The contribution of demographic and morbidity factors to self-reported visit frequency of patients: a cross-sectional study of general practice patients in Australia (original) (raw)

2004, BMC family practice

Understanding the factors that affect patients' utilisation of health services is important for health service provision and effective patient management. This study aimed to investigate the specific morbidity and demographic factors related to the frequency with which general practice patients visit a general practitioner/family physician (GP) in Australia. A sub-study was undertaken as part of an ongoing national study of general practice activity in Australia. A cluster sample of 10,755 general practice patients were surveyed through a random sample of 379 general practitioners. The patient reported the number of times he/she had visited a general practitioner in the previous twelve months. The GP recorded all the patient's major health problems, including those managed at the current consultation. Patients reported an average of 8.8 visits to a general practitioner per year. After adjusting for other patient demographics and number of health problems, concession health c...

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How do Australian patients rate their general practitioner? A descriptive study using the General Practice Assessment Questionnaire

The Medical journal of Australia, 2008

To report patient responses to the General Practice Assessment Questionnaire (GPAQ) as a measure of satisfaction with health care received from Australian general practitioners. A clustered cross-sectional study involving general practice patients from 30 randomly selected general practices in Victoria. Between January and December 2005, a screening survey, including a postal version of the GPAQ, was mailed to 17 780 eligible patients. Scores on the six GPAQ items. We analysed data from 7130 patients who completed the screening survey and fulfilled our eligibility criteria. Levels of patient satisfaction with general practice care were generally high: mean GPAQ scores ranged from 68.6 (95% CI, 66.1-71.0) for satisfaction with access to the practice to 84.0 (95% CI, 82.2-85.4) for satisfaction with communication. Intracluster correlations for the GPAQ items ranged from 0.016 for overall satisfaction with the practice to 0.163 for satisfaction with access to the practice. Compared wit...

Access to general practitioners in South Australia: a population survey

Medical Journal of Australia, 2008

To determine the timeliness of access to general practitioner appointments in South Australia. Face-to-face interviews with a random and representative sample of South Australians living in metropolitan Adelaide and country towns with a population of 1000 or more in 2007. 2507 people aged 15 years and over who had seen a GP in the previous 12 months. Waiting times for obtaining an appointment with a GP, patients' perceptions about appointment waiting times, and waiting times at the GP's surgery. Most respondents reported that for their last visit with a GP, they were able to be seen on the same day (39%) or within 1 or 2 working days (33%); 20% waited more than 2 working days for their appointment. Nine per cent of respondents (159/1764) reported waiting more than 2 working days because an earlier appointment was not available. Respondents reporting lower levels of household income were more likely to report longer waits for GP appointments. Most respondents (78%) felt that ...

The health status of people living in the South Australian Divisions of General Practice

Population health, 2007

The purpose of this report is to provide evidence-based information to the 14 South Australian Divisions of General Practice and the South Australian Divisions of General Practice Inc (SADI) about the self-reported health status of, and related issues for, their communities using a representative epidemiologically-sound sample of the South Australian population. It will assist the general practitioners in advocating for health issues specific to their Divisions and to form policy to achieve valuable change for the general practitioners ...

Decline with a capital D: long-term changes in general practice consultation patterns across Australia

The Medical journal of Australia, 2010

To determine changes in the pattern of use of standard general practice consultations, and the degree to which any changes are offset by the use of special Medicare Benefits Schedule (MBS) items. Population-based retrospective analysis of age- and sex-standardised Medicare claims data (1994-2009) on the utilisation of general practice standard consultations (Levels A, B, C and D) alone and in combination with health assessments and care plans and other special MBS items. Utilisation rates of Level C and D (long) consultations increased consistently from 1994 to 2004, but by 2009 a considerable decline had occurred. A reverse of this pattern was observed for Level A (short) consultations. When utilisation rates for special items and long consultations were combined, the combined utilisation rate followed an upward trend until 2007, but also declined in 2008 and 2009. The decline in the use of Level C and D consultations in recent years has been dramatic and accompanied by an increase...

Actual availability of appointments at general practices in regional New South Wales, Australia

Australian family physician, 2017

There is limited data to inform policy about the availability and costs of primary healthcare at the local level. The objective of this article was to determine the appointment availability and out-of-pocket costs for patients presenting with non urgent conditions to general practices in a regional setting. A cross-sectional, census study included all 184 general practices across 12 local government areas in northern New South Wales. Practices were telephoned in a randomised sequence on weekday mornings by a researcher. Twenty-two practices were excluded from the study as these were specialised only services; therefore, the sample size was n = 162. The rate of same-day appointment availability was 47.5% (n = 77/162; range: 11-63%), and bulk-billing availability was 21% (range: 0-50%). The mean out-of-pocket cost was 29.98(range:29.98 (range: 29.98(range:12.95-60.30). Availability of primary healthcare and bulk billing across northern New South Wales is highly variable. Areas with low service availability...

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