Evidence map›Paper›PMID 33632750›Full record

ArticleBMJ open2021

Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting: a qualitative study.

Anthony W Gilbert, Jeremy Jones, Maria Stokes, Carl R May

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
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, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Anthony W GilbertTherapies Department, Royal National Orthopaedic Hospital Stanmore, Stanmore, UK anthony.gilbert@nhs.net.ORCID 0000-0003-2526-8057
Jeremy JonesFaculty of Health Sciences, University of Southampton, Southampton, UK.
Maria StokesFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID 0000-0002-4204-0890
Carl R MayNIHR Applied Research Collaboration, North Thames, UK.ORCID 0000-0002-0451-2690
London School of Hygiene & Tropical Medicine · GBNIHR Research Delivery Network · GBRoyal National Orthopaedic Hospital · GBUniversity of Southampton · GB

Funding

Department of Health ICA-CDRF-2017-03-025
6 · The paper itself

Abstract

objectivesTo identify, characterise and explain factors that influence patient preferences, from the perspective of patients and clinicians, for virtual consultations in an orthopaedic rehabilitation setting.

designQualitative study using semi-structured interviews and abductive analysis.

settingA physiotherapy and occupational therapy department situated within a tertiary orthopaedic centre in the UK.

participantsPatients who were receiving orthopaedic rehabilitation for a musculoskeletal problem. Occupational therapists, physiotherapists or therapy technicians involved in the delivery of orthopaedic rehabilitation for patients with a musculoskeletal problem.

resultsTwenty-two patients and 22 healthcare professionals were interviewed. The average interview length was 48 minutes. Four major factors were found to influence preference: the situation of care (the ways that patients understand and explain their clinical status, their treatment requirements and the care pathway), the expectations of care (influenced by a patients desire for contact, psychological status, previous care and perceived requirements), the demands on the patient (due to each patients respective social situation and the consequences of choice) and the capacity to allocate resources to care (these include financial, infrastructural, social and healthcare resources).

conclusionThis study has identified key factors that appear to influence patient preference for virtual consultations in orthopaedic rehabilitation. A conceptual model of these factors, derived from empirical data, has been developed highlighting how they combine and compete. A series of questions, based on these factors, have been developed to support identification of preferences in a clinical setting.

Indexed as

OrthopedicsPhysical TherapistsHumansPatient PreferenceQualitative ResearchReferral and Consultationhealth services administration & managementorthopaedic & trauma surgeryqualitative research

Identifiers

PMID33632750
PMCPMC7908916
OpenAlexW3130061715

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.