of the COVID-19 pandemic on pharmacy personnel in primary care.Primary health care research & development · 2022
    Article
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  17. Review
  18. Article
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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

3 authors at 2 institutions in 1 country.

Heather HewittCentre for Population Health Sciences: General Practice Section, University of Edinburgh Medical School, Teviot Place, Edinburgh, UK. Heather.Hewitt@ed.ac.uk
Joseph Gafaranga
Brian McKinstry
MRC Centre for Reproductive Health · GBUniversity of Edinburgh · GB

Funding

Chief Scientist Office CZG/2/330
6 · The paper itself

Abstract

backgroundThere is evidence that telephone consultations in general practice are typically shorter than face-to-face consultations and that fewer problems are presented in them.

aimTo compare the communicative practices of doctors and patients in face-to-face and telephone consultations, in order to understand the contrasts between the two consulting modes. DESIGN OF STUDY: Conversation analysis.

settingEight NHS GP surgeries in Scotland.

methodTranscription and conversation analysis of 32 face-to-face and 33 telephone consultations.

participantsEighteen GPs and 65 patients.

resultsThere are no underlying contrasts between the communicative practices used in face-to-face and telephone consultations. Telephone consultations are typically used by patients to deal with a limited range of single-issue concerns, whereas a wide range of different problem types is dealt with in face-to-face consultations. Most telephone consultations for new problems lead to a face-to-face meeting rather than a diagnosis, making them shorter than equivalent face-to-face consultations. Interaction in telephone consultations is continuous and orderly, but in face-to-face consultations there are periods of silence that facilitate the introduction of additional topics, including social speech and rapport building. Doctors on the telephone are less likely to elicit additional concerns than in face-to-face consultations, and ask fewer questions when patients present self-diagnosed problems or describe problems with treatment.

conclusionDoctors in general practice do not substantially change their communicative behaviour on the telephone. Telephone consultations are shorter and include less problem disclosure than face-to-face meetings, partly because they are typically mono-topical and partly because of intrinsic differences between the two channels.

Indexed as

Attitude of Health PersonnelCommunicationPatient SatisfactionPhysician-Patient RelationsTelephoneGeneral PracticeHumansMedical History TakingProfessional PracticeScotland

Identifiers

PMID20423575
PMCPMC2858552
OpenAlexW2040690254

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.