Evidence map›Paper›PMID 36814638›Full record

ArticleNIHR open research2022

Remote care in UK general practice: baseline data on 11 case studies.

Trisha Greenhalgh, Sara E Shaw, Anica Alvarez Nishio, Richard Byng, Aileen Clarke, Francesca Dakin, Stuart Faulkner, Nina Hemmings, Laiba Husain, Asli Kalin and 6 more

Abstract read
In one paragraph

Article in NIHR open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
  2. Teamwork and relational infrastructure: a qualitative study of modern UK general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  3. Article
  4. Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  5. Article
  6. Article
  7. Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  8. Article
  9. Article
  10. Do new models of primary care risk exacerbating existing inequity?The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Training needs for staff providing remote services in general practice: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  15. Modernising continuity: a new conceptual framework.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  16. Digital Maturity and Its Measurement of General Practitioners: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  17. Article
  18. UK newspapers 'on the warpath': media analysis of general practice remote consulting in 2021.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  19. 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

16 authors.

Trisha GreenhalghNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0003-2369-8088
Sara E ShawNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0002-7014-4793
Anica Alvarez NishioIndependent Lay Adviser, London, UK.ORCID https://orcid.org/0000-0001-9841-5682
Richard ByngUniversity of Plymouth, Plymouth, PL4 8AA, UK.
Aileen ClarkeNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0001-8299-3146
Francesca DakinNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0002-4105-4617
Stuart FaulknerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.
Nina HemmingsNuffield Trust, London, W1G 7LP, UK.
Laiba HusainNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0001-9889-0889
Asli KalinNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.
Emma LaddsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0001-9864-7408
Lucy MooreNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.
Rebecca RosenNuffield Trust, London, W1G 7LP, UK.
Sarah Rybczynska-BuntUniversity of Plymouth, Plymouth, PL4 8AA, UK.
Joseph WhertonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0001-7701-4783
Sietse WieringaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OXFORDSHIRE, OX2 6GG, UK.ORCID https://orcid.org/0000-0002-7758-8493

Funding

Department of Health NIHR132807
6 · The paper itself

Abstract

Background: Accessing and receiving care remotely (by telephone, video or online) became the default option during the coronavirus disease 2019 (COVID-19) pandemic, but in-person care has unique benefits in some circumstances. We are studying UK general practices as they try to balance remote and in-person care, with recurrent waves of COVID-19 and various post-pandemic backlogs. Methods: Mixed-methods (mostly qualitative) case study across 11 general practices. Researchers-in-residence have built relationships with practices and become familiar with their contexts and activities; they are following their progress for two years via staff and patient interviews, documents and ethnography, and supporting improvement efforts through co-design. In this paper, we report baseline data. Results: Reflecting our maximum-variety sampling strategy, the 11 practices vary in size, setting, ethos, staffing, population demographics and digital maturity, but share common contextual features-notably system-level stressors such as high workload and staff shortages, and UK's technical and regulatory infrastructure. We have identified both commonalities and differences between practices in terms of how they: 1] manage the 'digital front door' (access and triage) and balance demand and capacity; 2] strive for high standards of quality and safety; 3] ensure digital inclusion and mitigate wider inequalities; 4] support and train their staff (clinical and non-clinical), students and trainees; 5] select, install, pilot and use technologies and the digital infrastructure which support them; and 6] involve patients in their improvement efforts. Conclusions: General practices' responses to pandemic-induced disruptive innovation appear unique and situated. We anticipate that by focusing on depth and detail, this longitudinal study will throw light on why a solution that works well in one practice does not work at all in another. As the study unfolds, we will explore how practices achieve timely diagnosis of urgent or serious illness and manage continuity of care, long-term conditions and complex needs.

Indexed as

accessdigital inclusione-consultationsgeneral practiceRemote consultationstelephone consultationstriagevideo consultations

Identifiers

PMID36814638
PMCPMC7614213

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.