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Online and telephone access to general practice : a cross sectional patient survey

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Bryce, Carol, O'Connell, Matthew D. L., Dale, Jeremy, Underwood, Martin and Atherton, Helen (2021) Online and telephone access to general practice : a cross sectional patient survey. BJGP Open, 5 (4). BJGPO.2020.0179. doi:10.3399/BJGPO.2020.0179

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Official URL: http://dx.doi.org/10.3399/BJGPO.2020.0179

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Abstract

Background Improving access to primary healthcare in the United Kingdom has focused on the use of telephone and online access but little is known about how awareness of and use varies between different patient groups.

Aim To determine how patients are interacting with telephone and online channels for accessing general practice services and information, and to analyse how this varies according to patient characteristics and health status.

Design & setting A cross sectional self-administered survey of adult patients in general practices across the West Midlands, UK.

Method Descriptive statistics were used to show participants’ awareness of and interaction with online information sources and remote access. Multivariable logistic regression was used to model the relationships between demographic and health characteristics and awareness and use of online services and alternatives to face to face consultations (e.g. telephone).

Results 2789 patients (response rate 19.0%) from 43 general practices participated. 60.8% (1651/2715) of participants were aware of online services and 30.3% (811/2674) reported having used one. Daily internet usage and frequently visiting the GP showed the strongest associations with knowledge and use of online services.

Conclusion We have shown that there is the potential for inequitable awareness and use of telephone and online services in general practice populations. Given that their use has greatly increased due to the COVID-19 pandemic future service design will need to ensure this is taken into account.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Family medicine, Family medicine -- Data processing, Primary care (Medicine), Primary care (Medicine) -- Computer-assisted instruction, Medical informatics , Medical care -- Technological innovations, Telecommunication in medicine , Telephone in medicine
Journal or Publication Title: BJGP Open
Publisher: Royal College of General Practitioners
ISSN: 2398-3795
Official Date: August 2021
Dates:
DateEvent
August 2021Published
27 April 2021Available
19 January 2021Accepted
Volume: 5
Number: 4
Article Number: BJGPO.2020.0179
DOI: 10.3399/BJGPO.2020.0179
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Copyright Holders: Copyright © 2021, The Authors

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