TY - JOUR
T1 - Receptionists' role in new approaches to consultations in primary care
T2 - a focused ethnographic study
AU - Brant, Heather Dawn
AU - Atherton, Helen
AU - Bikker, Annemieke
AU - Porqueddu, Tania
AU - Salisbury, Chris
AU - McKinstry, Brian
AU - Campbell, John
AU - Gibson, Andy
AU - Ziebland, Sue
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Background: The receptionist is pivotal to the smooth running of general practice in the UK, communicating with patients and booking appointments. Aim: The authors aimed to explore the role of the receptionist in the implementation of new approaches to consultations in primary care. Design and setting: The authors conducted a team-based focused ethnography. Three researchers observed eight general practices across England and Scotland between June 2015 and May 2016. Method: Interviews were conducted with 39 patients and 45 staff in the practices, all of which had adopted one or more methods (telephone, email, e-consultation, or internet video) for providing an alternative to face-to-face consultation. Results: Receptionists have a key role in facilitating patient awareness regarding new approaches to consultations in primary care, while at the same time ensuring that patients receive a consultation appropriate to their needs. In this study, receptionists' involvement in implementation and planning for the introduction of alternative approaches to face-to-face consultations was minimal, despite the expectation that they would be involved in delivery. Conclusion: A shared understanding within practices of the potential difficulties and extra work that might ensue for reception staff was lacking. This might contribute to the low uptake by patients of potentially important innovations in service delivery. Involvement of the wider practice team in planning and piloting changes, supporting team members through service reconfiguration, and providing an opportunity to discuss and contribute to modifications of any new system would ensure that reception staff are suitably prepared to support the introduction of a new approach to consultations.
AB - Background: The receptionist is pivotal to the smooth running of general practice in the UK, communicating with patients and booking appointments. Aim: The authors aimed to explore the role of the receptionist in the implementation of new approaches to consultations in primary care. Design and setting: The authors conducted a team-based focused ethnography. Three researchers observed eight general practices across England and Scotland between June 2015 and May 2016. Method: Interviews were conducted with 39 patients and 45 staff in the practices, all of which had adopted one or more methods (telephone, email, e-consultation, or internet video) for providing an alternative to face-to-face consultation. Results: Receptionists have a key role in facilitating patient awareness regarding new approaches to consultations in primary care, while at the same time ensuring that patients receive a consultation appropriate to their needs. In this study, receptionists' involvement in implementation and planning for the introduction of alternative approaches to face-to-face consultations was minimal, despite the expectation that they would be involved in delivery. Conclusion: A shared understanding within practices of the potential difficulties and extra work that might ensue for reception staff was lacking. This might contribute to the low uptake by patients of potentially important innovations in service delivery. Involvement of the wider practice team in planning and piloting changes, supporting team members through service reconfiguration, and providing an opportunity to discuss and contribute to modifications of any new system would ensure that reception staff are suitably prepared to support the introduction of a new approach to consultations.
KW - Communication
KW - Family practice
KW - Focused ethnography
KW - General practice
KW - Medical receptionists
KW - Primary care
KW - Qualitative research
KW - Remote consultation
UR - http://www.scopus.com/inward/record.url?scp=85049468272&partnerID=8YFLogxK
U2 - 10.3399/bjgp18X697505
DO - 10.3399/bjgp18X697505
M3 - Article (Academic Journal)
C2 - 29866710
AN - SCOPUS:85049468272
SN - 0960-1643
VL - 68
SP - e478-e486
JO - British Journal of General Practice
JF - British Journal of General Practice
IS - 672
ER -