Evidence map›Paper›PMID 33023666›Full record

SynthesisSystematic reviews2020

A systematic review of patient prioritization tools in non-emergency healthcare services.

Julien Déry, Angel Ruiz, François Routhier, Valérie Bélanger, André Côté, Daoud Ait-Kadi, Marie-Pierre Gagnon, Simon Deslauriers, Ana Tereza Lopes Pecora, Eduardo Redondo and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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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

12 authors.

Julien DéryDepartment of Rehabilitation, Université Laval, Québec, Canada.
Angel RuizCentre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, Canada.
François RouthierDepartment of Rehabilitation, Université Laval, Québec, Canada.
Valérie BélangerCentre interuniversitaire de recherche sur les réseaux d'entreprise, la logistique et le transport (CIRRELT), Université de Montréal, Montréal, Canada.
André CôtéFaculty of Business Administration, Université Laval, Québec, Canada.
Daoud Ait-KadiCentre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, Canada.
Marie-Pierre GagnonCentre de recherche du CHU de Québec, Université Laval, Québec, Canada.
Simon DeslauriersDepartment of Rehabilitation, Université Laval, Québec, Canada.
Ana Tereza Lopes PecoraCentre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, Canada.
Eduardo RedondoFaculty of Business Administration, Université Laval, Québec, Canada.
Anne-Sophie AllaireCentre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, Canada.
Marie-Eve LamontagneDepartment of Rehabilitation, Université Laval, Québec, Canada. marie-eve.lamontagne@fmed.ulaval.ca.ORCID 0000-0002-3301-7429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient prioritization is a strategy used to manage access to healthcare services. Patient prioritization tools (PPT) contribute to supporting the prioritization decision process, and to its transparency and fairness. Patient prioritization tools can take various forms and are highly dependent on the particular context of application. Consequently, the sets of criteria change from one context to another, especially when used in non-emergency settings. This paper systematically synthesizes and analyzes the published evidence concerning the development and challenges related to the validation and implementation of PPTs in non-emergency settings.

methodsWe conducted a systematic mixed studies review. We searched evidence in five databases to select articles based on eligibility criteria, and information of included articles was extracted using an extraction grid. The methodological quality of the studies was assessed by using the Mixed Methods Appraisal Tool. The article selection process, data extraction, and quality appraisal were performed by at least two reviewers independently.

resultsWe included 48 studies listing 34 different patient prioritization tools. Most of them are designed for managing access to elective surgeries in hospital settings. Two-thirds of the tools were investigated based on reliability or validity. Inconclusive results were found regarding the impact of PPTs on patient waiting times. Advantages associated with PPT use were found mostly in relationship to acceptability of the tools by clinicians and increased transparency and equity for patients.

conclusionsThis review describes the development and validation processes of PPTs used in non-urgent healthcare settings. Despite the large number of PPTs studied, implementation into clinical practice seems to be an open challenge. Based on the findings of this review, recommendations are proposed to develop, validate, and implement such tools in clinical settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018107205.

Indexed as

Delivery of Health CareHealth FacilitiesHospitalsHumansReproducibility of ResultsHealthcare servicesOutcomesPatient prioritizationSystematic reviewWaiting lists

Identifiers

PMID33023666
PMCPMC7541289

What OpenQuestion holds

Textmetadata
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.