An evaluation of advanced access in general practice

摘要: Aims: To evaluate ‘Advanced Access’ in general practice, and assess its impact on patients, practice organisation, activity, staff. Objectives: To describe the range of strategies that practices have employed to improve access to care To determine Advanced Access wait for an appointment, continuity care, workload, demand other NHS services. explore perceptions different groups including both users non-users services, about accessibility care their satisfaction with relation models organisation. To trade-offs patients make between speed access, continuity factors when making appointment general practice. To practitioners receptionists about working NPDT implementing changes arrangements to improve access. To above organisation staff job satisfaction team climate. Method results: This research was based a comparison 48 practices, half of which operated systems which did not (designated ‘control’ practices). These were recruited from 12 representative Primary Care Trusts (PCTs). From within these practices, eight (four four control) selected in-depth case study using ethnographic approach. The comprised several component studies. included: • A survey all 12 PCTs. Based this we 24 Advanced 24 control 8 case study practices. • An assessment appointments available seen, on appointments records • continuity patients’ Random phone calls ability appointment by telephone • questionnaire attending practices • postal who had not attended surgery the previous months • discrete choice experiment between access factors • staff • Qualitative studies Interviews PCT facilitators The methods results each are described below, in relation objectives.