TY - JOUR

T1 - The Effectiveness and Cost-Effectiveness of Community Diagnostic Centres

T2 - A Rapid Review

AU - Wale, Alesha

AU - Okolie, Chukwudi

AU - Everitt, Jordan

AU - Hookway, Amy

AU - Shaw, Hannah

AU - Little, Kirsty

AU - Lewis, Ruth

AU - Cooper, Alison

AU - Edwards, Adrian

N1 - Copyright © 2024 Wale, Okolie, Everitt, Hookway, Shaw, Little, Lewis, Cooper and Edwards.

PY - 2024/1/23

Y1 - 2024/1/23

N2 - 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.

AB - 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.

U2 - https://doi.org/10.3389/ijph.2024.1606243

DO - https://doi.org/10.3389/ijph.2024.1606243

M3 - Review article

C2 - 38322307

VL - 69

JO - International Journal of Public Health

JF - International Journal of Public Health

SN - 1661-8556

M1 - 1606243

ER -