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Table 2 Description of reviews

From: The quality, safety and governance of telephone triage and advice services – an overview of evidence from systematic reviews

Author and Year

Country

Review Type

Focus of Review

Aim

Included Study Designs

Date Range of Included Studies

Method of Quality Assessment

AMSTAR Quality Rating

Blank et al. [14] 2012

UK

Rapid evidence assessment

TTAS

To synthesise evidence about the appropriateness of and compliance with telephone triage decisions.

52 observational studies

2 RCTs

1992–2010

No documented assessment method

5

Brebner et al. [33] 2006

UK

Systematic review

A & E tele-consultations

To conduct a systematic review of evidence about accident and emergency tele-consultation services.

31 in total; 2 RCTs; mostly demonstration and feasibility studies rather than full-scale trials.

1996–2004

No documented assessment method

4

Bunn et al. [27] 2004

UK

Cochrane Review

TTAS

To assess the effects of telephone consultation on safety, service usage and patient satisfaction, and compare telephone consultation by different healthcare professionals.

5 RCTs 1 CCT 3 Interrupted time series

1979–2002

Modified EPOC checklist (Effective Practice and Organisation of Care Review Group) [29]

8

Carrasqueiro et al. [7] 2011

Portugal

Systematic Review

TTAS

To review TTAS evaluation studies, compile methodologies and metrics used and compare results.

2 qualitative 18 observational 1 decision analysis 31 experimental

1994–2010

Modified economic evaluation checklist

2

Chapman et al. [15] 2004

UK

Systematic review

Recent primary care innovations which included telephone consultations with GPs or nurses

To review the evidence of seven recent innovations (including TTAS-related operations) in service provision to improve access or equity in access to primary care.

4 RCTs

1 Pilot evaluation

1 Lit review

5 observational/descriptive

1993–2003

Hierarchy of evidence assessment, levels 1–3

7

Fry, M. [11] 2011

Australia

Systematic review

After-hours care models

To examine the impact of afterhours primary care models on other healthcare providers, and to examine the effectiveness of after-hours services.

5 RCTs 24 Time series, before and after, or comparative

1985–2009

CASP checklist [31]

4

Huibers et al. [12] 2011

The Netherlands

Systematic review

TTAS

To assess the research evidence on safety of telephone triage in out-of-hours primary care.

33 Total 2 RCTs, 1 case study 30 observational

1989–2011

No documented assessment method

3

Ismail et al. [28] 2013

UK

Systematic review

Primary care interventions (including TTAS)

To review the evidence on primary care service interventions aimed at reducing inappropriate A&E/ ED visits.

6 systematic reviews 13 before and after or interrupted time series 7 cross sectional 6 non-comparative case studies 1 cohort 1 Non-randomised CT

1997–2006

SIGN checklist [32]

5

Leibowitz et al. [30] 2003

Australia

Systematic review

After-hours primary care services including TTAS

A review of the existing evidence about the effects of different models of out-of-hours primary care services on outcome

3 RCTs 2 reviews 1 Evaluation 11 observational/descriptive

1978–2000

Hierarchy of evidence assessment

4

Purc-Stephenson et al. [6] 2012

Canada

Meta-analytic review

TTAS

To investigate the extent to which patients comply with triage advice from tele-nurses and to identify factors potentially affecting compliance.

1 RCT 5 Observational studies 6 Prospective studies 1 Prospective quasi experimental

1997–2010

CASP checklist

[31]

6

  1. TTAS Telephone Triage and Advice Services, AMSTAR A Measurement Tool to Assess Systematic Reviews, RCT Randomised Controlled Trial, CCT Controlled Clinical Trial, CT Controlled Trial, CASP Critical Appraisal Skills Programme, SIGN Scottish Intercollegiate Guidelines Network, A&E Accident and Emergency, ED Emergency Department, EPOC Effective Practice and Organisation of Care