Abstract:
BACKGROUND:In 2010, a new telephone service, NHS 111, was piloted to improve access to urgent care in England. A unique feature is the use of non-clinical call takers who triage calls with computerized decision support and have access to clinical advisors when necessary. Aim. To explore users' acceptability of NHS 111. DESIGN:Cross-sectional postal survey. SETTING:Four pilot sites in England. METHOD:A postal survey of recent users of NHS 111. RESULTS:The response rate was 41% (1769/4265), with 49% offering written comments (872/1769). Sixty-five percent indicated the advice given had been very helpful and 28% quite helpful. The majority of respondents (86%) indicated that they fully complied with advice. Seventy-three percent was very satisfied and 19% quite satisfied with the service overall. Users were less satisfied with the relevance of questions asked, and the accuracy and appropriateness of advice given, than with other aspects of the service. Users who were autorouted to NHS 111 from services such as GP out-of-hours services were less satisfied than direct callers. CONCLUSION:In pilot services in the first year of operation, NHS 111 appeared to be acceptable to the majority of users. Acceptability could be improved by reassessing the necessity of triage questions used and auditing the accuracy and appropriateness of advice given. User acceptability should be viewed in the context of findings from the wider evaluation, which identified that the NHS 111 pilot services did not improve access to urgent care and indeed increased the use of emergency ambulance services.
journal_name
Fam Practjournal_title
Family practiceauthors
O'Cathain A,Knowles E,Turner J,Nicholl Jdoi
10.1093/fampra/cmt078subject
Has Abstractpub_date
2014-04-01 00:00:00pages
193-200issue
2eissn
0263-2136issn
1460-2229pii
cmt078journal_volume
31pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/20.2.162
更新日期:2003-04-01 00:00:00
abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg302
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to estimate the frequency of albuminuria in patients with and without diabetes mellitus, answering the question: 'How relevant for general practice are epidemiological findings that albuminuria is a significant risk indicator for the development of cardiovascular syndromes?'. METHO...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.6.580
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to explore beliefs and attitudes about refusing health screening in general practice. METHODS:In 1991, in Ebeltoft, Denmark people aged between 30 and 50 years were invited to participate in a 5-year randomized, controlled, population-based project testing the value of health screen...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh107
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:Current primary prevention guidelines recommend the assessment of family history of coronary heart disease (CHD) to identify at-risk individuals. OBJECTIVE:To examine how clinicians and patients understand and communicate family history in the context of CHD risk assessment in primary care. METHODS:A quali...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm037
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:The ankle-brachial index (ABI), i.e. the ratio of the ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD) and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients. OBJECTIVE:To assess the diagn...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn035
更新日期:2008-08-01 00:00:00
abstract::Our objective was to determine what family physicians need in their doctor's bag for urgent and non-urgent house calls. In a prospective survey, family physicians completed a structured report form after consecutive house calls, recording what equipment they needed for each. Thirteen doctors from two urban practices, ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.4.430
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:Given the benefits of breastfeeding (BF), health care institutions recommend that a child should be breastfed for the first 6 months of its life. However, differences between social groups as regards BF behaviour are very prevalent. OBJECTIVES:To identify effective programmes that can be implemented by GPs ...
journal_title:Family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmr085
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg312
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur. METHODS:A qualitative study was undertaken involving in-depth, semi-structured interviews that were tape-recorded,...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.2.108
更新日期:2000-04-01 00:00:00
abstract::The electronic version of the second edition of the International Classification of Primary Care, ICPC-2-E, available on the website of Family Practice since 2000, needed an update of the mapping with ICD-10 as a nomenclature and, consequently, of some of its criteria. This is now being made available, together with t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.5.543
更新日期:2002-10-01 00:00:00
abstract::The functional status of patients was determined during an acute attack of asthma requiring medical intervention. Patients were recruited during two months from general practice: all 28 patients consulting for an acute asthma attack were invited to take part: four refused or were withdrawn from follow up. Matched cont...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.4.404
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS:A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the cou...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.6.622
更新日期:2001-12-01 00:00:00
abstract::There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.3.263
更新日期:1993-09-01 00:00:00
abstract::Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn102
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE:To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi045
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:It is generally considered that a significant proportion of 'inappropriate' demand for GP services is generated by consultations for minor ailments. How GPs manage minor ailments is likely to affect how patients perceive and handle similar illnesses in the future. Whilst this potentially has significant impl...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.6.581
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Physicians often encounter patients using alcohol as self-medication, but studies on community level are scarce. Because of alcohol-medicine interactions, it is important to know also all self-medication used. OBJECTIVE:To describe alcohol use as self-medication by people aged over 75 years. METHODS:The ho...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn065
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:A cross-sectional survey was conducted amongst patients who consulted for upper respiratory tract infections (URTI) at 22 private practitioners' offices. METHOD:A total of 505 adult patients and 504 guardians (parents or grandparents of child patients) completed a self-administered questionnai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/13.3.229
更新日期:1996-06-01 00:00:00
abstract::Recent years have seen a growing recognition of the appropriateness of qualitative methods in family practice. This has been paralleled by an upsurge of interest in focus group discussions as a method. Drawing on the experience of using focus groups with general practice teams as one component of a multi-method study ...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/12.3.328
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr066
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:The GP often has a primary function in assessing pigmented skin lesions in Denmark. No data are available on the diagnostic accuracy of this process. OBJECTIVE:We aimed to study the sensitivity, specificity and positive prognostic value of the diagnosis made by 27 trained or trainee GPs. METHOD:We tested t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.6.619
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:There is evidence both that a doctor's own well-being is closely associated with efficiency and positive attitude to patients, and that levels of stress, anxiety and depression in doctors are rising. OBJECTIVES:This postal survey aimed to measure anxiety and depression levels in general practitioners in 199...
journal_title:Family practice
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq103
更新日期:2011-06-01 00:00:00
abstract:Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00
abstract::A cohort study investigated the specific outcomes of a health education coursed carried out by recently graduated physicians in an urban primary care setting in Israel. Questionnaires were used to study the effects of the programme on knowledge and awareness concerning antibiotic usage. The results showed a significan...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.1.27
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:Overweight and obesity have negative health effects. Primary care clinicians are best placed to intervene in weight management. Previous reviews of weight loss interventions have included studies from specialist settings. The aim of this review was to estimate the effect of behavioural interventions delivere...
journal_title:Family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmu064
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmq116
更新日期:2011-06-01 00:00:00
abstract:Background:Little is known about respiratory tract infection (RTI) severity in children following consultation. Objectives:To investigate post-consultation symptom trajectories in children with acute cough and RTI and whether baseline characteristics predict trajectory group. Methods:Prospective cohort study of 2296 ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmy021
更新日期:2018-12-12 00:00:00
abstract:OBJECTIVE:To investigate the question whether or not spinal manipulation is associated with specific treatment effects. METHODS:Literature searches were carried out in Medline, Embase and The Cochrane Library. All sham-controlled trials of spinal manipulation were considered. RESULTS:Seven such studies were located. ...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/17.6.554
更新日期:2000-12-01 00:00:00