Evidence map›Paper›PMID 29724040›Full record

ArticleInternational journal of environmental research and public health2018

Evaluation of a Digital Consultation and Self-Care Advice Tool in Primary Care: A Multi-Methods Study.

Julie Cowie, Eileen Calveley, Gillian Bowers, John Bowers

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 8 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

49 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  16. Access systems in general practice: a systematic scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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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

4 authors.

Julie CowieFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK. Julie.cowie@stir.ac.uk.ORCID 0000-0002-4653-1283
Eileen CalveleyFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK. eileen.calveley@stir.ac.uk.ORCID 0000-0001-8731-2338
Gillian BowersAdam Smith Business School, University of Glasgow, Glasgow G12 8QQ, UK. gillian.bowers@glasgow.ac.uk.
John BowersFaculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK. j.a.bowers@stir.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digital services are often regarded as a solution to the growing demands on primary care services. Provision of a tool offering advice to support self-management as well as the ability to digitally consult with a General Practitioner (GP) has the potential to alleviate some of the pressure on primary care. This paper reports on a Phase II, 6-month evaluation of eConsult, a web-based triage and consultation system that was piloted across 11 GP practices across Scotland. Through a multi-method approach the evaluation explored eConsult use across practices, exposing both barriers and facilitators to its adoption. Findings suggest that expectations that eConsult would offer an additional and alternative method of accessing GP services were largely met. However, there is less certainty that it has fulfilled expectations of promoting self-help. In addition, low uptake meant that evaluation of current effectiveness was difficult for practices to quantify. The presence of an eConsult champion(s) within the practice was seen to be a significant factor in ensuring successful integration of the tool. A lack of patient and staff engagement, insufficient support and lack of protocols around processes were seen as barriers to its success.

Indexed as

Self CareAdolescentAdultAgedFemaleGeneral PractitionersHumansInternetMaleMiddle AgedPrimary Health CareRemote ConsultationScotlandTriageYoung Adultdigital healthimplementationprimary careself-management

Identifiers

PMID29724040
PMCPMC5981935

What OpenQuestion holds

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LicenceCC BY
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.