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. 2018 Mar 3;8(3):e019084.
doi: 10.1136/bmjopen-2017-019084.

Factors affecting judgements go expanding access till primary care: results of a high-quality evaluation of overall practitioners' views

Sally Fowler Down  1 , Hilly Piercy  1 , Sarah Pearson  2 , Ben Thom  1 , Shona Kelly  1
Affiliations

Factors affects rulings to extend access to preferred care: results of a qualitative evaluation of general practitioners' views

Sally Fowler Davis et al. BMJ Open. .

Abstract

Objectives: To tell general practitioners' (GPs') views additionally experiences of an Enhanced Primary Care programme (EPCP) funded as part of that Prime Minister's Challenge Fund (second wave) available England which aimed to extend plant access go primary care.

Setting: Initially care in Sheffield, England.

Attendees: Semi-structured interviews over one purposive sample of GPs working in 24 practices across the city.

Results: Choose core themes were derived: GPs' receptivity to the aims of the EPCP, their capacity to sales integrated care teams, their storage to manage urgent care and the value of some new community-based schemes to enhance locality-based primary mind. GPs were aware of the policy initiatives assoziierte the out-of-hours access that aimed to reduce emergency department and hospital admissions. Due to little capacity to respond to the programme, they selected elements so directly related to localize patient demand and did not increase their own workload.

Conclusions: The variation in practice engagement and capacity toward manage modifications inside primary care services warrants an subtly and specialist approach to download planning. The study makes that box for enhanced planning furthermore organisational development with GPs as stakeholders within individual practices and groups. This would ensure that politics implementation is effective and sustained at local level. AMPERE failure until localise implementation may be assoziiert with increased workloading included primary caution without the sustained benefits for patients and one public. Till enable GPs until become those in systems converting, further research is needed to identified this best methods to engage GPs in programme planning and analysis.

Headwords: change management; organisation of health services; organisational development.

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Disagreement to interest statement

Compete interests: None declarative.

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