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• W2023352676 abstract "Background Primary care service providers do not always respond to the needs of diverse groups of patients, and so certain patients groups are disadvantaged. General practitioner (GP) practices are increasingly encouraged to be more responsive to patients’ needs in order to address inequalities. Objectives (1) Explore the meaning of responsiveness in primary care. (2) Develop a patient-report questionnaire for use as a measure of patient experience of responsiveness by a range of primary care organisations (PCOs). (3) Investigate methods of population mapping available to GP practices. Design setting PCOs, including GP practices, walk-in centres and community pharmacies. Participants Patients and staff from 12 PCOs in the East Midlands in the development stage, and 15 PCOs across three different regions of England in stage 3. Interventions To investigate what responsiveness means, we conducted a literature review and interviews with patients and staff in 12 PCOs. We developed, tested and piloted the use of a questionnaire. We explored approaches for GP practices to understand the diversity of their populations. Main outcome measures (1) Definition of primary care responsiveness. (2) Three patient-report questionnaires to provide an assessment of patient experience of GP, pharmacy and walk-in centre responsiveness. (3) Insight into challenges in collecting diversity data in primary care. Results The literature covers three overlapping themes of service quality, inequalities and patient involvement. We suggest that responsiveness is achieved through alignment between service delivery and patient needs, involving strategies to improve responsive service delivery, and efforts to manage patient expectations. We identified three components of responsive service delivery: proactive population orientation, reactive population orientation and individual patient orientation. PCOs tend to utilise reactive strategies rather than proactive approaches. Questionnaire development involved efforts to include patients who are ‘seldom heard’. The questionnaire was checked for validity and consistency and is available in three versions (GP, pharmacy, and walk-in centre), and in Easy Read format. We found the questionnaires to be acceptable to patients, and to have content validity. We produced some preliminary evidence of reliability and construct validity. Measuring and improving responsiveness requires PCOs to understand the characteristics of their patient population, but we identified significant barriers and challenges to this. Conclusions Responsiveness is a complex concept. It involves alignment between service delivery and the needs of diverse patient groups. Reactive and proactive strategies at individual and population level are required, but PCOs mainly rely on reactive approaches. Being responsive means giving good care equally to all, and some groups may require extra support. What this extra support is will differ in different patient populations, and so knowledge of the practice population is essential. Practices need to be motivated to collect and use diversity data. Future work needed includes further evaluation of the patient-report questionnaires, including Easy Read versions, to provide further evidence of their quality and acceptability; research into how to facilitative the use of patient experience data in primary care; and implementation of strategies to improve responsiveness, and evaluation of effectiveness. Funding The National Institute for Health Research Service Delivery and Organisation programme." @default.
• W2023352676 created "2016-06-24" @default.
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• W2023352676 date "2014-11-01" @default.
• W2023352676 modified "2023-09-23" @default.
• W2023352676 title "Responsiveness of primary care services: development of a patient-report measure – qualitative study and initial quantitative pilot testing" @default.
• W2023352676 cites W1529907694 @default.
• W2023352676 cites W1590240496 @default.
• W2023352676 cites W1598804780 @default.
• W2023352676 cites W1608238977 @default.
• W2023352676 cites W1633567997 @default.
• W2023352676 cites W1760867676 @default.
• W2023352676 cites W1836580189 @default.
• W2023352676 cites W1862895736 @default.
• W2023352676 cites W1895720867 @default.
• W2023352676 cites W1959153014 @default.
• W2023352676 cites W1963827616 @default.
• W2023352676 cites W1964749510 @default.
• W2023352676 cites W1965705175 @default.
• W2023352676 cites W1971873035 @default.
• W2023352676 cites W1977841715 @default.
• W2023352676 cites W1977950682 @default.
• W2023352676 cites W1978257606 @default.
• W2023352676 cites W1979719898 @default.
• W2023352676 cites W1979907230 @default.
• W2023352676 cites W1983544916 @default.
• W2023352676 cites W1983880265 @default.
• W2023352676 cites W1989666092 @default.
• W2023352676 cites W1990087491 @default.
• W2023352676 cites W1993429894 @default.
• W2023352676 cites W1995087345 @default.
• W2023352676 cites W1995463634 @default.
• W2023352676 cites W1997876373 @default.
• W2023352676 cites W1997905029 @default.
• W2023352676 cites W2006551022 @default.
• W2023352676 cites W2011377597 @default.
• W2023352676 cites W2014455005 @default.
• W2023352676 cites W2017745113 @default.
• W2023352676 cites W2017857947 @default.
• W2023352676 cites W2018258513 @default.
• W2023352676 cites W2019189021 @default.
• W2023352676 cites W2023760594 @default.
• W2023352676 cites W2026368098 @default.
• W2023352676 cites W2027362728 @default.
• W2023352676 cites W2027845379 @default.
• W2023352676 cites W2031471476 @default.
• W2023352676 cites W2033452954 @default.
• W2023352676 cites W2036380571 @default.
• W2023352676 cites W2040313258 @default.
• W2023352676 cites W2041154690 @default.
• W2023352676 cites W2049601353 @default.
• W2023352676 cites W2050283125 @default.
• W2023352676 cites W2057236526 @default.
• W2023352676 cites W2065422275 @default.
• W2023352676 cites W2066277932 @default.
• W2023352676 cites W2067474269 @default.
• W2023352676 cites W2076892873 @default.
• W2023352676 cites W2080313827 @default.
• W2023352676 cites W2082819273 @default.
• W2023352676 cites W2086562784 @default.
• W2023352676 cites W2091347345 @default.
• W2023352676 cites W2091586593 @default.
• W2023352676 cites W2092815644 @default.
• W2023352676 cites W2093062969 @default.
• W2023352676 cites W2095454464 @default.
• W2023352676 cites W2096014313 @default.
• W2023352676 cites W2096339422 @default.
• W2023352676 cites W2096834156 @default.
• W2023352676 cites W2097747602 @default.
• W2023352676 cites W2098753385 @default.
• W2023352676 cites W2098943751 @default.
• W2023352676 cites W2100732733 @default.
• W2023352676 cites W2101610393 @default.
• W2023352676 cites W2101869743 @default.
• W2023352676 cites W2103344471 @default.
• W2023352676 cites W2107370556 @default.
• W2023352676 cites W2109710727 @default.
• W2023352676 cites W2110518543 @default.
• W2023352676 cites W2111693815 @default.
• W2023352676 cites W2115582427 @default.
• W2023352676 cites W2121047291 @default.
• W2023352676 cites W2122376319 @default.
• W2023352676 cites W2123389622 @default.
• W2023352676 cites W2125070112 @default.
• W2023352676 cites W2128784757 @default.
• W2023352676 cites W2130835973 @default.
• W2023352676 cites W2131597270 @default.
• W2023352676 cites W2131799106 @default.
• W2023352676 cites W2135401724 @default.
• W2023352676 cites W2135504732 @default.

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