2023-09-28 14:46:10 +00:00
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abstract: 'Background
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Health policies in most high income countries increasingly recommend
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provision of routine outpatient care via remote (video and/or telephone)
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appointments, especially due to the pandemic. This is thought to improve
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access to care and promote efficiency within resource-constrained health
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services. There is limited evidence about the impact on existing
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inequalities in the invitation and uptake of health services when remote
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outpatient care is offered.
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Aim
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To systematically review the evidence on the offer and/or uptake of
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real-time remote outpatient consultations in secondary and tertiary
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care, assessed according to key sociodemographic characteristics.
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Methods
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Seven electronic bibliographic databases were searched for studies
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reporting the proportion of patients with key characteristics (following
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PROGRESS Plus criteria) who were offered and/or accepted real-time
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remote outpatient consultation for any chronic condition. Comparison
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groups included usual care (face-to-face), another intervention, or
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offer/uptake within a comparable time period. Study processes were
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undertaken in duplicate. Data are reported narratively.
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Results
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Twenty-nine studies were included. Uptake of video consultations ranged
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from 5\% to 78\% and telephone consultations from 12\% to 78\%. Patients
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aged over 65, with lower educational attainment, on lower household
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incomes and without English as a first language were least likely to
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have a remote consultation. Females were generally more likely to have
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remote consultations than males. Non-white ethnicities were less likely
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to use remote consultations but where they did, were significantly more
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likely to choose telephone over video appointments (p<0.001).
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Conclusions
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Offering remote consultations may perpetuate or exacerbate existing
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health inequalities in access to healthcare. More research is needed on
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current health disparities by sociodemographic characteristics and to
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explore what works well for different patient groups and why so that
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processes can be designed to ameliorate these health disparities.'
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affiliation: 'Jones, JE (Corresponding Author), Univ Birmingham, Inst Appl Hlth Res,
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Birmingham, W Midlands, England.
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Jones, Janet E.; Damery, Sarah L.; Phillips, Katherine; Retzer, Ameeta; Nayyar,
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Pamela; Jolly, Kate, Univ Birmingham, Inst Appl Hlth Res, Birmingham, W Midlands,
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England.
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Retzer, Ameeta, Univ Birmingham, Ctr Patient Reported Outcomes Res, Inst Appl Hlth
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Res, Birmingham, W Midlands, England.'
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article-number: e0269435
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author: Jones, Janet E. and Damery, Sarah L. and Phillips, Katherine and Retzer, Ameeta
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and Nayyar, Pamela and Jolly, Kate
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author-email: j.e.jones@bham.ac.uk
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author_list:
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- family: Jones
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given: Janet E.
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- family: Damery
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given: Sarah L.
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- family: Phillips
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given: Katherine
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- family: Retzer
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given: Ameeta
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- family: Nayyar
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given: Pamela
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- family: Jolly
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given: Kate
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da: '2023-09-28'
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doi: 10.1371/journal.pone.0269435
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files: []
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issn: 1932-6203
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journal: PLOS ONE
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keywords-plus: 'HEALTH INEQUALITIES; TELEMEDICINE USE; DIGITAL HEALTH; UNITED-STATES;
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TELEHEALTH; SURGERY; LANGUAGE; VISITS; LENS'
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language: English
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number: '6'
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number-of-cited-references: '75'
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orcid-numbers: 'Jones, Janet/0000-0002-9057-6956
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Jolly, Kate/0000-0002-6224-2115
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Damery, Sarah/0000-0003-3681-8608
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Phillips, Katherine/0000-0003-0674-605X'
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papis_id: 6532ebc4c9ee11e3ecc589a93e185f56
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ref: Jones2022realtimeremote
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researcherid-numbers: 'Damery, Sarah/ABA-8641-2021
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'
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tags:
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- relevant
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- review
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times-cited: '2'
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title: 'Real-time remote outpatient consultations in secondary and tertiary care:
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A systematic review of inequalities in invitation and uptake'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000843567600097
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '17'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2022'
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