Abstract：
BACKGROUND:The administrative and professional consequences of access targets for general practices, as detailed in the new GMS contract, are unknown. This study researched the effect of implementing the access targets of the new GP contract on general practice appointment systems, and practice manager satisfaction in a UK primary health care setting. METHODS:A four-part postal questionnaire was administered. The questionnaire was modified from previously validated questionnaires and the findings compared with data obtained from the Western Health and Social Services Board (WHSSB) in N Ireland. Practice managers from the 59 general practices in the WHSSB responded to the questionnaire. RESULTS:There was a 94.9% response rate. Practice managers were generally satisfied with the introduction of access targets for patients. Some 57.1% of responding practices, most in deprived areas (Odds ratio 3.13 -95% CI 1.01 - 9.80, p = 0.0256) had modified their appointment systems. Less booking flexibility was reported among group practices (p = 0.006), urban practices (p < 0.001) and those with above average patient list sizes (p < 0.001). Receptionists had not received training in patient appointment management in a quarter of practices. Practices with smaller list sizes were more likely than larger ones to utilise nurses in seeing extra patients (p = 0.007) or to undertake triage procedures (p = 0.062). CONCLUSION:The findings demonstrated the ability of general practices within the WHSSB to adjust to a demanding component of the new GP contract. Issues relating to the flexibility of patient appointment booking systems, receptionists' training and the development of the primary care nursing role were highlighted by the study.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Meade JG,Brown JSdoi
10.1186/1471-2296-7-37subject
Has Abstractpub_date
2006-06-19 00:00:00pages
37issn
1471-2296pii
1471-2296-7-37journal_volume
7pub_type
杂志文章abstract：BACKGROUND:Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-81
更新日期：2009-12-17 00:00:00
abstract：BACKGROUND:Physicians' interpersonal performance is critical in medical practice, especially primary care practice. The General Practice Assessment Questionnaire (GPAQ) was developed in the United Kingdom to evaluate the quality of primary care from the viewpoint of patients. This questionnaire highlights the evaluatio...
journal_title：BMC family practice
pub_type： 杂志文章,多中心研究
doi：10.1186/s12875-018-0873-8
更新日期：2018-11-28 00:00:00
abstract：BACKGROUND:Since the 1990s, professional institutions worldwide have emphasised the need to develop research in general practice to improve the health of the population. The recent creation of professorships in general practice in French Universities should foster research in this field. Our aim was to explore the view...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-136
更新日期：2014-07-21 00:00:00
abstract：BACKGROUND:Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to e...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-14
更新日期：2012-03-12 00:00:00
abstract：BACKGROUND:Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicia...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-1027-3
更新日期：2019-10-23 00:00:00
abstract：BACKGROUND:The general practitioner (GP) can play an important role in promoting a healthy lifestyle, which is especially relevant in people with an elevated risk of cardiovascular diseases due to hypertension. Therefore, the aim of this study was to determine the frequency and content of lifestyle counseling about wei...
journal_title：BMC family practice
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2296-9-58
更新日期：2008-10-14 00:00:00
abstract：BACKGROUND:Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases). The patient's signs, symptoms and electrocardiography results are insufficient diagnostic tools to...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-014-0203-8
更新日期：2014-12-12 00:00:00
abstract：BACKGROUND:Due to the growing prevalence of elderly patients with multi-morbidity living at home, there is an increasing need for primary care professionals from different disciplinary backgrounds to collaborate as primary care teams. However, it is unclear how primary care professionals conceptualize teams and what un...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0685-2
更新日期：2017-12-28 00:00:00
abstract：BACKGROUND:Hallingdal is a rural region in southern Norway. General practitioners (GPs) refer acutely somatically ill patients to any of three levels of care: municipal nursing homes, the regional community hospital or the local general hospital. The objective of this paper is to describe the patterns of referrals to t...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-14-87
更新日期：2013-06-22 00:00:00
abstract：:The editors have retracted this article [1] because it contains extensive overlap with an article published by the same authors in the Journal of Family & Community Medicine [2] and is therefore redundant. ...
