Is fast access to general practice all that should matter? A discrete choice experiment of patients' preferences

Journal of Health Services Research & Policy
Karen GerardHelen Baxter

Abstract

To determine the relative importance of factors that influence patient choice in the booking of general practice appointments for two health problems. Two discrete choice experiments incorporated into a survey of general practice patients and qualitative methods to support survey development. An overall response of 94% (1052/1123) was achieved. Factors influencing the average respondent's choice of appointment, in order of importance, were: seeing a doctor of choice; booking at a convenient time of day; seeing any available doctor; and having an appointment sooner rather than later (acute, low worry condition). This finding was the same for an ongoing, high worry condition but in addition the duration of the appointment was also of (small) value. Patients traded off speed of access for more convenient appointment times (a willingness to wait an extra 2.5-3 days longer to get a convenient time slot for an acute low worry/ongoing, high worry condition, respectively). However, contrary to expectation, patients were willing to trade off speed of access for continuity of care (e.g. willingness to wait five days longer to see the doctor of their choice for an acute, low worry condition). Preferences varied by a person's gender, work ...Continue Reading

Citations

Nov 19, 2013·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Chiara SeghieriSabina Nuti
Nov 10, 2010·Annals of Family Medicine·Stephen M CampbellMartin O Roland
Apr 27, 2011·Archives of Internal Medicine·Katherine D RoseLeora I Horwitz
Aug 2, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Claire L Morgan, Hendrik J Beerstecher
Oct 29, 2011·BMJ : British Medical Journal·John L CampbellSuzanne Richards
Jan 5, 2012·Journal of General Internal Medicine·Andrea LópezUrmimala Sarkar
Jan 8, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Patricia KennyStephen Goodall
Apr 12, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Karen GerardAlison Blenkinsopp
Mar 11, 2010·The International Journal of Pharmacy Practice·Michela TinelliChristine Bond
Apr 27, 2011·Health Services Research·Margaret E KrukRose Macauley
Jun 26, 2012·Birth Defects Research. Part A, Clinical and Molecular Teratology·Rebecca L Hancock-HowardGideon Koren
Jul 25, 2015·Scandinavian Journal of Primary Health Care·Elisabeth Bjørland, Mette Brekke
Aug 11, 2015·Health Services Research·Axel C MühlbacherKevin A Schulman
Aug 15, 2015·BMC Health Services Research·Paul SeboDagmar M Haller
Aug 8, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Karen GerardAlesha Smith
May 16, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Line Bjørnskov PedersenDorte Gyrd-Hansen
Jan 7, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Caroline VassKatherine Payne
Aug 14, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Julia C PrenticeSteven D Pizer
Dec 29, 2011·Medical Care Research and Review : MCRR·Derek DeLiaDorothy Gaboda
Mar 21, 2009·Journal of Health Services Research & Policy·Luke CowieMartin Gulliford
Jun 20, 2018·Health Economics·Megha SwamiJenny Williams
Jun 20, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Thomas E CowlingMatthew J Harris
May 10, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Katriina L WhitakerStephen Morris
Jul 12, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Annemarie A UijenWil Jhm van den Bosch
Jun 17, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Anne McAteerAlison M Elliott
Apr 9, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John L CampbellMartin Roland
Aug 8, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed AboulghateMartin Roland
Aug 14, 2013·American Journal of Psychoanalysis·C Edward Watkins
Jul 21, 2020·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·Lavanya DiwakarTracy Roberts
Dec 6, 2019·Journal of Family Medicine and Primary Care·Alfredo ManuliRocco Salvatore Calabrò
Jul 13, 2017·BMC Health Services Research·Kim-Sarah KleijChristian Krauth

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.