ReviewIrish journal of medical science2026
Barriers and facilitators for community surgery in general practice / family medicine settings: a scoping review.
Review in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRising healthcare demand and costs have prompted policymakers to explore strategies for delivering appropriate care closer to patients. In Ireland, Sláintecare supports the transfer of suitable hospital activity to community-based providers, while the United Kingdom's Fit for the Future: 10-Year Health Plan promotes a shift towards community-based care. Community surgery may contribute to this transition, but successful implementation requires appropriate resources, training, governance, and collaboration. This scoping review aimed to synthesise existing evidence on barriers and facilitators influencing the delivery of community surgery in general practice.
methodsA scoping review was conducted following Levac's revision of Arksey and O'Malley's framework. Literature searches were performed in PubMed, Scopus, and Embase for studies published between January 2015 and May 2025, in line with PRISMA-ScR guidelines. Data were charted and analysed using thematic analysis guided by Braun and Clarke's framework.
resultsOf 1,578 identified studies, 10 were included. Three key themes emerged: [1] operational implementation [2], GP practice dynamics, and [3] patient acceptability and engagement. Barriers included time constraints, limited resources, inconsistent training, limited collaboration between primary and secondary care, and low provider confidence. Facilitators included appropriate infrastructure, structured training, organisational support and collaboration across settings.
conclusionCommunity surgery can be delivered safely in general practice, but implementation requires appropriate resourcing, training, governance, and collaboration. Community surgery may contribute to timely and equitable access to high-quality surgical care while reducing unnecessary demand on secondary care. Further research should explore stakeholder perspectives and long-term outcomes.
Indexed as
Identifiers
42873473What OpenQuestion holds
Registered trials
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.