ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001
A qualitative study of older people's views of out-of-hours services.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Telemedicine in the primary care of older adults: a systematic mixed studies review.BMC primary care · 2023Pooled it
- Why Do People Choose Emergency and Urgent Care Services? A Rapid Review Utilizing a Systematic Literature Search and Narrative Synthesis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Pooled it
- Pooled it
- Interventions for improving older patients' involvement in primary care episodes.The Cochrane database of systematic reviews · 2007Pooled it
- Article
- The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia.BMC geriatrics · 2024Article
- From direct attendance to telephone triage in an emergency primary healthcare service: an observational study.BMJ open · 2022Observational
- A conceptual model of urgent care sense-making and help-seeking: a qualitative interview study of urgent care users in England.BMC health services research · 2019Article
- "We're certainly not in our comfort zone": a qualitative study of GPs' dementia-care educational needs.BMC family practice · 2017Article
- Barriers and facilitators to using NHS Direct: a qualitative study of 'users' and 'non-users'.BMC health services research · 2014Article
- Out-of-hours special patient notes.London journal of primary care · 2013Article
- Out-of-hours special patient notes.London journal of primary care · 2012Article
- The impact of direct provision accommodation for asylum seekers on organisation and delivery of local primary care and social care services: a case study.BMC family practice · 2011Article
- Exploring patients' self-reported experiences of out-of-hours primary care and their suggestions for improvement: a qualitative study.Family practice · 2011Article
- Does distance matter? Geographical variation in GP out-of-hours service use: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Exploring users' experiences of accessing out-of-hours primary medical care services.Quality & safety in health care · 2007Article
- Out-of-hours palliative care: a qualitative study of cancer patients, carers and professionals.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOut-of-hours primary care services continues to change with the growth of general practitioner (GP) co-operatives and the more recent development of NHS Direct. While older people are more likely to have increased needs for such services, evidence suggests that they are reluctant users of GP out-of-hours services.
aimTo explore older people's experiences and perceptions of different models of general practice out-of-hours services. DESIGN OF STUDY: Focus group methodology, with qualitative data analysis undertaken using a grounded theory (Framework) approach.
settingThirty people aged between 65 and 81 years old from community groups based in south east London.
methodFour focus groups were held, each with between five and 12 participants. Each focus group session lasted 90 minutes and was audiotape-recorded with the permission of the participants. The tapes were transcribed verbatim.
resultsTwo related themes were identified. First, attitudes to health and healthcare professionals with reference to the use of health services prior to the establishment of the NHS, a stoical attitude towards health, and not wanting to make excessive demands on health services. Second, the experience of out-of-hours care and the perceived barriers to its use, including the use of the telephone and travelling at night. Participants preferred contact with a familiar doctor and were distrustful of telephone advice, particularly from nurses.
conclusionsOlder people appear reluctant to make use of out-of-hours services and are critical of the trend away from out-of-hours care being delivered by a familiar GP. With increasing numbers of older people in the population it is important to consider steps to address their reluctance to use out-of-hours and telephone advice services, particularly those based around less personal models of care.
Indexed as
Identifiers
11593832PMC1314099What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.