A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff.
The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practi...
| Publicado en: | BMC Family Practice Vol. 6; pp. 9p - 10 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106176519&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106176519 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712296 1CHN jtl: BMC Family Practice issn: 14712296 maglogo: N pubinfo: dt: 2005 vid: 6 pid: 24147 pub: BioMed Central artinfo: ui: 106176519 106176519 2009292859 NLM16188036 106176519 ppf: 9p ppct: 1 formats: tig: atl: A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff. aug: au: Ahluwalia S Offredy M affil: Watling Medical Centre, 108 Watling Avenue, HA8 0NR, London, UK. sanjivahluwalia@btinternet.com sug: subj: Health Personnel Health Services Accessibility Methods Primary Health Care Work Environment Appointments and Schedules Audiorecording Continuity of Patient Care England Family Practice Trends Funding Source Interviews Job Satisfaction Physician Attitudes Professional-Patient Relations Qualitative Studies Reliability Stress Time Management Validity Workload Human ab: The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff.~Background~Background~A qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data.~Methods~Methods~Whilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs) were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care.~Results~Results~AA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects.~Conclusion~Conclusions pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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