ArticleHeliyon2023
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Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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 · 2025Pooled it
- Frontline governance: a street-level bureaucracy perspective on brucellosis control in Western Iran.Tropical medicine and health · 2026Article
- English general practice in a period of change: a mixed-methods study of staff and patient perspectives.BJGP open · 2026Article
- Primary care receptionists influence migrant access to healthcare by acting as street-level bureaucrats: a scoping review.BMC primary care · 2026Article
- Elevating an invisible role: co-designing solutions to optimize medical office assistants in primary care.BMC primary care · 2026Article
- Understanding Acceptability of AI Triage Tools Amongst Underserved Populations: Lessons From the Early Phases of Co-Production With Bangladeshi Communities in Birmingham, UK.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Bugbears in the Waiting Room: Revisiting Arber and Sawyer's Classic Study of GP Reception Work Using Ethnography in Eight English General Practices.Sociology of health & illness · 2025Article
- Article
- Parents' perspectives on childhood antibiotic treatment in Ireland-a qualitative study.JAC-antimicrobial resistance · 2025Article
- Evolution of the general practice receptionist role and online services: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Impact of the COVID-19 pandemic on medical office assistants (MOAs) working in primary care: a qualitative study.BJGP open · 2025Article
- Family Physicians as Street-Level Bureaucrats: An Interview-Based Study of Service Supply Challenges in Shanghai, China During Public Health Emergencies.Risk management and healthcare policy · 2025Article
- Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK.Frontiers in health services · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: In care settings across the globe non-clinical staff are involved in filtering patients to the most appropriate source of care. This includes primary care where general practice receptionists are key in facilitating access to individual surgeries and the wider National Health Service. Despite the complexity and significance of their role little is known of how the decision-making behaviors of receptionists impact policy implementation and service delivery. By combining the agent-based implementation theory of street-level bureaucracy with a tri-level analytical framework this work acknowledges the impact of the decisions made by receptionists as street-level bureaucrats and demonstrates the benefits of using the novel framework to provide practical insight of the factors influencing those decisions. Methods: A secondary analysis of qualitative data gathered from a series of semi-structured interviews conducted with 19 receptionists in the United Kingdom in 2019 was used to populate a tri-level framework: the Results: At the Conclusions: Street-level bureaucracy, complemented with a tri-level contextual analysis, is a useful theoretical framework to understand how health workers, such as receptionists, attempt to provide universality without sufficient resource, and could potentially be applied to other kinds of public service workers in this way. This theoretical framework also benefits from being an accessible foundation on which to base practice and policy changes.
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Registered trials
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.