A qualitative study of general practitioner access to diagnostic imaging services in the Central Region

To determine general practitioners' views about access to diagnostic imaging services in the Central Region, particularly for low-income patients, and the perceived impact of limited access on patient outcomes.

A key general practitioner in each of 21 main geographical localities facilitated a discussion with a group of general practitioners using a pretested questionnaire. Each group tried to reach a consensus view and these responses were analysed to determine the common themes and ideas.

General practitioners identified difficulties and barriers to access for all common diagnostic imaging procedures throughout the Central Region. Cost was the main barrier to access. Limited access resulted in increased risk for patients, unnecessary use of outpatient facilities and wasted time for general practitioners. Up to 40% of patients with restricted access to diagnostic imaging services were referred to outpatient departments and up to 20% went without the service.

Many general practitioners in the Central Region do not have direct access to diagnostic imaging services except for patients who can afford private services. This is thought to generate significant additional costs and risks for patients. Improved access to these services would reduce hospital outpatient waiting times and provide a better service for patients.