Evidence map›Paper›PMID 40854800›Full record

ReviewSexually transmitted infections2025

What guidance exists to support remote consultations in sexual and reproductive health services? A review of the policy and practice literature.

Charlotte Spurway, Iestyn Williams, Christian Bohm, Oluseyi Cyril Ayinde, Fiona Burns, Jo Gibbs, Jo Josh, Helen Munro, Danielle Solomon, Melvina Woode Owusu and 2 more

Abstract readReview
In one paragraph

Review in Sexually transmitted infections, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Charlotte SpurwayDepartment of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK c.m.spurway@bham.ac.uk.ORCID http://orcid.org/0000-0002-2841-6505
Iestyn WilliamsHealth Services Management Centre, University of Birmingham, Birmingham, UK.
Christian BohmHealth Services Management Centre, University of Birmingham, Birmingham, UK.
Oluseyi Cyril AyindeWhittall Street Clinic, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID http://orcid.org/0000-0003-2097-8949
Fiona BurnsInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-9105-2441
Jo GibbsInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-5696-0260
Jo JoshPPIE Lead, London, UK.
Helen MunroHywel Dda University Health Board, Carmarthen, UK.
Danielle SolomonInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-4177-1832
Melvina Woode OwusuInstitute for Global Health, University College London, London, UK.
Jonathan D C RossWhittall Street Clinic, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Louise J JacksonDepartment of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-8492-0020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of remote consultations, such as appointments via telephone, video, online or text in sexual and reproductive health services (SRHS) across the UK, has expanded in recent years. This review synthesises grey literature from different organisations to identify current practice and guidance for remote consultations.

methodsWe searched for a range of grey literature document types, including unpublished reports, evaluations, published standards, guidance, blogs and opinion pieces. The searches were conducted between March 2023 and July 2024 using Google, as well as the Healthcare Management Information Consortium database and preidentified organisational websites (eg, the British Association for Sexual Health and HIV, the Faculty of Sexual and Reproductive Healthcare). Data extracted included terminology, challenges to implementation and linked guidance and equity considerations in the use of remote consultations in SRHS. Narrative synthesis was used to analyse findings.

resultsThe available guidance on implementing and delivering remote SRHS is modest in scope and volume and draws on a sparse evidence base. Existing guidance recommends the use of safeguarding assessments and checklists to support pathways from remote into in-person care. While remote consultations were seen as potentially enhancing equity, challenges included differences in technology access and digital literacy. Equity-related guidance included prioritising disadvantaged groups for in-person appointments and flexible care pathways. DISCUSSION AND

conclusionsThe grey literature highlights the potential of remote SRHS to improve access and equity while also identifying risks in implementation and outcomes. There is an ongoing requirement for detailed, evidence-informed guidance that incorporates service user perspectives.

Indexed as

Delivery of Health CareRemote ConsultationReproductive Health ServicesGray LiteratureHumansPractice Guidelines as TopicUnited KingdomREPRODUCTIVE HEALTHSEXUAL HEALTHTelemedicine

Identifiers

PMID40854800
PMCPMC12703314

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.