scholarly journals The use of patient experience survey data by out-of-hours primary care services: a qualitative interview study

2015 ◽  
Vol 25 (11) ◽  
pp. 851-859 ◽  
Author(s):  
Heather E Barry ◽  
John L Campbell ◽  
Anthea Asprey ◽  
Suzanne H Richards
Keyword(s):  
Primary Care ◽  
Survey Data ◽  
Patient Experience ◽  
Qualitative Interview ◽  
Interview Study ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services ◽  
Qualitative Interview Study ◽  
Experience Survey

scholarly journals Understanding the benefits and limitations of continuous, risk-based, consultation peer-review in out-of-hours general practice: A qualitative interview study

2021 ◽  
pp. BJGP.2021.0076
Author(s):  
Ian Bennett-Britton ◽  
Jonathan Banks ◽  
Andrew Carson-Stevens ◽  
Chris Salisbury
Keyword(s):  
General Practice ◽  
Peer Review ◽  
Qualitative Interview ◽  
Interview Study ◽  
Learning Culture ◽  
Learning Needs ◽  
Full Potential ◽  
Programme Theory ◽  
Out Of Hours ◽  
Qualitative Interview Study

Background: Systems to detect and minimise unwarranted variation in clinician practice are crucial to ensure increasingly multidisciplinary healthcare workforces are supported to practice to their full potential. Such systems are limited in English general practice settings, with implications for the efficiency and safety of care. Aim: To evaluate the benefits and limitations of a continuous, risk-based, consultation peer-review system used for 10 years by an out-of-hours general practice service in Bristol, UK. Design and setting: A qualitative interview study in South-West England. Method: Semi-structured interviews with intervention users (clinicians, peer-reviewers and clinical management), analysed by inductive thematic analysis and integrated into a programme theory. Results: 20 clinicians were interviewed between September 2018 - January 2019. Interviewees indicated the intervention supported clinician learning through improved peer-feedback; highlighting learning needs and validating practice. It was compared favourably with existing structures of ensuring clinician competence; supporting standardisation of supervision, clinical governance and learning culture. These benefits were potentially limited by intervention factors such as differential feedback quality between clinician groups, the efficiency of methods to identify learning needs, and limitations of assessments based on written clinical notes. Contextual factors such as clinician experience, motivation and organisational learning culture influenced the perception of the intervention as a support or stressor. Conclusion: Our findings demonstrate the potential of this methodology to support clinicians in an increasingly multidisciplinary general practice workforce to efficiently and safely practice to their full potential. Our programme theory provides a theoretical basis to maximise its benefits and accommodate its potential limitations.

The importance of relationships in treatment for chronic leg ulceration

2017 ◽  
Vol 24 (13) ◽  
pp. 1839-1849 ◽  
Author(s):  
Philippa Tollow ◽  
Jane Ogden
Keyword(s):  
Surgical Treatment ◽  
Patient Experience ◽  
Thematic Analysis ◽  
Qualitative Interview ◽  
Interview Study ◽  
Leg Ulcers ◽  
Profound Impact ◽  
Patient Centred Care ◽  
Qualitative Interview Study ◽  
Non Surgical Treatment

Leg ulcers are a hard-to-heal wound that can have a profound impact on the lives of those that they affect. While a significant body of evidence has explored the efficacy of various treatments for leg ulcers, little research has addressed the patient experience of such treatment. A total of 21 participants were recruited for this qualitative interview study, exploring patient’s experiences of non-surgical treatment for leg ulcers. Thematic analysis identified two major themes, ‘Failure’ and ‘Powerlessness’, as well as the overarching theme of ‘Relationships’. These findings are discussed in relation to concepts of acceptance and in the broader context of patient-centred care.

scholarly journals Diagnostic scope in out-of-hours primary care services in eight European countries: an observational study

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Linda AMJ Huibers ◽  
Grete Moth ◽  
Gunnar T Bondevik ◽  
Janko Kersnik ◽  
Carola A Huber ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
European Countries ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

Emerging risks in out‐of‐hours primary care services

2006 ◽  
Vol 11 (4) ◽  
pp. 289-298 ◽  
Author(s):  
Julie Price ◽  
Jonathan Haslam ◽  
Jane Cowan
Keyword(s):  
Primary Care ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services

Effects of payment for performance in primary care: Qualitative interview study

2008 ◽  
Vol 13 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Susan Maisey ◽  
Nick Steel ◽  
Roy Marsh ◽  
Stephen Gillam ◽  
Robert Fleetcroft ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study

scholarly journals Out-of-hours primary care services: Demands and patient referral patterns in a Veneto region (Italy) Local Health Authority

Health Policy ◽  
2015 ◽  
Vol 119 (4) ◽  
pp. 437-446 ◽  
Author(s):  
Alessandra Buja ◽  
Roberto Toffanin ◽  
Stefano Rigon ◽  
Paolo Sandonà ◽  
Daniela Carraro ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Authority ◽  
Local Health Authority ◽  
Local Health ◽  
Veneto Region ◽  
Referral Patterns ◽  
Out Of Hours ◽  
Patient Referral ◽  
Care Services ◽  
Primary Care Services

scholarly journals Out-of-hours primary care end of life prescribing: a data linkage study

2019 ◽  
Vol 10 (4) ◽  
pp. e45-e45 ◽  
Author(s):  
Rachel Brettell ◽  
Rebecca Fisher ◽  
Helen Hunt ◽  
Sophie Garland ◽  
Daniel Lasserson ◽  
...  
Keyword(s):  
Primary Care ◽  
End Of Life ◽  
Linkage Study ◽  
Mortality Data ◽  
Out Of Hours ◽  
Care Services ◽  
Primary Care Services ◽  
Dying Patients ◽  
Syringe Driver ◽  
Strong Opioids

ObjectivesOut-of-hours (OOH) primary care services are contacted in the last 4 weeks of life by nearly 30% of all patients who die, but OOH palliative prescribing remains poorly understood. Our understanding of prescribing demand has previously been limited by difficulties identifying palliative patients seen OOH. This study examines the volume and type of prescriptions issued by OOH services at the end of life.MethodsA retrospective cohort study was performed by linking a database of Oxfordshire OOH service contacts over a year with national mortality data, identifying patients who died within 30 days of OOH contact. Demographic, service and prescribing data were analysed.ResultsA prescription is issued at 14.2% of contacts in the 30 days prior to death, compared with 29.9% of other contacts. The most common prescriptions were antibiotics (22.2%) and strong opioids (19%). 41.8% of prescriptions are for subcutaneously administered medication. Patients who were prescribed a syringe driver medication made twice as many OOH contacts in the 30 days prior to death compared with those who were not.ConclusionAbsolute and relative prescribing rates are low in the 30 days prior to death. Further research is required to understand what occurs at these non-prescribing end of life contacts to inform how OOH provision can best meet the needs of dying patients. Overall, relatively few patients are prescribed strong opioids or syringe drivers. When a syringe driver medication is prescribed this may help identify patients likely to be in need of further support from the service.

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