Evidence map›Paper›PMID 41657487›Full record

ArticleDiscover health systems2026

A systemic longitudinal case study of the eMed GP at hand digital first primary care model.

Iqra Shahzad, Melanie King

Abstract read
In one paragraph

Article in Discover health systems, 2026. 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

2 authors.

Iqra ShahzadThe Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, LE11 3TU UK.
Melanie KingThe Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, LE11 3TU UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The shift toward digital-first healthcare models presents both opportunities and challenges for health systems worldwide. This case study critically examines the evolution of eMed GP at Hand (formerly Babylon GP at Hand) within the NHS, tracing its journey from an innovative digital provider to the largest GP practice in England, and ultimately, its downsizing. By bringing together an analysis of reviews, media coverage, and existing research, the study evaluates the model's impact on accessibility, continuity of care, and health inequalities. Findings reveal that while the digital-first approach improved access for younger, healthier populations, it inadequately served vulnerable groups, such as the elderly and those with complex conditions. The study also highlights systemic challenges, such as limitations in Babylon's business model, regulatory gaps in digital health oversight, and the complexities of integrating private sector innovation within public healthcare systems. These insights emphasise the necessity for robust regulation, tailored digital solutions, and a complementary relationship between digital and traditional care models to ensure sustainable and equitable healthcare delivery.

Identifiers

PMID41657487
PMCPMC12876483

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.