Evidence map›Paper›PMID 24267859›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2013

Experiences of using email for general practice consultations: a qualitative study.

Helen Atherton, Yannis Pappas, Carl Heneghan, Elizabeth Murray

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. What patients want from access to UK general practice: systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Redesigning primary care: Provider perspectives on the clinical utility of virtual visits.Canadian family physician Medecin de famille canadien · 2023
    Article
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  15. Article
  16. Review
  17. Receptionists' role in new approaches to consultations in primary care: a focused ethnographic study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  18. Alternatives to the face-to-face consultation in general practice: focused ethnographic case study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  19. Observational
  20. Use of an electronic consultation system in primary care: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
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

4 authors.

Helen AthertonDepartment of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Yannis Pappas
Carl Heneghan
Elizabeth Murray

Funding

Medical Research Council
6 · The paper itself

Abstract

backgroundReports suggest approximately 21-23% of GPs in the UK have consulted with patients using email, but little is known about the nature of this use and what it means for clinicians and patients in general practice.

aimTo understand the use of email consultation in general practice by investigating the experiences of existing users and views of experts. DESIGN AND

settingA qualitative study conducted in 2010 using purposive sampling and semi-structured interviews in general practice and community settings in some London boroughs.

methodA maximum variation sample of GPs and patients who had used email for consultation in general practice were recruited, as were policy and/or implementation experts. Interviews continued until saturation was achieved.

resultsIn total 10 GPs, 14 patients, and six experts were interviewed. Consultation by email was often triggered by logistic or practical issues; motivators for ongoing use were the benefits, such as convenience, for GPs and patients. Both GPs and patients reported concerns about safety and lack of guidance about the 'rules of engagement' in email consultations, with GPs also concerned about workload. In response, both groups attempted to introduce their own rules, although this only went some way to addressing uncertainty. Long term, participants felt there was a need for regulation and guidance.

conclusionConsultations by email in general practice occur in an unregulated and unstructured way. Current UK policy is to promote consultations by email, making it crucial to consider the responsibility and workload faced by clinicians, and the changes required to ensure safe use; not doing so may risk safety breaches and result in suboptimal care for patients.

Indexed as

AdolescentAdultAgedComputer SecurityElectronic MailFemaleGeneral PracticeHumansLondonMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsRemote ConsultationWorkloadYoung Adult

Identifiers

PMID24267859
PMCPMC3809429

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.