A Kitson

A Lamb

A Sheikh

C Airey

C Pope

D Murfin

D Silverman

DH Gustafson

G Freeman

GK Freeman

H Stoddart

JSL Ritchie

K Windridge

L Longridge

LI Solberg

M Murray

M Pickin

Maxine Offredy

N Mays

PW Meyers

Qualitative Solutions and Research

RCGP

S Campbell

Sanjiv Ahluwalia

Spradley J

T Gosden

T Kendrick

BMC Family Practice

English

PubMed

Springer - Publisher Connector

A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff

Ahluwalia, S.

Offredy, M.

University of Hertfordshire Research Archive

A: Evolving general practice consultation in Britain: issues of length and context. Bmj

Building on the Best- Choice, Responsiveness, and Equity in the NHS. Edited by: Health D. London ,

C: Implementation of industrial process innovations: factors, effects, and marketing implications.

Developing and testing a model to predict outcomes oforganizational change. Health Services Research

Divert the demand. Primary Care Management

DoH: A First Class Service: Quality in the New NHS. Edited by: Health D. London ,

Doing qualitative research- A practical handbook.

Enabling the implementation of evidence-based practice: a conceptual framework. Qual Health Care

Errens B: National Surveys of NHS Patients: General Practice

Evaluation of advanced access in the national primary care collaborative.

Hjortdahl P: What future for continuity of care in general practice? Bmj

How many surgery appointments should be offered to avoid undesirable numbers of 'extras'?

Improving working lives in the NHS.

Is the quality of care in general medical practice improving? Results of a longitudinal observational study.

Patient care: access.

Pope C: Qualitative research in health care: Assessing quality in qualitative research. BMJ

Problems with a 'target' approach to access in primary care: a qualitative study.

Psychological morbidity in general practice managers: a descriptive and explanatory study.

Qualitative data analysis for applied policy research. In Analysing Qualitative Data Edited by: Bryman , Burgess . London ,

Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ

Qualitative Solutions and Research: NUD*IST Non-numerical Unstructured Data Indexing Searching and Theorising (QSR NUD*IST 4.0). London , Sage;

RCGP: Profile of UK practices. London , Royal College of General Practitioners;

report for England and Wales. London , Office for National Statistics;

Salaried contracts in UK general practice: a study of job satisfaction and stress.

Standards of access and quality in primary care.

Survey of GP opinion. London ,

Tantau C: Same-day appointments: exploding the access paradigm. Fam Pract Manag

The ethnographic interview.

The New NHS: Modern and Dependable. L o n d o n , Department of Health;

The NHS Plan. [http://www.dh.gov.uk/PublicationsAndSta tistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolic ndGuidanceArticle/f?CONTENT_ID=4002960&chk=07GL5R].

The provision of 'same-day' care in general practice: an observational study. Fam Pract

Why advanced access is a retrograde step.

Working together- Learning together. Edited by: Health D. London , HMSO;

Abstract Background The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff. Methods A qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data. Results Whilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs) were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care. Conclusion AA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects.</p

A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff

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