Patient experience of access to primary care: identification of predictors in a national patient survey

Kontopantelis, Evangelos; Roland, Martin; Reeves, David

doi:10.1186/1471-2296-11-61

BMC Primary Care

Table 2 Raw scores of satisfaction and positive experience on the five access domains.

From: Patient experience of access to primary care: identification of predictors in a national patient survey

		Access domains
		Q2	Q4	Q6	Q8	Q9
		Satisfied with getting through on the phone	Able to get appointment same day or next 2 days	Able to get appointment >2 days in advance	Able to get appointment with particular GP	Satisfied with hours GP surgery open
*Patient level predictors*		%	%	%	%	%
Gender	Male	87.8	86.0	77.9	86.8	82.3
	Female	87.1	86.3	74.8	86.7	82.4
Age group	18 - 34	83.0	81.5	69.7	79.7	75.4
	35 - 54	85.7	83.8	72.0	83.8	78.2
	55 - 74	89.2	88.4	78.9	89.5	86.0
	75+	91.7	92.2	85.1	91.5	90.6
Number of appointments (in last 12 months)	0 - 3	87.8	84.6	73.2	85.0	82.1
	4 - 6	86.9	86.9	77.3	87.9	81.9
	7+	86.7	88.6	78.9	88.0	84.0
Parent/legal guardian of any children under 16 in household	No	88.1	86.5	77.1	87.9	83.3
	Yes	84.5	85.0	71.6	82.3	78.4
Employment status	Full-time paid work	85.1	81.7	71.0	83.0	74.1
	Part-time paid work	86.9	86.7	73.9	86.1	82.8
	Full-time education	82.4	80.1	68.2	78.7	76.4
	Unemployed	85.7	85.0	74.6	81.0	86.7
	Perm sick/disabled	87.2	87.0	77.4	87.0	87.4
	Fully retired work	90.9	91.1	82.8	91.4	90.3
	Looking after home	87.7	88.6	77.2	87.3	86.0
	Something else	86.3	85.0	75.0	85.8	82.5
Travel time to work	Less than 10 min	87.3	86.2	74.3	85.9	82.1
	10-30 minutes	86.0	83.7	72.1	84.4	78.7
	31 minutes - 1 hour	84.1	80.3	70.0	82.1	70.0
	More than 1 hour	82.1	77.9	67.7	79.0	63.4
	Live on site	89.2	86.6	76.6	87.8	83.1
Typical working hours	Weekday office hrs	85.5	82.2	71.7	84.0	73.0
	Weekday mornings	87.2	87.2	74.7	85.9	85.8
	Weekday evenings or afternoons	85.4	85.6	72.2	83.1	83.7
	Overnights	85.1	84.3	72.8	83.1	81.6
	Weekends	84.0	82.4	68.3	81.4	78.9
	Other work pattern	85.5	83.3	71.4	83.7	78.8
	Working hours vary	85.7	83.3	71.6	83.9	78.5
Can take time away from work to visit GP	No	77.4	73.7	60.6	75.7	57.6
	Yes	88.6	86.5	76.6	87.2	82.7
Substantial difficulties in day-to-day activities because of long-standing hlth problem/disability	No	87.6	86.1	75.7	86.9	81.8
	Yes	86.9	87.0	77.5	87.5	85.7
Carer responsibilities for anyone in household with long-standing health problem or disability	No	87.5	86.0	76.0	86.8	82.2
	Yes	85.9	86.4	75.2	85.9	81.8
Ethnicity	White British	88.6	87.1	77.0	88.3	83.4
	Other white	85.8	83.5	74.6	84.6	79.0
	Black	83.3	83.6	72.4	78.5	81.1
	Asian	77.3	79.8	67.5	76.5	73.4
	Other	84.3	84.9	73.9	82.1	80.9
Deprivation† c(33) = 12.2 and c(66) = 24.9	Low	89.2	88.0	78.4	89.2	81.7
	Medium	87.8	86.5	76.3	87.3	82.2
	High	85.2	84.1	73.1	83.5	83.2
Rurality	Urban	86.4	85.3	74.8	85.7	82.2
	Rural	91.6	89.9	80.9	90.7	83.1
*Practice level predictors*		%	%	%	%	%
Contract type	PMS*	87.5	86.3	76.0	87.2	82.2
	GMS**	87.1	86.0	75.9	86.0	82.5
Practice list size	< 2,000	94.0	91.5	87.2	89.2	84.8
	≥2,000 & <6,000	89.6	86.8	78.9	88.1	82.7
	≥6,000 & <10,000	85.7	85.2	73.5	86.1	81.8
	≥10,000	83.0	84.9	71.1	84.8	81.6
Full Time Equivalent (FTE) GPs	1	90.2	87.1	80.5	86.8	82.7
	> 1 to 5	87.9	86.2	76.6	87.6	82.4
	5+	85.1	85.6	73.0	85.4	82.1
Full Time Equivalence ratio per 10,000 patients† c(33) = 5.1 and c(66) = 6.6	Low	86.0	84.4	74.8	85.6	81.6
	Medium	87.0	86.1	75.5	87.2	82.4
	High	89.0	87.8	77.4	87.2	83.1
Overall reported achievement (comparable indicators only) † c(33) = 89.4 & c(66) = 91.9	Low	85.2	84.1	73.2	85.0	81.5
	Medium	87.1	86.2	76.1	86.8	82.4
	High	89.7	88.2	78.6	88.4	83.1
Distance to nearest practice† c(33) = .223 & c(66) = .728	Low	86.8	85.4	75.3	86.2	82.6
	Medium	86.4	85.3	75.1	85.6	81.9
	High	88.9	87.8	77.5	88.3	82.6
Emergency admissions for patients on list per 1000 patients† c(33) = 69.1 & c(66) = 87.8	Low	89.8	87.7	79.9	88.9	81.3
	Medium	87.2	86.3	75.5	86.6	82.1
	High	85.2	84.7	72.4	84.5	83.6
GP referrals for patients on list per 1000 patients† c(33) = 714 & c(66) = 850	Low	89.5	87.9	78.9	88.6	82.2
	Medium	87.3	86.3	75.9	86.7	82.4
	High	85.4	84.5	73.1	84.8	82.4
Standardised Mortality Ratio, people under 65† c(33) = 88.3 & c(66) = 113.9	Low	89.9	88.7	79.5	89.3	81.6
	Medium	87.0	86.1	75.3	86.9	82.3
	High	85.4	84.0	72.9	83.7	83.1
Number of new † registrations c(33) = 343 & c(66) = 643	Low	91.0	88.5	81.1	89.2	84.1
	Medium	87.0	85.9	75.4	86.8	82.0
	High	84.2	84.3	72.3	84.7	81.0
Total hours a practice is open a week† c(33) = 30 & c(66) = 45	Below average	86.8	85.9	76.1	86.2	80.6
	Average	86.2	85.4	74.5	85.9	81.1
	Above average	87.8	86.5	76.3	87.1	83.2
Extended opening hours	No	87.0	85.9	75.9	86.5	81.7
	Yes	87.6	86.4	76.0	86.9	82.7
Practice Index of Multiple Deprivation score (aggregated from patient sample) † c(33) = 15.6 & c(66) = 26.7	Low	89.9	88.7	79.4	89.4	82.0
	Medium	87.1	86.2	75.4	86.9	82.3
	High	85.2	83.8	72.9	83.6	82.8
Practice rurality (% of sample patients living in a rural setting) † c(33) = 0.4% & c(66) = 7.7%	Low	84.6	82.9	73.8	83.7	80.2
	Medium	87.2	86.6	75.2	86.7	83.5
	High	90.2	89.0	78.7	89.4	83.3
Region predictors (practice-level)		%	%	%	%	%
Practice staff per 100,000 population† c(33) = 43.0 & c(66) = 73.5	Low	88.3	87.6	76.1	87.7	83.1
	Medium	87.7	86.9	76.5	87.1	83.1
	High	86.1	84.2	75.3	85.4	80.9
Walk in centre available in PCT	No	87.7	86.7	76.2	87.1	82.5
	Yes	86.7	85.1	75.4	85.9	82.1
Strategic Health Authority	North East	89.6	87.2	78.3	87.7	86.3
	North West	87.7	86.1	74.4	86.7	84.7
	Yorkshire/Humber	87.2	86.3	76.0	86.9	84.3
	East Midlands	86.6	87.3	73.3	86.2	82.9
	West Midlands	86.9	86.4	76.3	86.3	82.9
	East Of England	87.4	87.1	75.7	87.3	81.9
	London	84.2	81.7	74.6	83.1	77.5
	South East Coast	88.0	88.6	75.3	87.9	80.6
	South Central	89.7	87.5	79.2	88.9	81.8
	South West	90.9	89.2	79.9	89.9	84.4

