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Organisational Intervention: Changes to the setting/site of service delivery


For example, moving a family planning service from a hospital to a school.


Two high quality reviews (Balaguer, Bradley) were identified. These reviews had insufficient evidence to draw conclusions about the effectiveness of changes to the setting or site of service delivery on appropriate care and prescribing outcomes.

Summary of Overall Findings from Reviews

5 reviews evaluated the effectiveness of changes to settings/site of delivery service were identified and of these, one was assessed as being of high quality or a key review.

Summary of Findings Related to Prescribing

No high quality or key reviews with a sufficient number of studies to draw conclusions about prescribing outcomes were identified.

Reviews listed as "Summary Pending" will be analyzed, summarized and reported at a later date.

The findings will then be incorporated in the overall evidence summaries of the interventions they address.

Reviews Addressing This Intervention Quality Assessment Tool:
AMSTAR Score (of 11 points)
Balaguer A, Gonzalez de DJ. Home versus hospital intravenous antibiotic therapy for cystic fibrosis. Cochrane Database of Systematic Reviews 2012 3:CD001917. 9 (High)
Bradley PM, Lindsay B. Care delivery and self-management strategies for adults with epilepsy. Cochrane Database of Systematic Reviews 2008 1:CD006244. 9 (High)
Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database of Systematic Reviews 2010 3:CD005182. 7 (Medium)
Comino EJ, Davies GP, Krastev Y, Haas M, Christl B, Furler J, Raymont A, Harris MF. A systematic review of interventions to enhance access to best practice primary health care for chronic disease management, prevention and episodic care. BMC Health Services Research 2012 12:415. 6
Summary Pending
Shepperd S, Doll H, Angus RM, Clarke MJ, Iliffe S, Kalra L, Aimonio RN, Tibaldi V, Wilson AD. Avoiding hospital admission through provision of hospital care at home: A systematic review and meta-analysis of individual patient data. Canadian Medical Association Journal 2009 180 (2):175-82. 6 (Medium)
Schlenk EA, Bernardo LM, Organist LA, Klem ML, Engberg S. Optimizing medication adherence in older patients: a systematic review. Journal of Clinical Outcomes Management 2008 15 (12):595-606. 5 (Medium)
Paudyal V, Watson MC, Sach T, Porteous T, Bond CM, Wright DJ, Cleland J, Barton G, Holland R. Are pharmacy-based minor ailment schemes a substitute for other service providers? A systematic review. British Journal of General Practice 2013 63 (612):e481. Summary Pending