What patients want from access to UK general practice: systematic review.

Abstract

Access to general practice is a topical concern, with rising numbers of consultations and decreasing numbers of GPs placing strain on the service. Patient satisfaction with general practice has seen a reduction in the UK. While patient experience with general practice is well understood, there is a need to understand what patients say they want from access to general practice. To examine what patients want from access to contemporary general practice in the UK. This was a systematic review set in UK general practice. Studies were included that reported patient wants in relation to access to general practice in the UK since 2010. All empirical study designs were included, both quantitative and qualitative. The mixed-methods appraisal tool was used to assess study quality for contextual purposes. Narrative synthesis was applied to the included studies, with results presented using tables and text. In total, 33 studies were included. The review showed that patients wanted information about how to access the general practice, choice of clinician, choice of healthcare professional type, and choice of consultation mode. Patients wanted a nearby practice, with clean waiting rooms, easy appointment booking using simple systems and with short waiting times, and to be kept informed about the process. The factors that patients want should be taken into consideration when changing or developing approaches to access. Future evaluations of care, and research, should explicitly consider what patients want from access in general practice.