Service Use, Clinical Outcomes And user Experience Associated With Urgent Care … – DocWire News

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BMJ Open. 2022 Jan 3;12(1):e051569. doi: 10.1136/bmjopen-2021-051569.

ABSTRACT

OBJECTIVE: To guage service use, medical outcomes and person expertise associated to telephone-based digital triage in pressing care.

DESIGN: Systematic overview and narrative synthesis.

DATA SOURCES: Medline, Embase, CINAHL, Internet of Science and Scopus had been looked for literature printed between 1 March 2000 and 1 April 2020.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Research of any design investigating patterns of triage recommendation, wider service use, medical outcomes and person expertise regarding phone based mostly digital triage in pressing care.

DATA EXTRACTION AND SYNTHESIS: Two reviewers extracted information and carried out high quality assessments utilizing the combined strategies appraisal device. Narrative synthesis was used to analyse findings.

RESULTS: Thirty-one research had been included, with the bulk being UK based mostly; most investigated nurse-led digital triage (n=26). Eight evaluated the influence on wider healthcare service use following digital triage implementation, usually reporting discount or no change in service use. Six investigated affected person degree service use, displaying combined findings regarding sufferers’ adherence with triage recommendation. Analysis of medical outcomes was restricted. 4 research reported on hospitalisation charges of digitally triaged sufferers and highlighted potential triage errors the place sufferers appeared to haven't been given sufficiently excessive urgency recommendation. General, service customers reported excessive ranges of satisfaction, in research of each clinician and non-clinician led digital triage, however with some dissatisfaction over the relevance and variety of triage questions.

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