Evidence map›Paper›PMID 29914881›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Importance of accessibility and opening hours to overall patient experience of general practice: analysis of repeated cross-sectional data from a national patient survey.

Thomas E Cowling, Azeem Majeed, Matthew J Harris

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

3 authors.

Thomas E CowlingDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London.
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London.
Matthew J HarrisDepartment of Primary Care and Public Health, Imperial College London, London.

Funding

Department of Health DRF-2013-06-142
6 · The paper itself

Abstract

backgroundThe UK government aims to improve the accessibility of general practices in England, particularly by extending opening hours in the evenings and at weekends. It is unclear how important these factors are to patients' overall experiences of general practice.

aimTo examine associations between overall experience of general practice and patient experience of making appointments and satisfaction with opening hours. DESIGN AND

settingAnalysis of repeated cross-sectional data from the General Practice Patient Surveys conducted from 2011-2012 until 2013-2014. These covered 8289 general practice surgeries in England.

methodData from a national survey conducted three times over consecutive years were analysed. The outcome measure was overall experience, rated on a five-level interval scale. Associations were estimated as standardised regression coefficients, adjusted for responder characteristics and clustering within practices using multilevel linear regression.

resultsIn total, there were 2 912 535 responders from all practices in England (

conclusionPatient experience of making appointments and satisfaction with opening hours were only modestly associated with overall experience. Policymakers in England should not assume that recent policies to improve access will result in large improvements in patients' overall experience of general practice.

Indexed as

After-Hours CareGeneral PracticeGovernment ProgramsAmbulatory Care FacilitiesAppointments and SchedulesCross-Sectional StudiesEnglandHealth Care SurveysHealth Services AccessibilityHealth Services Needs and DemandHumansPatient PreferencePatient SatisfactionPractice Management, MedicalQuality Improvementaccess to health carefamily practicehealthcare surveyspatient satisfactionprimary health care

Identifiers

PMID29914881
PMCPMC6014409

What OpenQuestion holds

Textmetadata
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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.