Sikveland2016
| Sikveland2016 | |
|---|---|
| BibType | ARTICLE |
| Key | Sikveland2016 |
| Author(s) | Rein Sikveland, Elizabeth Stokoe, Jon Symonds |
| Title | Patient burden during appointment-making telephone calls to GP practices |
| Editor(s) | |
| Tag(s) | EMCA, Medical EMCA, telephone, Patient access, patient satisfaction, General Practice, GP receptionists, Conversation Analysis, Conversation Analytic Role-play Method, CARM |
| Publisher | Elsevier BV |
| Year | 2016 |
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| Month | mar |
| Journal | Patient Education and Counseling |
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| URL | Link |
| DOI | 10.1016/j.pec.2016.03.025 |
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Abstract
Abstract
Objective
This study addresses, for the first time, the effectiveness of receptionists handling incoming calls from patients to access General Practice services.
Methods
It is a large-scale qualitative study of three services in the UK. Using conversation analysis, we identified the issue of ‘patient burden’, which we defined based on the trouble patients display pursuing service. We quantified instances of ‘patient burden’ using a coding scheme.
Results
We demonstrate how ‘patient burden’ unfolds in two phases of the telephone calls: (i) following an initial rejection of a patient’s request; and (ii) following a receptionist’s initiation of call closing. Our quantitative analysis shows that the three GP services differ in the frequency of ‘patient burden’ and reveals a correlation between the proportion of ‘patient burden’ and independent national satisfaction scores for these surgeries.
Conclusion
Unlike post-hoc surveys, our analysis of live calls identifies the communicative practices which may constitute patient (dis)satisfaction.
Practice Implications
Through establishing what receptionists handle well or less well in encounters with patients, we propose ways of improving such encounters through training or other forms of intervention.
Notes
