Evidence map›Paper›PMID 35443959›Full record

ArticleBMJ open2022

Digital NHS Wales: a coding reliability analysis based on the voices of 22 978 patients and clinicians on the benefits, challenges and sustainability of video consulting.

Gemma Johns, Bethan Whistance, Sara Khalil, Megan Whistance, Bronwen Thomas, Mike Ogonovsky, Alka Ahuja

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

7 authors.

Gemma JohnsTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK gemma.johns3@wales.nhs.uk.ORCID 0000-0001-9823-4822
Bethan WhistanceTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.
Sara KhalilTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.
Megan WhistanceTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.
Bronwen ThomasTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.
Mike OgonovskyTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.
Alka AhujaTEC Cymru Informatics, Aneurin Bevan Health Board, Gwent, UK.ORCID 0000-0003-2658-2021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of video consulting (VC) in Wales UK has expanded rapidly. Previous VC evidence has been the subject of small-scale projects and evaluations. Technology Enabled Care Cymru is an all-Wales digital service and rolls out digital interventions and evaluates on large scales, thus capturing representative data sets across Wales, and therefore a wide range of National Health Service (NHS) specialties.

objectiveTo extract and analyse narrative feedback from patients and clinicians using the NHS Wales VC Service for 6 months (September 2020 to March 2021).

designA coding reliability approach of a cross-sectional study was conducted.

settingFrom all health boards across Wales.

participantsNHS patients and clinicians across primary, secondary and community care settings in Wales.

resultsData were captured on benefits, challenges and sustainability of VC. A coding reliability analysis was used with six domain summaries materialising to include: 'The Ease of VC'; 'The Personal Touches'; 'The Benefits of VC'; 'The Challenges of VC'; 'Technical Quality'; and 'Recommendations & Future Use'. An additional 17 subdomains are included. Direct quotations from patients and clinicians are provided for context.

conclusionsA total of 22 978 participants were included. These data help demonstrate that NHS remote service delivery, via the method of VC, can be highly satisfactory, well accepted and clinically suitable yielding many benefits. Despite this, the data are not without its challenges surrounding engagement and suitability for VC. The NHS Wales VC Service rolled out and evaluated at scale and demonstrates that VC has potential for long-term sustainability. For the future, use a 'blended approach' for NHS appointments that are clinically judged and centred on patient choice.

Indexed as

Referral and ConsultationState MedicineCross-Sectional StudiesHealth ServicesHumansReproducibility of ResultsCOVID-19health informaticshealth policyinformation technologyqualitative research

Identifiers

PMID35443959
PMCPMC9021454

What OpenQuestion holds

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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.