A qualitative study in rural and urban areas on whether – and how – to consult during routine and out of hours
2006

Consulting Behavior in Rural and Urban Areas

Sample size: 78 publication Evidence: moderate

Author Information

Author(s): Neil C. Campbell, Lisa Iversen, Jane Farmer, Clare Guest, John MacDonald

Primary Institution: University of Aberdeen

Hypothesis

How do patients' perceptions of health service provision influence their consulting intentions?

Conclusion

Patients' perceived barriers to health service access affect their decisions to consult, and some develop strategies to navigate these barriers.

Supporting Evidence

  • Patients' consulting intentions vary widely based on their perceptions of health service access.
  • Rural patients often prefer to wait for their own doctor rather than use out-of-hours services.
  • Urban patients tend to be more assertive in seeking appointments compared to rural patients.

Takeaway

People decide whether to see a doctor based on how easy they think it will be to get an appointment, and they sometimes wait longer in rural areas because they want to see their own doctor.

Methodology

The study involved four focus groups and 51 semi-structured interviews with 78 participants across eight urban and rural general practices.

Potential Biases

The lead author's background as a general practitioner may influence the interpretation of findings.

Limitations

The study's findings may not be generalizable due to the specific locations and demographics of participants.

Participant Demographics

Participants were aged 45 to 64 years, with a mix of urban and rural residents.

Digital Object Identifier (DOI)

10.1186/1471-2296-7-26

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