Exploring users' experiences of accessing out-of-hours primary medical care services
- 1 December 2007
- journal article
- research article
- Published by BMJ in Quality and Safety in Health Care
- Vol. 16 (6) , 469-477
- https://doi.org/10.1136/qshc.2006.021501
Abstract
Background: Since 2000, out-of-hours primary medical care services in the UK have undergone major changes in the organisation and delivery of services in response to recommendations by the Carson Review and more recently, through the new General Medical Services Contract (GMS2). People calling their general practice in the evening or at weekends are redirected to the out-of-hours service which may offer telephone advice, a home visit or a visit to a treatment centre. Little is known about users’ experiences under the new arrangements. Aim: To explore users’ experiences of out-of-hours primary medical care. Design of study: A qualitative study employing focus groups and telephone interviews. Setting: Three out-of-hours primary medical care service providers in England. Methods: Focus groups and telephone interviews were conducted with 27 recent users of out-of-hours services. Results: Key areas of concern included the urgency with which cases are handled, and delays when waiting for a call back or home visit. Users felt that providers were reluctant to do home visits. The service was regarded as under-resourced and frequently misused. Many expressed anxiety about calling, feeling unsure about how appropriate their call was and many were uncertain about how the service operated. Conclusions: Service users need clear information on how current out-of-hours services operate and how it should be used. Problems with triaging need to be addressed, users should be kept informed of any delays, and care needs to be taken to ensure that the new arrangements do not alienate older people or individuals with complex health needs.Keywords
This publication has 18 references indexed in Scilit:
- Capturing users' experience of UK out-of-hours primary medical care: piloting and psychometric properties of the Out-of-hours Patient QuestionnaireQuality and Safety in Health Care, 2007
- An evaluation of a GP out‐of‐hours service: meeting patient expectations of careJournal of Evaluation in Clinical Practice, 2004
- A systematic review of the effect of different models of after-hours primary medical care services on clinical outcome, medical workload, and patient and GP satisfactionFamily Practice, 2003
- Meeting patient expectations of care: the major determinant of satisfaction with out-of-hours primary medical care?Family Practice, 2002
- A qualitative study of older people's views of out-of-hours services.2001
- Patient-perceived benefits of and barriers to using out-of-hours primary care centresFamily Practice, 2001
- Patients' experiences of receiving telephone advice from a GP co-operativeFamily Practice, 2001
- Patient satisfaction with out of hours primary medical careQuality and Safety in Health Care, 2001
- Patient satisfaction with out-of-hours services; how do GP co-operatives compare with deputizing and practice-based arrangements?Journal of Public Health, 2000
- Reliability and validity of a new measure of patient satisfaction with out of hours primary medical care in the united kingdom: development of a patient questionnaireBMJ, 1997