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Systematic review of remote consultations with focus on inequalities in uptake

Leads: Dr Sarah Damery, Prof Kate Jolly (Long-term Conditions), Dr Laura Quinn (Meths)

Public contributors for our Long-Term Conditions theme, with lived experience of long-term conditions as patients/carers, are working alongside researchers throughout the project.

Dates: Jan 2021 - Dec 2021

Background:

During the COVID-19 pandemic the ARC WM Long-term Conditions theme have been approached by clinicians from University Hospitals Birmingham, Birmingham Community Health Care Trust and Birmingham Woman and Children’s Hospital to evaluate the delivery of remote consultations. There have been barriers to undertaking the research from research governance, so a systematic review of the evidence is proposed to investigate the issue.

Policy and Practice Partners:

University Hospitals Birmingham NHS Foundation Trust; Birmingham Community Health Care NHS Foundation Trust and Birmingham Woman and Children’s NHS Foundation Trust.

Co-Funding Partners:

University Hospitals Birmingham NHS Foundation Trust; Birmingham Community Health Care NHS Foundation Trust; and Birmingham Women's and Children's NHS Foundation Trust.

Aims and Objectives:

To describe the uptake and engagement with remote health care consultations by participant characteristics, with a focus of inequalities in access.

Methods:

Systematic review following PRISMA-P guidance for reporting.

  • Population: patients with consultations in secondary/ community care.
  • Exposure: deprivation/ disadvantage and other protected characteristics such as age and ethnicity.
  • Outcome: uptake/ access to real-time remote consultations.
  • Study designs: randomised controlled trials, observational studies, before and after studies. Qualitative and narrative studies will be excluded.

Main Results:

This work is ongoing.

Conclusion:

Ongoing.

Implications for Implementation:

The review findings will be shared with the local trusts so that evidence of inequalities can be addressed.