journal_title：BMC family practice
pub_type： 杂志文章,撤回出版物
doi：10.1186/s12875-019-1043-3
更新日期：2019-11-05 00:00:00
abstract：BACKGROUND:Physical activity (PA) counselling is an effective approach to promote PA in primary health care (PHC). Barriers to PA counselling in PHC include time constraints, lack of knowledge and skills of providers, and systemic barriers. Using electronic health (eHealth) has the potential to promote PA. This scoping...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01304-9
更新日期：2020-11-06 00:00:00
abstract：BACKGROUND:There is wide variation in the quality of care provided by primary care practices to individuals with chronic illnesses. Individual doctor attitudes and interest have been demonstrated to influence patient outcomes in some instances. Given the trend towards larger practices and part-time working, continuity ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-6-9
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:Audits have shown numerous deficiencies in the quality of hypertension and diabetes primary care in Barbados, despite distribution of regional guidelines. This study aimed to evaluate the knowledge, attitudes and practices, and the barriers faced by primary care practitioners in Barbados concerning the recom...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-11-96
更新日期：2010-12-03 00:00:00
abstract：BACKGROUND:The increasing number of available point-of-care (POC) tests challenges clinicians regarding decisions on which tests to use, how to efficiently use them, and how to interpret the results. Although POC tests may offer benefits in terms of low turn-around-time, improved patient's satisfaction, and health outc...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0893-4
更新日期：2019-01-10 00:00:00
abstract：BACKGROUND:There is compelling evidence that there is substantial undetected vision loss amongst older people. Early recognition of undetected vision loss and timely referral for treatment might be possible within general practice, but methods of identifying those with unrecognised vision loss and persuading them to ta...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-14-99
更新日期：2013-07-16 00:00:00
abstract：BACKGROUND:The German clinical guideline on tobacco addiction recommends that general practitioners (GPs) provide brief stop-smoking advice to their patients according to the "5A" or the much briefer "ABC" method, but its implementation is insufficient. A lack of training is one barrier for GPs to provide such advice. ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-0986-8
更新日期：2019-07-27 00:00:00
abstract：BACKGROUND:Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to p...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-014-0167-8
更新日期：2014-10-25 00:00:00
abstract：BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-6-38
更新日期：2005-09-14 00:00:00
abstract：BACKGROUND:The Mini-Mental State Examination (MMSE) has contributed to detecting cognitive impairment, yet few studies have evaluated its accuracy when used by general practitioners (GP) in an actual public-health setting. OBJECTIVES:We evaluated the accuracy of MMSE scores obtained by GPs by comparing them to scores ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-9-29
更新日期：2008-05-13 00:00:00
abstract：BACKGROUND:Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perce...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-7-26
更新日期：2006-04-26 00:00:00
abstract：BACKGROUND:In Malta, sickness certificates are needed from the first day of illness, and are issued by family physicians (FPs) either employed by the government primary health care system, self-employed in private practice, or employed by an employer for this purpose alone. The latter system, when applied by the employ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-4-2
更新日期：2003-03-27 00:00:00
abstract：BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01274-y
更新日期：2020-09-29 00:00:00
abstract：BACKGROUND:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-016-0476-1
更新日期：2016-07-21 00:00:00
abstract：BACKGROUND:An open, constructive safety culture is key in healthcare since it is seen as a main condition for patient safety. Studies have examined culture improvement strategies in hospitals. In primary care, however, not much is known about effective strategies to improve the safety culture yet. The purpose of this s...
journal_title：BMC family practice
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/1471-2296-14-127
更新日期：2013-08-29 00:00:00
abstract：BACKGROUND:The role of primary care professionals in lifestyle counseling for smoking, alcohol consumption, physical activity, and diet is receiving attention at the national level in many countries. The U. S. and Sweden are two countries currently establishing priorities in these areas. A previously existing internati...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-83
更新日期：2014-05-03 00:00:00
abstract：BACKGROUND:There is extensive evidence of health inequality across ethnic groups. Inequity is a complex social phenomenon involving several underlying factors, including ethnic discrimination. In the field of health care, it has been established that ethnic discrimination stems partially from bias or prejudice on the p...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-15-89
更新日期：2014-05-09 00:00:00
abstract：BACKGROUND:There is a high prevalence of potentially inappropriate prescriptions in primary care. This is associated with more frequent adverse events, lower quality of life and more frequent visits to hospital accident & emergency departments. The aim of the present study is to summarise available evidence on the effe...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01166-1
更新日期：2020-06-08 00:00:00
abstract：BACKGROUND:Standardised generic patient-reported outcome measures (PROMs) which measure health status are often unresponsive to change in primary care. Alternative formats, which have been used to increase responsiveness, include individualised PROMs (in which respondents specify the outcomes of interest in their own w...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0850-2
更新日期：2018-09-27 00:00:00
abstract：BACKGROUND:Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0285-y
更新日期：2015-07-04 00:00:00
abstract：BACKGROUND:When medically unexplained physical symptoms (MUPS) become persistent, it may have major implications for the patient, the general practitioner (GP) and for society.Early identification of patients with MUPS in electronic medical records (EMRs) might contribute to prevention of persistent MUPS by creating aw...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-109
更新日期：2014-06-05 00:00:00