* Personal Medical Services contract: an alternative contract offered by local authorities.
** General Medical Services contract: the standard contract under which practices are rewarded (65% of English practices)
† Continuous variables have been categorised using 33^rd and 66^tth percentiles for the purpose of this table
Q2: all predictors significant at the 99.9% level (p ≤ 0.001) except: Substantial difficulties in day-to-day activities because of long-standing health problem/disability (p = 0.460), deprivation (p = 0.002), contract type (p = 0.093), total hours a practice is open a week (p = 0.776), extended opening hours (p = 0.092).
Q4: all predictors significant at the 99.9% level (p ≤ 0.001) except: deprivation (p = 0.282), contract type (p = 0.037), total hours a practice is open a week (p = 0.938), extended opening hours (p = 0.877).
Q6: all predictors significant at the 99.9% level (p ≤ 0.001) except: carer responsibilities for anyone in household with long-standing health problem or disability (p = 0.988), deprivation (p = 0.053), contract type (p = 0.526), total hours a practice is open a week (p = 0.023), extended opening hours (p = 0.093).
Q8: all predictors significant at the 99.9% level (p ≤ 0.001) except: gender (p = 0.013), carer responsibilities for anyone in household with long-standing health problem or disability (p = 0.072), contract type (p = 0.526), total hours a practice is open a week (p = 0.011), extended opening hours (p = 0.744).
Q9: all predictors significant at the 99.9% level (p ≤ 0.001) except: gender (p = 0.008), rurality (p = 0.132), contract type (p = 0.526), distance to nearest practice (p = 0.005), GP referrals for patients on list per 1000 patients (p = 0.027), extended opening hours (p = 0.855).

Back to article page

ISSN: 2731-4553

Contact us

General enquiries: journalsubmissions@springernature.com