The Effectiveness and Cost-Effectiveness of Community Diagnostic Centres: A Rapid Review

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  • Alesha Wale
    Public Health Wales Evidence Service
  • Chukwudi Okolie
    Public Health Wales Evidence Service
  • Jordan Everitt
    Public Health Wales
  • Amy Hookway
    Public Health Wales
  • Hannah Shaw
    Public Health Wales
  • Kirsty Little
    Public Health Wales
  • Ruth Lewis
  • Alison Cooper
    Cardiff University
  • Adrian Edwards
    Cardiff University
Objectives: To examine the effectiveness of community diagnostic centres as a potential solution to increasing capacity and reducing pressure on secondary care in the UK.

Methods: A comprehensive search for relevant primary studies was conducted in a range of electronic sources in August 2022. Screening and critical appraisal were undertaken by two independent reviewers. There were no geographical restrictions or limits to year of publication. A narrative synthesis approach was used to analyse data and present findings.

Results: Twenty primary studies evaluating twelve individual diagnostic centres were included. Most studies were specific to cancer diagnosis and evaluated diagnostic centres located within hospitals. The evidence of effectiveness appeared mixed. There is evidence to suggest diagnostic centres can reduce various waiting times and reduce pressure on secondary care. However, cost-effectiveness may depend on whether the diagnostic centre is running at full capacity. Most included studies used weak methodologies that may be inadequate to infer effectiveness.

Conclusion: Further well-designed, quality research is needed to better understand the effectiveness and cost-effectiveness of community diagnostic centres.
Original languageEnglish
Article number1606243
JournalInternational Journal of Public Health
Volume69
DOIs
Publication statusPublished - 23 Jan 2024

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