Sociodemographic variation in the association between modes of access and patient experience of primary care: a retrospective cross-sectional patient-level analysis of the General Practice Patient Survey in England in 2023
Digital tools are associated with more positive experiences when contacting GP and may help reduce sociodemographic disparities, especially among groups who traditionally report poorer experience. Conversely, remote consultations are associated with worse experiences of healthcare professional communication. These patterns highlight the need for tailored approaches that offer choice across access modes, considering clinical need, urgency and patient preferences. Training for healthcare professionals should include remote communication skills. These insights can inform policies and service design aimed at modernising primary care while promoting equity.
Authors
- Minal Bakhai (ORCID: https://orcid.org/0009-0001-6330-4867)
- Richard Brine (ORCID: https://orcid.org/0000-0003-4271-5488)
- Tatjana Marks (ORCID: https://orcid.org/0000-0002-1426-1581)
- Xiaochen Ge (ORCID: https://orcid.org/0009-0001-1706-193X)
- Sarah Opie-Martin
- Jonathan M Clarke
- Yiwen Xu
- Geraldine M Clarke
Institutions
- London School of Hygiene & Tropical Medicine (GB)
- Health Foundation (GB)
- NHS England
Publication Details
- Journal
- BMJ Open Quality
- Published
- 2026-01-01
- DOI
- https://doi.org/10.1136/bmjoq-2025-003616
- Primary Topic
- Healthcare Operations and Scheduling Optimization
- Type
- article
- Field-Weighted Citation Impact
- 0.00