ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2006
Implementation of Advanced Access in general practice: postal survey of practices.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Access or continuity: a zero sum game? A systematic review of the literature examining the relationship between access and continuity in primary healthcare.BMC primary care · 2025Pooled it
- Interventions to reduce wait times for primary care appointments: a systematic review.BMC health services research · 2017Pooled 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
- Article
- Ten years later: A portrait of the implementation of the advanced access model in Quebec.Healthcare management forum · 2023Article
- Sociodemographic inequalities in patients' experiences of primary care: an analysis of the General Practice Patient Survey in England between 2011 and 2017.Journal of health services research & policy · 2021Article
- Changing nursing practice within primary health care innovations: the case of advanced access model.BMC nursing · 2020Article
- Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study.BJGP open · 2020Article
- Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol.BMC family practice · 2020Article
- What Are the Factors Influencing Implementation of Advanced Access in Family Medicine Units? A Cross-Case Comparison of Four Early Adopters in Quebec.International journal of family medicine · 2017Article
- Open Access to General Practice Was Associated with Burnout among General Practitioners.International journal of family medicine · 2013Article
- Impact of advanced (open) access scheduling on patients with chronic diseases: an evidence-based analysis.Ontario health technology assessment series · 2013Article
- Continuity of care: betrayed values or misplaced nostalgia.International journal of integrated care · 2012Article
- The effect of the new GMS contract on GP appointment provision in Wales: postal questionnaire survey of practice managers.BMC research notes · 2008Article
- Impact of same-day appointments on patient satisfaction with general practice appointment systems.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- What Do People Think Is Important about Primary Healthcare?Healthcare policy = Politiques de sante · 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
- Impact of Advanced Access on access, workload, and continuity: controlled before-and-after and simulated-patient study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- The inverse care law: clinical primary care encounters in deprived and affluent areas of Scotland.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvanced Access has been strongly promoted as a means of improving access to general practice. Key principles include measuring demand, matching capacity to demand, managing demand in different ways and having contingency plans. Although not advocated by Advanced Access, some practices have also restricted availability of pre-booked appointments.
aimThis study compares the strategies used to improve access by practices which do or do not operate Advanced Access. DESIGN OF STUDY: Postal survey of practices.
settingThree hundred and ninety-one practices in 12 primary care trusts.
methodQuestionnaires were posted to practice managers to collect data on practice characteristics, supply and demand of appointments, strategies employed to manage demand, and use of Advanced Access.
resultsTwo hundred and forty-five from 391 (63%) practices returned a questionnaire and 162/241(67%) claimed to be using Advanced Access. There were few differences between characteristics of practices operating Advanced Access or not. Both types of practice had introduced a wide range of measures to improve access. The proportion of doctors' appointments only available for booking on the same day was higher in Advanced Access practices (40 versus 16%, difference = 24%, 95% CI = 16% to 32%). Less than half the practices claiming to operate Advanced Access ((63/140; 45%) used all four of this model's key principles.
conclusionThe majority of practices in this sample claim to have introduced Advanced Access, but the degree of implementation is very variable. Advanced Access practices use more initiatives to measure and improve access than non-Advanced Access practices.
Indexed as
Identifiers
17132379PMC1934051What 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.