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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Accessing primary care: a simulated patient study.

John L Campbell¹, Mary Carter, Antoinette Davey

¹University of Exeter Medical School, Exeter, UK. jlcampbell@pms.ac.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners

|April 9, 2013

Summary

This summary is machine-generated.

The English GP Patient Survey accurately reflects primary care access. Patient satisfaction is linked to appointment availability, not call handling efficiency, validating survey measures.

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Area of Science:

Health Services Research
Primary Care Medicine
Patient Experience Measurement

Background:

Simulated patient studies, or 'mystery-shopper' research, offer a valuable, though debated, method in health services research.
Assessing primary care accessibility is crucial for evaluating healthcare system performance and patient outcomes.

Purpose of the Study:

To determine the construct validity of survey questions assessing primary care access within the English GP Patient Survey.
To evaluate if patient-reported access measures align with objective assessments of primary care availability.

Main Methods:

An observational study was conducted across 41 UK general practices in diverse settings (rural, urban, inner-city).
Researchers used simulated patient (mystery-shopper) calls over 10 months to assess appointment availability (7 measures).
Mystery-shopper data on access was correlated with performance metrics from the GP Patient Survey (7 measures).

Main Results:

Practices scoring lower on GP Patient Survey access items demonstrated poorer objective access for 5 of 7 measures.
Survey items on appointment availability strongly correlated with direct measures of appointment availability.
Patient satisfaction and likelihood to recommend were associated with appointment availability, not call handling efficiency.

Conclusions:

The English GP Patient Survey contains valid measures of primary care accessibility.
Patient satisfaction with general practices is primarily influenced by appointment availability, not the efficiency of telephone call handling.