Table 1

Characteristics of the included papers addressing demand, use and outcomes in OOHS

CharacteristicsNumber (%) of papers
Country/regional setting (n=105)
 Mainland Europe and Republic of Ireland57 (54.3)
 UK37 (35.2)
 USA, Australia, or New Zealand6 (5.7)
 International5 (4.8)
Year of publication (n=105)
 1995–199914 (13.3)
 2000–200414 (13.3)
 2005–200916 (15.2)
 2010–201429 (27.7)
 2015–2019 (up to March 2019)32 (30.5)
Study design (n=105)
 Routine data analysis41 (39.1)
 Retrospective case review17 (16.2)
 Prospective case review14 (13.3)
 Observational (case–control or cohort studies)6 (5.7)
 Questionnaire/survey14 (13.3)
 Mixed methods5 (4.8)
 Reviews/systematic reviews5 (4.8)
 Other3 (2.8)
Patient focus (n=101)
 General63 (63.4)
 Adults (aged 16 and over)2 (2.0)
 Elderly only (65 years and over)2 (2.0)
 Children (under 16 years)6 (5.9)
 Cancer/palliative patients6 (5.9)
 Mental health/psychiatric patients4 (4.0)
 Other (includes frequent attenders (4); patients with chronic disease (4); migrant patients (n=2))18 (17.8)
Main setting (n=151*)
 GP out-of-hours cooperative86 (57.0)
 Accident and emergency/emergency department21 (13.9)
 Telephone triage service (eg, NHS Direct, NHS 24, NHS 111)12 (8.0)
 GP deputising service9 (5.9)
 Urgent care centre4 (2.6)
 Walk-in clinic3 (2.0)
 Other (eg, ambulance; casualty clinic; community hospital; minor injury unit; OOH palliative care service; daytime general practice)16 (10.6)
  • *More than 105 due to multiple settings in some papers.

  • GP, general practitioner; NHS, National Health Service; OOH, out of hours; OOHS, out-of-hours health services.