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

Background: Improving access to primary health care in the UK 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 acces...

Full description

Bibliographic Details
Main Authors: Carol Bryce, Matthew DL O'Connell, Jeremy Dale, Martin Underwood, Helen Atherton
Format: Article
Language:English
Published: Royal College of General Practitioners 2021-08-01
Series:BJGP Open
Subjects:
Online Access:https://bjgpopen.org/content/5/4/BJGPO.2020.0179
_version_ 1818881212636200960
author Carol Bryce
Matthew DL O'Connell
Jeremy Dale
Martin Underwood
Helen Atherton
author_facet Carol Bryce
Matthew DL O'Connell
Jeremy Dale
Martin Underwood
Helen Atherton
author_sort Carol Bryce
collection DOAJ
description Background: Improving access to primary health care in the UK 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 (for example, telephone). Results: A total of 2789 patients (19.0% response rate) from 43 general practices participated. The study found 60.8% (n = 1651/2715) of participants were aware of online services and 30.3% (n = 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: The study shows 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 owing to the COVID-19 pandemic, future service design will need to ensure equity is taken into account.
first_indexed 2024-12-19T14:58:17Z
format Article
id doaj.art-2db563f10fdd4e0da580b61e91cfc22b
institution Directory Open Access Journal
issn 2398-3795
language English
last_indexed 2024-12-19T14:58:17Z
publishDate 2021-08-01
publisher Royal College of General Practitioners
record_format Article
series BJGP Open
spelling doaj.art-2db563f10fdd4e0da580b61e91cfc22b2022-12-21T20:16:38ZengRoyal College of General PractitionersBJGP Open2398-37952021-08-015410.3399/BJGPO.2020.0179Online and telephone access to general practice: a cross-sectional patient surveyCarol Bryce0Matthew DL O'Connell1Jeremy Dale2Martin Underwood3Helen Atherton4Unit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UKDepartment of Population Health and Environmental Sciences, King’s College London, London, UKUnit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UKWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UKUnit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UKBackground: Improving access to primary health care in the UK 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 (for example, telephone). Results: A total of 2789 patients (19.0% response rate) from 43 general practices participated. The study found 60.8% (n = 1651/2715) of participants were aware of online services and 30.3% (n = 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: The study shows 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 owing to the COVID-19 pandemic, future service design will need to ensure equity is taken into account.https://bjgpopen.org/content/5/4/BJGPO.2020.0179digital healthprimary health careinequalitiesinternettelephone
spellingShingle Carol Bryce
Matthew DL O'Connell
Jeremy Dale
Martin Underwood
Helen Atherton
Online and telephone access to general practice: a cross-sectional patient survey
BJGP Open
digital health
primary health care
inequalities
internet
telephone
title Online and telephone access to general practice: a cross-sectional patient survey
title_full Online and telephone access to general practice: a cross-sectional patient survey
title_fullStr Online and telephone access to general practice: a cross-sectional patient survey
title_full_unstemmed Online and telephone access to general practice: a cross-sectional patient survey
title_short Online and telephone access to general practice: a cross-sectional patient survey
title_sort online and telephone access to general practice a cross sectional patient survey
topic digital health
primary health care
inequalities
internet
telephone
url https://bjgpopen.org/content/5/4/BJGPO.2020.0179
work_keys_str_mv AT carolbryce onlineandtelephoneaccesstogeneralpracticeacrosssectionalpatientsurvey
AT matthewdloconnell onlineandtelephoneaccesstogeneralpracticeacrosssectionalpatientsurvey
AT jeremydale onlineandtelephoneaccesstogeneralpracticeacrosssectionalpatientsurvey
AT martinunderwood onlineandtelephoneaccesstogeneralpracticeacrosssectionalpatientsurvey
AT helenatherton onlineandtelephoneaccesstogeneralpracticeacrosssectionalpatientsurvey