Table 2.
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 |
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.