ArticleBMJ quality & safety2017
Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey.
Article in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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
10 citing papers in PubMed.
- Did a national extended access scheme translate to improvements in patient experience to GP services in England? A retrospective observational study using patient-level data from the English GP patient survey.BMC health services research · 2025Observational
- Article
- Associations between regular GP contact, diabetes monitoring and glucose control: an observational study using general practice data.BMJ open · 2021Observational
- Changes in patient experience associated with growth and collaboration in general practice: observational study using data from the UK GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Observational
- Patient-Reported Access in the Patient-Centered Medical Home and Avoidable Hospitalizations: an Observational Analysis of the Veterans Health Administration.Journal of general internal medicine · 2019Observational
- Importance of accessibility and opening hours to overall patient experience of general practice: analysis of repeated cross-sectional data from a national patient survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Who attends out-of-hours general practice appointments? Analysis of a patient cohort accessing new out-of-hours units.BMJ open · 2018Article
- Factors affecting decisions to extend access to primary care: results of a qualitative evaluation of general practitioners' views.BMJ open · 2018Article
- Seven-day access to NHS primary care: how does England compare with Europe?Journal of the Royal Society of Medicine · 2018Review
- Contract and ownership type of general practices and patient experience in England: multilevel analysis of a national cross-sectional survey.Journal of the Royal Society of Medicine · 2017Article
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3 authors.
Funding
Abstract
backgroundThe UK government plans to extend the opening hours of general practices in England. The 'extended hours access scheme' pays practices for providing appointments outside core times (08:00 to 18.30, Monday to Friday) for at least 30 min per 1000 registered patients each week.
objectiveTo determine the association between extended hours access scheme participation and patient experience.
methodsRetrospective analysis of a national cross-sectional survey completed by questionnaire (General Practice Patient Survey 2013-2014); 903 357 survey respondents aged ≥18 years old and registered to 8005 general practices formed the study population. Outcome measures were satisfaction with opening hours, experience of making an appointment and overall experience (on five-level interval scales from 0 to 100). Mean differences between scheme participation groups were estimated using multilevel random-effects regression, propensity score matching and instrumental variable analysis.
resultsMost patients were very (37.2%) or fairly satisfied (42.7%) with the opening hours of their general practices; results were similar for experience of making an appointment and overall experience. Most general practices participated in the extended hours access scheme (73.9%). Mean differences in outcome measures between scheme participants and non-participants were positive but small across estimation methods (mean differences ≤1.79). For example, scheme participation was associated with a 1.25 (95% CI 0.96 to 1.55) increase in satisfaction with opening hours using multilevel regression; this association was slightly greater when patients could not take time off work to see a general practitioner (2.08, 95% CI 1.53 to 2.63).
conclusionsParticipation in the extended hours access scheme has a limited association with three patient experience measures. This questions expected impacts of current plans to extend opening hours on patient experience.
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