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Published on: February 17, 2011
Problems with a 'target' approach to access in primary care: a qualitative study
Kate Windridge1, Carolyn Tarrant, George K Freeman
1Clinical Governance Research and Development Unit, Department of Health Sciences, University of Leicester, Leicester. kcw@leicester.ac.uk
Summary
Patients experienced distress when general practitioner (GP) access policies were strictly interpreted. Flexible policies offering choices, like booking ahead or selecting a GP, were preferred by patients and carers.
Area of Science:
- Primary care research
- Qualitative health research
Background:
- New primary care access policies were implemented.
- Patient and carer experiences with these policies were under-studied.
Purpose of the Study:
- To analyze patient and carer views on primary care access.
- To understand experiences with face-to-face general practitioner (GP) consultations during policy changes.
Main Methods:
- Qualitative study phase.
- Analysis of patient and carer experiences with GP access.
Main Results:
- Varied interpretations of new access policies by general practices.
- Restricted access, including telephone booking limitations, caused patient distress.
- Flexible interpretations offering patient choice (e.g., booking in advance, GP choice) were welcomed.
Conclusions:
- Policy interpretation significantly impacts patient experience in primary care.
- Flexible access policies enhance patient satisfaction and choice.
- Understanding patient perspectives is crucial for effective primary care service delivery.
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