ArticleBMC family practice2005
A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff.
Article in BMC family practice, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient aggression towards receptionists in general practice: a systematic review.Family medicine and community health · 2023Pooled it
- Advanced access scheduling outcomes: a systematic review.Archives of internal medicine · 2011Pooled it
- Access systems in general practice: a systematic scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Perception of the compatibility of Quebec residency program characteristics with the advanced access model: a cross-sectional study.BMC primary care · 2024Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial.BMC primary care · 2023Article
- The voice of the self: a typology of general practitioners' emotional responses to situational and contextual stressors.Scandinavian journal of primary health care · 2022Article
- Article
- Improving access to primary care: a mixed-methods approach studying a new review appointment system in a Scottish GP practice.BMJ open quality · 2021Article
- Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol.BMC family practice · 2020Article
- The Group Practice Manager in the VHA: A View From the Field.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020Article
- Factors affecting decisions to extend access to primary care: results of a qualitative evaluation of general practitioners' views.BMJ open · 2018Article
- GPs' perceptions of workload in England: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Primary care access and emergency room use among older veterans.Journal of general internal medicine · 2014Article
- Advanced access appointments: Effects on family physician satisfaction, physicians' office income, and emergency department use.Canadian family physician Medecin de famille canadien · 2010Article
- Medical homes: challenges in translating theory into practice.Medical care · 2009Review
- The effect of the new GMS contract on GP appointment provision in Wales: postal questionnaire survey of practice managers.BMC research notes · 2008Article
- Same-day booking: success in a Canadian family practice.Canadian family physician Medecin de famille canadien · 2008Article
- Does Advanced Access improve access to primary health care? Questionnaire survey of patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Improving access for patients - a practice manager questionnaire.BMC family practice · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff.
methodsA qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data.
resultsWhilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs) were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care.
conclusionAA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects.
Indexed as
Identifiers
What 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.