Canterbury Road Surgery, Sittingbourne, Kent, UK.
Br J Gen Pract. 2011 Aug;61(589):e498-507. doi: 10.3399/bjgp11X588475.
The ease with which patients can make primary care appointments in the UK has been subject to a pay for performance scheme since 2004. A separate scheme, extended hours - the provision of extra appointments outside normal office hours -was introduced in 2008.
To examine how the provision of additional morning, evening, and weekend appointments influences patient satisfaction with opening hours.
An observational study in primary care.
The study collated information on extended hours for all practices in 13 English primary care trusts (n = 639). After examining the descriptive statistics the study ran a series of clustered logistic regression models, comparing additional periods of service provision to practice characteristics and to patient satisfaction with access and opening hours in the GP Patient Surveys.
Practices offering Saturday appointments saw a relative decline in demand for additional hours. Practices offering other time periods did not see this. Satisfaction with opening hours improved slightly for practices offering extra appointments, but was not linked to anytime period. The terms and conditions of the extended hours scheme are loosely implemented and this may have limited the apparent effectiveness of the scheme.
Demand for additional opening in primary care is only influenced by Saturday appointments. Satisfaction with opening hours responds to increased capacity, but is not linked to a specific time period.
自 2004 年以来，英国患者预约初级保健的便利性一直受到绩效付费计划的影响。自 2008 年以来，又引入了一个单独的计划，即延长工作时间——在正常办公时间之外提供额外的预约。
探讨额外提供上午、晚上和周末预约服务如何影响患者对开放时间的满意度。
初级保健中的观察性研究。
该研究收集了 13 个英国初级保健信托机构中所有实践的延长工作时间信息（n=639）。在检查了描述性统计数据后，该研究运行了一系列聚类逻辑回归模型，将额外服务时段的提供与实践特征以及患者对 GP 患者调查中获得途径和开放时间的满意度进行了比较。
提供周六预约服务的实践看到了对额外时间需求的相对下降。提供其他时段的实践则没有看到这种情况。提供额外预约服务的实践的开放时间满意度略有提高，但与任何时间段都没有关联。延长工作时间计划的条款和条件执行得比较宽松，这可能限制了该计划的明显效果。
初级保健中对额外开放时间的需求仅受周六预约的影响。对开放时间的满意度响应于增加的容量，但与特定时间段无关。
