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. 2020 Oct 22;20:969. doi: 10.1186/s12913-020-05821-2

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — Diagnostic triage: The process of appraisal, help-seeking, negotiation and escalation in the pathway from detection of bodily and behavioural changes to diagnosis. The zig-zag line illustrates the mechanisms of diagnostic triage. It is a continual and dynamic process of appraisal, escalations (peak upwards) and de-escalations (peak downwards) along the pathway to diagnosis covering three different forms of triage. The dynamic movements take place between everyday triage, general triage and specialist triage which are regulated by various factors. The multiple peaks in the zig-zag line visualises how families can move back and forth between the different levels of triage before experiencing progress and obtaining the diagnosis