Implementation of advanced access in general practice: Postal survey of practices

Goodall, S; Montgomery, A; Banks, J; Salisbury, C; Sampson, F; Pickin, M

Implementation of advanced access in general practice: Postal survey of practices

Goodall, S

Montgomery, A Banks, J Salisbury, C Sampson, F Pickin, M

Permalink

Publication Type:: Journal Article
Citation:: British Journal of General Practice, 2006, 56 (533), pp. 918 - 923
Issue Date:: 2006-12-01

Closed Access

	Filename	Description	Size
	2007003636OK.pdf		202.03 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565	en_US
dc.contributor.author	Montgomery, A	en_US
dc.contributor.author	Banks, J	en_US
dc.contributor.author	Salisbury, C	en_US
dc.contributor.author	Sampson, F	en_US
dc.contributor.author	Pickin, M	en_US
dc.date.issued	2006-12-01	en_US
dc.identifier.citation	British Journal of General Practice, 2006, 56 (533), pp. 918 - 923	en_US
dc.identifier.issn	0960-1643	en_US
dc.identifier.uri	http://hdl.handle.net/10453/9749
dc.description.abstract	Background: Advanced Access has been strongly promoted as a means of improving access to general practice. Key principles include measuring demand, matching capacity to demand, managing demand in different ways and having contingency plans. Although not advocated by Advanced Access, some practices have also restricted availability of pre-booked appointments. Aim: This study compares the strategies used to improve access by practices which do or do not operate Advanced Access. Design of study: Postal survey of practices. Setting: Three hundred and ninety-one practices in 12 primary care trusts. Method: Questionnaires were posted to practice managers to collect data on practice characteristics, supply and demand of appointments, strategies employed to manage demand, and use of Advanced Access. Results: Two hundred and forty-five from 391 (63%) practices returned a questionnaire and 162/241(67%) claimed to be using Advanced Access. There were few differences between characteristics of practices operating Advanced Access or not. Both types of practice had introduced a wide range of measures to improve access. The proportion of doctors' appointments only available for booking on the same day was higher in Advanced Access practices (40 versus 16%, difference = 24%. 95% CI = 16% to 32%). Less than half the practices claiming to operate Advanced Access ((63/140; 45%) used all four of this model's key principles. Conclusion: The majority of practices in this sample claim to have introduced Advanced Access, but the degree of implementation is very variable. Advanced Access practices use more initiatives to measure and improve access than non-Advanced Access practices. © British Journal of General Practice.	en_US
dc.relation.ispartof	British Journal of General Practice	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Health Care Surveys	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Family Practice	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Appointments and Schedules	en_US
dc.subject.mesh	Health Services Accessibility	en_US
dc.subject.mesh	England	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Implementation of advanced access in general practice: Postal survey of practices	en_US
dc.type	Journal Article
utslib.citation.volume	533	en_US
utslib.citation.volume	56	en_US
utslib.for	111799 Public Health and Health Services not elsewhere classified	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access
pubs.issue	533	en_US
pubs.publication-status	Published	en_US
pubs.volume	56	en_US

Abstract:

Background: Advanced Access has been strongly promoted as a means of improving access to general practice. Key principles include measuring demand, matching capacity to demand, managing demand in different ways and having contingency plans. Although not advocated by Advanced Access, some practices have also restricted availability of pre-booked appointments. Aim: This study compares the strategies used to improve access by practices which do or do not operate Advanced Access. Design of study: Postal survey of practices. Setting: Three hundred and ninety-one practices in 12 primary care trusts. Method: Questionnaires were posted to practice managers to collect data on practice characteristics, supply and demand of appointments, strategies employed to manage demand, and use of Advanced Access. Results: Two hundred and forty-five from 391 (63%) practices returned a questionnaire and 162/241(67%) claimed to be using Advanced Access. There were few differences between characteristics of practices operating Advanced Access or not. Both types of practice had introduced a wide range of measures to improve access. The proportion of doctors' appointments only available for booking on the same day was higher in Advanced Access practices (40 versus 16%, difference = 24%. 95% CI = 16% to 32%). Less than half the practices claiming to operate Advanced Access ((63/140; 45%) used all four of this model's key principles. Conclusion: The majority of practices in this sample claim to have introduced Advanced Access, but the degree of implementation is very variable. Advanced Access practices use more initiatives to measure and improve access than non-Advanced Access practices. © British Journal of General Practice.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/9749