skip to main content
Ngôn ngữ:
Giới hạn tìm kiếm: Giới hạn tìm kiếm: Dạng tài nguyên Hiển thị kết quả với: Hiển thị kết quả với: Chỉ mục

Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey

Cowling, T ; Harris, M ; Majeed, F; National Institute for Health Research

BMJ Quality & Safety, 24 June 2016 [Tạp chí có phản biện]

ISSN: 2044-5423 ; ISBN: 10 DOI: 10.1136/bmjqs-2016-005233

Truy cập trực tuyến

Trích dẫn Trích dẫn bởi
  • Nhan đề:
    Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey
  • Tác giả: Cowling, T ; Harris, M ; Majeed, F
  • National Institute for Health Research
  • Chủ đề: Science & Technology ; Life Sciences & Biomedicine ; Health Care Sciences & Services ; Health Policy & Services ; Discrete-CHOICE Experiment ; Cross-Sectional Analysis ; Primary-CARE Evidence ; Hospital Admissions ; Higher Quality ; Access ; Organizations ; Association ; Preferences ; Accident ; General Practice ; Health Policy ; Health Services Research ; Patient Satisfaction ; Primary Care
  • Là 1 phần của: BMJ Quality & Safety, 24 June 2016
  • Mô tả: Background The 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. Objective To determine the association between extended hours access scheme participation and patient experience. Methods Retrospective 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. Results Most 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). Conclusions Participation 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.
  • Nơi xuất bản: BMJ Publishing Group
  • Số nhận dạng: ISSN: 2044-5423 ; ISBN: 10 DOI: 10.1136/bmjqs-2016-005233

Đang tìm Cơ sở dữ liệu bên ngoài...