Findings

What do systematic reviews say?

3 questions · 3 findings · 3 reviews · Effective Practice and Organisation of Care

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 1 · 33.3%Low 1 · 33.3%Moderate 1 · 33.3%High 0 · 0%

Patient‐initiated appointment systems vs consultant‐led appointment systems

QoL · adults with a chronic or recurrent condition

Patient‐initiated appointment systems showed no clear difference in patient outcomes: quality of life (different scales used across… compared with consultant‐led appointment systems (low certainty).

1 finding from 1 review

Patient‐initiated appointment systems for adults with chronic conditions in secondary care 2020 · Cochrane Headline outcomes only
SMD 0.12 [0, 0.25]
7 studies · 1486 participants
Low

Primary health professionals and lay health workers vs usual care

Quality of life (patient) (1 to 6 months post intervention) DEMQOL (higher score = better quality of life) · people with dementia and their carers

1 finding from 1 review

Primary‐level worker interventions for the care of people living with mental disorders and distress in low‐ and… 2021 · Cochrane Headline outcomes only
no estimate extracted
1 study · 53 participants
Very low

Summary of findings for the main comparison: comprehensive care programmes vs usual care

Parent health, functioning, and quality of life Patient‐Reported Outcomes Measurement Information System (PROMIS) (higher scores = more of the outcome of interest, which can mean improvement or deterioration depending on the outcome) · children with medical complexity

1 finding from 1 review

Comprehensive care programmes for children with medical complexity 2024 · Cochrane Headline outcomes only
no estimate extracted
1 study · 207 participants
Moderate