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Access systems in general practice: a systematic scoping review.

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The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|January 19, 2024
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Summary
This summary is machine-generated.

GP appointment access systems are evolving to meet rising demand. While many focus on practice efficiency, patient-centered outcomes in these systems remain under-investigated, particularly with the rise of digital services.

Keywords:
appointments and schedulesgeneral practiceprimary health care

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Area of Science:

  • Primary Care Management
  • Health Services Research
  • Systematic Reviews

Background:

  • Access to General Practitioner (GP) appointments is a significant challenge in high-income countries due to workforce strain and increasing demand.
  • Various international GP access systems have been developed and evaluated to address these challenges.

Purpose of the Study:

  • To systematically review and consolidate the international evidence on different types of GP access systems.
  • To synthesize the components, aims, and strategies employed by various GP access models.

Main Methods:

  • A scoping review of the international literature was conducted.
  • Searches across relevant databases were performed in May 2022, followed by title, abstract, and full-text screening.
  • Data extraction and mapping were used to synthesize information on GP access systems.

Main Results:

  • The review included 49 studies, predominantly from the UK.
  • Commonly studied systems included Advanced Access, telephone triage, and online consultations.
  • Key strategies involved modifying appointment capacity or patient pathways, with a trend towards 'add-on' systems and efficiency goals.

Conclusions:

  • The synthesis offers insights into the design and implementation of GP access systems.
  • Patient-focused outcomes appear under-investigated, despite the focus on demand alleviation.
  • Digital services, while promoted for choice, face challenges in resource-limited contexts.