Evidence map›Paper›PMID 40258180›Full record

ArticleJournal of primary care & community health

A New Model of Care: Community Appointment Day Outcomes and Impact on Musculoskeletal Physiotherapy Waiting Times.

Helen Alexander, Alan Sinclair, Laura Dover, Brian Slattery, Ruth Currie, Mark Russell, Judith Cain

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Helen AlexanderNHS Lanarkshire, Bothwell, UK.ORCID 0000-0001-8310-5067
Alan SinclairNHS Lanarkshire, Bothwell, UK.
Laura DoverCity of Edinburgh Health and Social Care Partnership, UK.ORCID 0009-0006-0478-6276
Brian SlatterySouth Lanarkshire University Health and Social Care Partnership, Hamilton, UK.
Ruth CurrieSouth Lanarkshire University Health and Social Care Partnership, Hamilton, UK.
Mark RussellSouth Lanarkshire University Health and Social Care Partnership, Hamilton, UK.
Judith CainSouth Lanarkshire University Health and Social Care Partnership, Hamilton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to test the introduction of Community Appointment Days (CADs) for patients on the Musculoskeletal (MSK) Physiotherapy waiting list in Lanarkshire, UK.

methodsA multi-professional team developed, implemented, and evaluated the first 2 CADs on 16th and 17th April, 2024. The mixed-methods design involved patients completing a "passport" (which included a survey) on the day and being followed up 4 weeks later by survey or interview. The patient management system was interrogated for waiting times and numbers returning to the service within 6 months. Structured thematic analysis was used to create a conceptual model from the qualitative data.

resultsMore than 3 times as many patients were booked into a CAD appointment (n = 443) compared to routine outpatient clinics (n = 133), and the vast majority reported positive outcomes. A total of 52 attendees (12%) were discharged on the day and a further 202 (46%) with Patient Initiated Review (PIR). Only 126 (28%) were given a follow-up 1:1 Physiotherapy appointment, although 63 (14%) did not attend on the day. Of the 443 booked, 26 (6%) returned for an additional review MSK outpatient appointment within 6 months.

conclusionsThe CADs had positive outcomes for patients and were successful in reducing waiting times.

Indexed as

Appointments and SchedulesMusculoskeletal DiseasesPhysical Therapy ModalitiesWaiting ListsAdultAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedTime FactorsUnited Kingdomappointment dayscommunity healthoutcomesphysiotherapyprimary carewaiting times

Identifiers

PMID40258180
PMCPMC12035252

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.