School of Health Sciences, Robert Gordon University.
The Scottish Centre for Evidence-based, Multi-professional Practice: A Joanna Briggs Institute Centre of Excellence, Aberdeen, UK.
Int J Evid Based Healthc. 2019 Jun;17 Suppl 1:S38-S40. doi: 10.1097/XEB.0000000000000179.
Telephone consultations are increasingly used in primary care to deliver healthcare services to patients. However, there has been no review produced which identifies and maps the elements of the components, skills and training required for delivering telephone consultations in primary care. This review maps the evidence and can be used to inform clinical service and staff development.
A scoping review was conducted using Joanna Briggs Institute methodology. Inclusion criteria for this review included: Participants - any study focusing on any qualified healthcare practitioner working within primary care services; Concept - was any initial telephone consultation within primary care; Context - was primary care within developed nations defined as having very high human development. A three-step search strategy was adopted to include published and unpublished literature in English from 2002 to 2017.
The search identified 3378 sources of literature. Two independent reviewers screened titles and abstracts then full text against the inclusion criteria, which resulted in 18 articles included in this scoping review. Data were extracted by two independent reviewers relevant to the review question: components, skills and training in telephone consultations. The 18 articles involved five countries, 144 healthcare professionals and between 55 and 1506 patients. The key attributes for telephone consultations (components, skills and training) were synthesized into tabular display and provide guidance on the main elements required for providing this service in primary care.
电话咨询在初级保健中越来越多地被用于为患者提供医疗服务。然而，目前还没有对提供初级保健电话咨询所需的组成部分、技能和培训进行识别和映射的综述。本综述对证据进行了梳理，可用于为临床服务和员工发展提供信息。
采用 Joanna Briggs 研究所方法进行了范围综述。本综述的纳入标准包括：参与者——任何关注在初级保健服务中工作的任何合格医疗保健从业者的研究；概念——是否为初级保健中的任何初始电话咨询；背景——是否为发达国家的初级保健，定义为具有非常高的人类发展水平。采用三步骤搜索策略，纳入了 2002 年至 2017 年期间以英语发表和未发表的文献。
搜索确定了 3378 条文献。两名独立评审员根据纳入标准筛选标题和摘要，然后对全文进行筛选，最终有 18 篇文章纳入了本范围综述。两名独立评审员提取了与综述问题相关的数据：电话咨询的组成部分、技能和培训。这 18 篇文章涉及五个国家、144 名医疗保健专业人员和 55 至 1506 名患者。电话咨询的关键属性（组成部分、技能和培训）被综合到表格中，为在初级保健中提供此项服务所需的主要要素提供了指导。
