ArticleBMJ open2020
Identifying alternative models of healthcare service delivery to inform health system improvement: scoping review of systematic reviews.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Service delivery, behavioural, and self-management interventions for adults with epilepsy.The Cochrane database of systematic reviews · 2025Pooled it
- Implementation and impact of integrated health and social care services: an umbrella review.Journal of public health policy · 2024Pooled it
- Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people?Age and ageing · 2022Trial
- Patients' experiences of receiving hospital care from a mobile care unit - a qualitative interview study.International journal of qualitative studies on health and well-being · 2026Article
- Article
- Article
- Healthcare System Sustainability Challenges in Nepal and Opportunities Offered by Alternative Healthcare Delivery Arrangements.JNMA; journal of the Nepal Medical Association · 2024Article
- Article
- Cardiac interventions in Wales: A comparison of benefits between NHS Wales specialties.PloS one · 2024Article
- How the current non-significant effects of person-centred care on nurses' outcomes could be abated by the WE-CARE roadmap enablers: A discursive paper.Nursing open · 2023Article
- Models of service delivery in adult cochlear implantation and evaluation of outcomes: A scoping review of delivery arrangements.PloS one · 2023Article
- Care coordination, consistency and continuity: the case of the key worker role in children's cancer care.International journal of qualitative studies on health and well-being · 2022Article
- Community Health Programs Delivered Through Information and Communications Technology in High-Income Countries: Scoping Review.Journal of medical Internet research · 2022Article
- Determinants of patients' satisfaction and trust toward healthcare service environment in general practice clinics.Frontiers in psychology · 2022Article
- Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis.Healthcare (Basel, Switzerland) · 2021Article
- Early supported hospital discharge for foot disease: a co-design study.BMC health services research · 2021Article
- Trends in management of hip and knee osteoarthritis in general practice in Australia over an 11-year window: a nationwide cross-sectional survey.The Lancet regional health. Western Pacific · 2021Article
- Association between person-centred care and healthcare providers' job satisfaction and work-related health: a scoping review.BMJ open · 2020Article
- Towards a self-applied, mobile-based geolocated exposure therapy software for anxiety disorders: SyMptOMS-ET app.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe available evidence from systematic reviews of alternative healthcare delivery arrangements relevant to high-income countries to inform decisions about healthcare system improvement.
designScoping review of systematic reviews. DATA SOURCES: Systematic reviews of interventions indexed in Pretty Darn Quick-Evidence. ELIGIBILITY CRITERIA: All English language systematic reviews evaluating the effects of alternative delivery arrangements relevant to high-income countries, published between 1 January 2012 and 20 September 2017. Eligible reviews had to summarise evidence on at least one of the following outcomes: patient outcomes, quality of care, access and/or use of healthcare services, resource use, impacts on equity and/or social outcomes, healthcare provider outcomes or adverse effects. DATA EXTRACTION AND SYNTHESIS: Journal, publication year, number and design of primary studies, populations/health conditions represented and types of outcomes were extracted.
resultsOf 829 retrieved records, 531 reviews fulfilled our inclusion criteria. Almost all (93%) reviews reported on patient outcomes, while only about one-third included resource use as an outcome of interest. Just over a third (n=189, 36%) of reviews focused on alternative information and communications technology interventions (including 162 reviews on telehealth). About one-quarter (n=122, 23%) of reviews focused on alternative care coordination interventions. 15% (n=80) of reviews examined interventions involving changes to who provides care and how the healthcare workforce is managed. Few reviews investigated the effects of interventions involving changes to how and when care is delivered (n=47, 9%) or interventions addressing a goal-focused question (n=38, 7%).
conclusionA substantial body of evidence about the effects of a wide range of delivery arrangements is available to inform health system improvements. The lack of economic evaluations in the majority of systematic reviews of delivery arrangements means that the value of many of these models is unknown. This scoping review identifies evidence gaps that would be usefully addressed by future research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.