Evidence map›Paper›PMID 31098579›Full record

ArticleFuture healthcare journal2019

PROCESS AND SYSTEMS: A systems approach to embedding group consultations in the NHS.

Tania Jones, Ara Darzi, Garry Egger, Jeannette Ickovics, Ed Noffsinger, Kamalini Ramdas, John Stevens, Marianne Sumego, Fraser Birrell

Abstract readCase Reports
In one paragraph

Article in Future healthcare journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Review
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  11. Preoperative Group Consultation Prior to Surgery for Colorectal Cancer-an Explorative Study of a New Patient Education Method.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  12. Article
  13. Implementing video group consultations in general practice during COVID-19: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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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

9 authors.

Tania JonesInstitute of Health & Society, Newcastle University, Newcastle upon Tyne.
Ara DarziImperial College London, London, UK.
Garry EggerSouthern Cross University, Australia.
Jeannette IckovicsYale School of Public Health, Connecticut, USA.
Ed NoffsingerSan Francisco, USA.
Kamalini RamdasLondon Business School, London, UK.
John StevensSouthern Cross University, Lismore, Australia.
Marianne SumegoCleveland Clinic, Cleveland, USA.
Fraser BirrellNewcastle University, Newcastle, UK.

Funding

Medical Research Council MR/P020941/1
6 · The paper itself

Abstract

Group consultations are an important care option that is -starting to gain traction in the USA and Australia. This review summarises the likely benefits accruing from a systems -approach to implementing group consultations widely in the NHS and other socialised healthcare systems. Existing evidence is mapped to five distinct systems approaches: (1) development; (2) different age groups; (3) patient-centred pathway of care; (4) NHS system changes; and (5) education. Implications are discussed for patients and staff, who both benefit from group consultations once embedded; ranging from improved access and efficiency to more enjoyable multidisciplinary team working, improved resource management, and maintained/better outcomes. Moreover, even patients who don't attend group consultations can benefit from system effects of long-term implementation. Changing behaviour and health systems is challenging, but change requires systematic experimentation and documentation of evidence. We conclude that group consultations have unique potential for delivering system-wide benefits across the NHS.

Indexed as

group clinicGroup consultationshared medical appointment

Identifiers

PMID31098579
PMCPMC6520080

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.