Staff perceptions on patient motives for attending GP-led urgent care centres in London: a qualitative study

BMJ Open
Geva GreenfieldAzeem Majeed

Abstract

General practitioner (GP)-led urgent care centres were established to meet the growing demand for urgent care. Staff members working in such centres are central in influencing patients' choices about which services they use, but little is known about staff perceptions of patients' motives for attending urgent care. We hence aimed to explore their perceptions of patients' motives for attending such centres. A phenomenological, qualitative study, including semistructured interviews. The interviews were analysed using thematic content analysis. 2 GP-led urgent care centres in 2 academic hospitals in London. 15 staff members working at the centres including 8 GPs, 5 emergency nurse practitioners and 2 receptionists. We identified 4 main themes: 'Confusion about choices', 'As if increase of appetite had grown; By what it fed on', 'Overt reasons, covert motives' and 'A question of legitimacy'. The participants thought that the centres introduce convenient and fast access for patients. So convenient, that an increasing number of patients use them as a regular alternative to their community GP. The participants perceived that patients attend the centres because they are anxious about their symptoms and view them as serious, cannot get ...Continue Reading

References

May 1, 1982·Journal of Advanced Nursing·B R Lewis, Y Bradbury
Jul 8, 1995·BMJ : British Medical Journal·N Mays, C Pope
Jun 1, 1994·Journal of Public Health Medicine·A LowyJ Nicholl
Jan 15, 1995·Annals of Internal Medicine·D M OwensN J Talley
Jan 1, 1996·Journal of General Internal Medicine·S R HahnF V deGruy
Jan 6, 2001·Family Practice·D RobergeR Pineault
Oct 18, 2001·Family Practice·D Steinmetz, H Tabenkin
Feb 19, 2002·BMJ : British Medical Journal·Chris SalisburyLaurence Moore
Jul 18, 2002·Journal of Advanced Nursing·Rebecca Rosen, Lesley Mountford
Oct 1, 1957·American Journal of Public Health and the Nation's Health·L PRATTG READER
Dec 4, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jane McCuskerJacques Morin
Apr 5, 2005·Family Practice·Clare J JacksonJennifer J Kurinczuk
Dec 8, 2007·Patient Education and Counseling·Eric Peter Moll van CharantePatrick Bindels
Jun 17, 2008·Journal of Health Services Research & Policy·Alicia O'CathainJon Nicholl
Jun 25, 2008·Emergency Medicine Journal : EMJ·J R Benger, V Jones
Jun 25, 2009·BMC Health Services Research·Linda HuibersRichard Grol
Oct 22, 2010·Emergency Medicine Journal : EMJ·Judy A LowthianJohn J McNeil
Mar 29, 2011·Emergency Medicine Journal : EMJ·Judith E BosmansMaurits W van Tulder
Feb 7, 2012·The Medical Journal of Australia·Judy A LowthianPeter A Cameron
Jul 4, 2012·Social Science & Medicine·Geva GreenfieldNadav Davidovitch
Oct 30, 2012·International Emergency Nursing·Bernadette M Breen, Margaret McCann
Apr 20, 2013·BMC Health Services Research·Mubashir ArainMike Campbell
Jul 5, 2013·Emergency Medicine Journal : EMJ·Shamini GnaniSonia Saxena
Oct 8, 2013·Journal of the Royal Society of Medicine·Azeem Majeed
Jan 15, 2014·Emergency Medicine Journal : EMJ·C AmielS Gnani
Feb 7, 2014·International Journal of Emergency Medicine·M Christien van der LindenCaro Brumsen
Aug 2, 2014·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J E M SaleL Frankel
Apr 2, 2015·BMJ : British Medical Journal·Thomas E CowlingAzeem Majeed

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Citations

Nov 16, 2019·International Journal of Environmental Research and Public Health·Daniel Aiham GhazaliEnrique Casalino
Oct 31, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Alicia O'CathainJoanne Coster

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