Evidence map›Paper›PMID 37604698›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care.

Tianchang Zhao, Rachel Meacock, Matt Sutton

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Patterns in GP appointment systems: a cluster analysis of 3480 English practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  6. Article
  7. Article
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 at 1 institution in 1 country.

Tianchang ZhaoPolicy and Economics, School of Health Sciences, University of Manchester, Manchester.ORCID 0000-0001-6063-3860
Rachel MeacockPolicy and Economics, School of Health Sciences, University of Manchester, Manchester.ORCID 0000-0001-8933-5058
Matt SuttonPolicy and Economics, School of Health Sciences, University of Manchester, Manchester.ORCID 0000-0002-6635-2127
Manchester Academic Health Science Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recent publication of data on appointment volumes for all general practices in England has enabled representative analysis of factors affecting appointment activity rates for the first time.

aimTo identify population, workforce, and organisational predictors of practice variations in appointment volume. DESIGN AND

settingA multivariable cross-sectional regression analysis of 6284 general practices in England was undertaken using data from August-October 2022.

methodMultivariable regression analyses was conducted. It related population age and deprivation, numbers of GPs, nurses, and other care professionals, and organisation characteristics to numbers of appointments by staff type and to proportions of appointments on the same or next day after booking.

resultsAppointment levels were higher at practices serving rural areas. Practices serving more deprived populations had more appointments with other care professionals but not GPs. One additional full-time equivalent (FTE) GP was associated with an extra 175 appointments over 3 months. Additional FTEs of other staff types were associated with larger differences in appointment rates (367 appointments per additional nurse and 218 appointments per additional other care professional over 3 months). There was evidence of substitution between staff types in appointment provision. Levels of staffing were not associated with proportions of same-or next-day appointments.

conclusionHigher staffing levels are associated with more appointment provision, but not speed of appointment availability. New information on activity levels has shown evidence of substitution between GPs and other care professionals in appointment provision and demonstrated additional workload for practices serving deprived and rural areas.

Indexed as

Primary Health CareCross-Sectional StudiesEnglandHumansRetrospective StudiesWorkforceaccessactivityconsultationsdeprivationpopulationprimary health careworkforce

Identifiers

PMID37604698
PMCPMC10471139
OpenAlexW4383066670

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.