Evidence map›Paper›PMID 41193219›Full record

Observational studyBMJ open2025

Impact of video service failure on triage outcomes in Danish out-of-hours primary care: a register-based study across four regions.

Mette Amalie Nebsbjerg, Katrine Bjørnshave Bomholt, Claus Høstrup Vestergaard, Morten Bondo Christensen, Linda Huibers

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2025. 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. Observational
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

5 authors.

Mette Amalie NebsbjergDepartment of Obstetrics and Gynaecology, Aarhus Universitetshospital, Aarhus, Denmark man@ph.au.dk.ORCID http://orcid.org/0000-0003-3934-3433
Katrine Bjørnshave BomholtDepartment of Obstetrics and Gynaecology, Aarhus Universitetshospital, Aarhus, Denmark.
Claus Høstrup VestergaardResearch Unit for General Practice, Aarhus, Denmark.
Morten Bondo ChristensenResearch Unit for General Practice, Aarhus, Denmark.
Linda HuibersResearch Unit for General Practice, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-5048-3026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of video use in out-of-hours primary care (OOH-PC) telephone triage by examining how triage outcomes (ie, ended by telephone, clinic consultation or home visit) changed during a period with video service failure.

designObservational register-based study, using periods of video service failure as a randomisation mechanism for a controlled study.

settingOOH-PC in four of the five Danish regions.

participantsAll telephone triage contacts to the OOH-PC call centres between April 2020 and December 2021.

interventionsVideo service failures resulted in a subset of telephone triage contacts without the option of using video as a triage tool. Video service failures were identified algorithmically based on observed periods without video use.

main outcome measuresProportion of telephone triage contacts with clinic consultations or home visits as triage outcome during a period of video service failure compared with matched reference telephone triage contacts taking place during normal service (1:10), presented as risk ratios (RR) with 95% CI).

resultsThe algorithm identified 6605 telephone triage contacts during video service failure. Compared with matched contacts during normal service, these had a 15% higher risk of resulting in a clinic consultation (RR: 1.15, 95% CI 1.09 to 1.20). This effect was primarily isolated to the year 2021 (RR: 1.23, 95% CI 1.16 to 1.31) compared with 2020 (RR: 1.05%, 95% CI 0.97 to 1.13). Video service failure did not significantly affect the risk of a home visit.

conclusionsResults strongly suggest that the unavailability of the video service is likely to significantly increase the number of clinic consultations in OOH-PC as a triage outcome. Whether this effect is likely to persist in the long term remains unclear.

Indexed as

After-Hours CarePrimary Health CareTriageAdolescentAdultAgedAlgorithmsChildChild, PreschoolDenmarkFemaleHouse CallsHumansMaleMiddle AgedRegistriesClinical Decision-MakingHealth ServicesPrimary Health CareTelemedicine

Identifiers

PMID41193219
PMCPMC12588023

What OpenQuestion holds

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LicenceCC BY-NC
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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.