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Measuring doctor appointment availability in Northland general practice.

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General practice appointment availability in Northland shows a mean time to the third next available appointment (TNAA) of 2.5 days, suggesting potential constraints. Automated electronic queries are feasible for measuring routine GP appointment access.

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Area of Science:

  • Primary Care Research
  • Health Services Management
  • Health Informatics

Background:

  • Primary care access is crucial for patient outcomes.
  • Appointment availability is a key indicator of primary care access.
  • Northland's demographics and high hospitalization rates suggest potential access issues.

Purpose of the Study:

  • To determine general practitioner (GP) appointment availability in Northland.
  • To assess the feasibility of using automated electronic queries to measure appointment availability.

Main Methods:

  • An automated electronic query system interrogated general practice patient management systems.
  • Calculated the time to the third next available appointment (TNAA) for GPs.
  • Used regression analysis to explore relationships between deprivation, patient load, and walk-in clinic use.

Main Results:

  • The mean TNAA across Northland was 2.5 days.
  • 12% of practices offered walk-in clinics, with a significant relationship between TNAA and walk-in clinic numbers.
  • Automated electronic queries proved feasible for measuring routine GP appointment availability.

Conclusions:

  • A mean TNAA of 2.5 days suggests potential constraints on routine GP appointments in Northland.
  • TNAA may not reliably measure urgent appointment availability and requires interpretation considering practice characteristics.
  • Walk-in clinics may increase urgent appointment access but could strain routine appointment availability.