ArticleJournal of evaluation in clinical practice2026
Challenging Encounters: A Systematic Scoping Review to Understand Patients' Influence on GPs' Compliance With Imaging Guidelines.
Article in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- A Simulation-Based Diagnostic Stewardship Framework for Imaging Utilization in Primary Care: A Model Using 100 Common Clinical Conditions.Diagnostics (Basel, Switzerland) · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleThe shift in healthcare from paternalistic to patient-centred care has led patients to actively engage in their own health journeys. As gatekeepers, General practitioners (GPs) face growing pressure from patients who, having accessed online health information, request diagnostic imaging, often contrary to established clinical guidelines.
aimThis review explores the dynamic interactions among patients, GPs, and the broader healthcare system, offering insights into how to balance patient-centred and value-based care. The research specifically asked: what challenges do GPs face when responding to patient requests, and how do these challenges hinder adherence to guidelines on appropriate imaging? It also investigated what evidence-based strategies GPs use to address patient requests and what support they receive in implementing guidelines and managing requests for imaging.
methodsThe systematic scoping review was conducted according to the Joanna Briggs Institute's guidelines and reported in accordance with PRISMA-ScR. Embase, Medline, Scopus, CINAHL, and Web of Science were searched for published peer-reviewed articles.
resultsOf 2137 potential papers, 11 studies met the inclusion criteria and revealed that patient expectations, anxiety, low health literacy, medico-legal concerns, reliance on imaging capabilities, and institutional incentives for GPs often conflicted with evidence-based imaging practices. GPs utilised strategies such as patient-centred trust-building, clinical expertise, and decision aids to address these challenges. A quality assessment of the papers revealed that most studies were of moderate quality, with Hoy's risk of bias tool used for quantitative papers and the CASP analysis for qualitative papers.
conclusionThis scoping review provided an understanding of the challenges encountered by GPs in addressing patient requests for imaging, underscoring the significance of patient-centred care as being pivotal in nurturing a therapeutic patient-GP rapport. Imaging is crucial for reducing diagnostic uncertainty and litigation; however, barriers such as economic incentives are present. Having interdisciplinary communication encourages guideline compliance. Implementing ongoing GP education, restructuring reimbursements and improving imaging accessibility can provide patients with a better understanding and purpose of the requested diagnostic imaging.
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Registered trials
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