Evidence map›Paper›PMID 32513875›Full record

ArticleBMJ open2020

Qualitative and quantitative approach to assess of the potential for automating administrative tasks in general practice.

Matthew Willis, Paul Duckworth, Angela Coulter, Eric T Meyer, Michael Osborne

Abstract readMulticenter Study
In one paragraph

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 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Atencion primaria · 2026
    Pooled it
  2. Pooled it
  3. Impact of the clinically oriented roles of a general practice receptionist: a systematic review with narrative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  4. Counting general practitioners: a comparative repeat cross-sectional analysis of GPs in NHS general practice in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Government's 10 year plan for the NHS in England.BMJ (Clinical research ed.) · 2025
    Article
  10. Article
  11. Labour's 10 year plan for the English NHS.BMJ (Clinical research ed.) · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Labour's health "mission".BMJ (Clinical research ed.) · 2023
    Article
  16. Tackling the crisis in general practice.BMJ (Clinical research ed.) · 2023
    Article
  17. Article
  18. Article
  19. Identifying how GPs spend their time and the obstacles they face: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  20. Review
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

5 authors.

Matthew WillisOxford Internet Institute, University of Oxford, Oxford, UK matthew.willis@oii.ox.ac.uk.ORCID 0000-0002-9120-7319
Paul DuckworthDepartment of Engineering Science, University of Oxford, Oxford, UK.
Angela CoulterNuffield Department of Population Health, University of Oxford, Oxford, UK.
Eric T MeyerOxford Internet Institute, University of Oxford, Oxford, UK.
Michael OsborneDepartment of Engineering Science, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the extent to which administrative tasks carried out by primary care staff in general practice could be automated.

designA mixed-method design including ethnographic case studies, focus groups, interviews and an online survey of automation experts.

settingThree urban and three rural general practice health centres in England selected for differences in list size and organisational characteristics.

participantsObservation and interviews with 65 primary care staff in the following job roles: administrator, manager, general practitioner, healthcare assistant, nurse practitioner, pharmacy technician, phlebotomist, practice nurse, pharmacist, prescription clerk, receptionist, scanning clerk, secretary and medical summariser; together with a survey of 156 experts in automation technologies.

methods330 hours of ethnographic observation and documentation of administrative tasks carried out by staff in each of the above job roles, followed by coding and classification; semistructured interviews with 10 general practitioners and 6 staff focus groups. The online survey of machine learning, artificial intelligence and robotics experts was analysed using an ordinal Gaussian process prediction model to estimate the automatability of the observed tasks.

resultsThe model predicted that roughly 44% of administrative tasks carried out by staff in general practice are 'mostly' or 'completely' automatable using currently available technology. Discussions with practice staff underlined the need for a cautious approach to implementation.

conclusionsThere is considerable potential to extend the use of automation in primary care, but this will require careful implementation and ongoing evaluation.

Indexed as

AutomationArtificial IntelligenceAttitude of Health PersonnelEnglandFocus GroupsGeneral PracticeHumansInterviews as TopicJob DescriptionPractice Management, Medicalautomation, officehealth policymachine learningorganisation of health servicesprimary care

Identifiers

PMID32513875
PMCPMC7282326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.