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. 2006 Dec 1;56(533):918–923.

Table 2.

Strategies used to improve access.

Advanced Access? Comparison between Advanced Access and non-Advanced Access practices

Yes (n = 162)a No (n = 79)a

n % n % Odds ratio 95% CI P-value
Interventions used to improve access
 Telephone advice for some new consultations 104 66.2 38 48.1 2.12 1.22 to 3.68 0.008
 Planned telephone consultations for some follow-up consultations 97 92.9 35 44.3 2.07 1.19 to 3.58 0.010
 Specific measures to reduce follow-up 76 52.8 24 32.0 2.38 1.32 to 4.26 0.004
 Telephone triage by GPs 84 52.5 36 45.6 1.32 0.77 to 2.67 0.314
 Telephone triage by nurses 58 36.3 26 33.3 1.14 0.64 to 2.01 0.659
 Telephone triage for home visits 128 80.5 54 68.4 1.91 1.03 to 3.54 0.039
 Nurse practitioners provide initial consultations for minor illness 45 28.8 20 26.3 1.14 0.61 to 2.10 0.687
 Redirect workload from GPs to nurses 120 75.0 59 74.7 1.02 0.55 to 1.89 0.958
 Redirect workload from GPs to healthcare assistants 85 54.5 26 33.8 2.35 1.33 to 4.14 0.003
 Email consultations 2 1.3 2 2.5 0.49 0.07 to 3.57 0.484
 Advice about self-care on practice website 25 16.1 9 11.5 1.47 0.65 to 3.33 0.351

Other recommended aspects of Advanced Access
 Documented contingency plans 79 51.0 34 43.0 1.39 0.89 to 2.40 0.232
 Most appointments available on Monday 91 59.1 29 37.7 2.39 1.36 to 4.19 0.002
 Collect appointment data monthly 126 78.3 50 64.1 2.02 1.11 to 3.66 0.021
 Involve patients in planning changes 40 25.6 10 12.8 2.34 1.10 to 4.99 0.027
 Use plan-do-study-act cycles 93 59.6 21 26.9 4.01 2.21 to 7.26 <0.001
 Provide extra appointments to clear backlog 95 62.5 29 36.7 2.70 1.53 to 4.79 0.001
 Participate in primary care collaborative 109 72.7 29 39.7 4.03 2.23 to 7.28 <0.001
a

The number of observations differs for each question depending upon the number of missing answers. The percentage given relates to the observations excluding missing data.