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Telephone consultations for general practice: a systematic review.

Martin J Downes1,2, Merehau C Mervin3,4, Joshua M Byrnes3,4

  • 1Centre for Applied Health Economics, School of Medicine, Griffith University, Nathan Campus - N78 1.11, 170 Kessels Rd, Nathan, Queensland, 4111, Australia. m.downes@epinet.net.

Systematic Reviews
|July 5, 2017
PubMed
Summary
This summary is machine-generated.

Telephone consultations offer a viable alternative to in-person general practice visits, potentially reducing consultation time. While evidence is limited, they appear appropriate for certain healthcare scenarios.

Keywords:
General practiceTeleconsultTelehealthTelemedicine

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Area of Science:

  • Healthcare delivery and health management
  • Information technology in healthcare
  • General practice services

Background:

  • Information technology, including telephone-based resources, is increasingly used in healthcare.
  • Telephone consultations are emerging as a supportive alternative to traditional face-to-face general practice care.

Purpose of the Study:

  • To systematically review evidence on the efficacy of telephone consultations as an alternative to in-person general practice visits.

Main Methods:

  • Systematic search of medical databases (MEDLINE, CINAHL, Cochrane Library) and clinical trial registries.
  • Inclusion of systematic reviews and randomized controlled trials (RCTs) comparing telephone and face-to-face consultations.
  • Quality assessment using the Cochrane Collaboration's 'Risk of bias' tool and data analysis.

Main Results:

  • Analysis included two systematic reviews and one RCT (N=388).
  • The RCT found telephone consultations reduced consultation time but increased follow-up appointments.
  • Systematic reviews indicated telephone consultations are appropriate and reduce practice workload.

Conclusions:

  • High-level evidence for telephone consultations in general practice is limited.
  • Current evidence suggests telephone consultations are an appropriate alternative to face-to-face visits in specific contexts.