Evidence map›Paper›PMID 25926616›Full record

ArticleBMJ (Clinical research ed.)2015

Characteristics of service users and provider organisations associated with experience of out of hours general practitioner care in England: population based cross sectional postal questionnaire survey.

Fiona C Warren, Gary Abel, Georgios Lyratzopoulos, Marc N Elliott, Suzanne Richards, Heather E Barry, Martin Roland, John L Campbell

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in BMJ (Clinical research ed.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 28 citations in OpenAlex.

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  20. Research into practice: accessing primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Fiona C WarrenDepartment of Primary Care, University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK f.c.warren@exeter.ac.uk.
Gary AbelCambridge Centre for Health Services Research, University of Cambridge, Institute of Public Health, Cambridge, UK.
Georgios LyratzopoulosCambridge Centre for Health Services Research, University of Cambridge, Institute of Public Health, Cambridge, UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Marc N ElliottRAND, Santa Monica, California, USA.
Suzanne RichardsDepartment of Primary Care, University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK.
Heather E BarryDepartment of Primary Care, University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK.
Martin RolandCambridge Centre for Health Services Research, University of Cambridge, Institute of Public Health, Cambridge, UK.
John L CampbellDepartment of Primary Care, University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK.
University of Exeter · GBUniversity of Cambridge · GBRAND Corporation · US

Funding

Cancer Research UK 18180Department of Health PDF-2011-04-047Department of Health RP-PG-0608-10050
6 · The paper itself

Abstract

objectiveTo investigate the experience of users of out of hours general practitioner services in England, UK.

designPopulation based cross sectional postal questionnaire survey.

settingGeneral Practice Patient Survey 2012-13.

main outcome measuresPotential associations between sociodemographic factors (including ethnicity and ability to take time away from work during working hours to attend a healthcare consultation) and provider organisation type (not for profit, NHS, or commercial) and service users' experience of out of hours care (timeliness, confidence and trust in the out of hours clinician, and overall experience of the service), rated on a scale of 0-100. Which sociodemographic/provider characteristics were associated with service users' experience, the extent to which any observed differences could be because of clustering of service users of a particular sociodemographic group within poorer scoring providers, and the extent to which observed differences in experience varied across types of provider.

resultsThe overall response rate was 35%; 971,232/2,750,000 patients returned surveys. Data from 902,170 individual service users were mapped through their registered practice to one of 86 providers of out of hours GP care with known organisation type. Commercial providers of out of hours GP care were associated with poorer reports of overall experience of care, with a mean difference of -3.13 (95% confidence interval -4.96 to -1.30) compared with not for profit providers. Asian service users reported lower scores for all three experience outcomes than white service users (mean difference for overall experience of care -3.62, -4.36 to -2.89), as did service users who were unable to take time away from work compared with service users who did not work (mean difference for overall experience of care -4.73, -5.29 to -4.17).

conclusionsCommercial providers of out of hours GP care were associated with poorer experience of care. Targeted interventions aimed at improving experience for patients from ethnic minorities and patients who are unable to take time away from work might be warranted.

Indexed as

Quality of Health CareAdolescentAdultAfter-Hours CareCross-Sectional StudiesEnglandFamily PracticeGeneral PractitionersHealth Care SurveysHumansPatient SatisfactionRetrospective StudiesSurveys and QuestionnairesYoung Adult

Identifiers

PMID25926616
PMCPMC4415470
OpenAlexW2029465029

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.