A qualitative study of older people's views of out-of-hours services
UNSPECIFIED. (2001) A qualitative study of older people's views of out-of-hours services. BRITISH JOURNAL OF GENERAL PRACTICE, 51 (470). pp. 719-723. ISSN 0960-1643Full text not available from this repository.
Background: Out-of-hours primary care services continues to change with the growth of general practitioner (GF) co-operatives and the more recent development of NHS Direct. While older people are more likely to have increased needs for such ser-vices, evidence suggests that they are reluctant users of GF out-of-hours services. Aim: To explore older people's experiences and perceptions of different models of general practice out-of-hours services. Design of study. Focus group methodology, with qualitative data analysis undertaken using a grounded theory (Framework) approach. Setting: Thirty people aged between 65 and 81 years old from community groups based in south east London. Method: Four focus groups were held, each with between five and 12 participants. Each focus group session lasted 90 minutes and was audiotape-recorded with the permission of the participants. The tapes were transcribed verbatim. Results: Two related themes were identified. First, attitudes to health and healthcare professionals with reference to the use ef health services prior to the establishment of the NHS, a stoical attitude towards health, and not wanting to make excessive demands on health services. Second, the experience of out-of-hours care and the perceived barriers to its use, including the use of the telephone and travelling at night. Participants preferred contact with a-familiar doctor and were distrustful of telephone advice, particularly from nurses. Conclusions. older people appear reluctant to make use ef out-of-hours services and are critical of the trend away from out-of-hours care being delivered by a familiar GF with increasing numbers of older people in the population it is important to con sider steps to address their reluctance to use out-of-hours and telephone advice services, particularly those based around less personal models of care.
|Item Type:||Journal Article|
|Journal or Publication Title:||BRITISH JOURNAL OF GENERAL PRACTICE|
|Publisher:||ROYAL COLL GENERAL PRACTITIONERS|
|Number of Pages:||5|
|Page Range:||pp. 719-723|
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