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GENERAL PRACTITIONERS General practitioners (GP) are widely used in Australia and are the first point of contact for health issues for many Australians. People can access GPs for a variety of reasons including short-term illnesses, preventive health practices and management of long term health conditions. It is therefore important that people are able to access a GP in a timely manner and receive care that meets their needs, both in terms of ease of access and the care provided. This chapter presents data on people who saw a GP in the previous 12 months. Respondents were asked about the services they had used, waiting times, barriers to accessing care as well as their experience with the health care professionals. Most people aged 15 years and over accessed a GP during the previous year. The graph below shows that GPs were the most common health service accessed in 2013–14, with eight out of ten people (82.2%) seeing a GP at least once in the previous 12 months. Dental professionals were the second most common health service accessed (49.7%), followed by medical specialists (36.2%). These patterns have remained steady across the five cycles of the survey (2009 to 2013–14). (Tables 1 and 2.2)
Footnote(s): (a) Includes dentist, dental hygienist and dental specialist Source(s): Patient Experience Survey: Summary of Findings The proportion of people who saw a GP in the previous 12 months has remained relatively stable over the last five years. As in previous years, in 2013–14, a higher proportion of females than males saw a GP in the previous 12 months (87.3% compared with 76.8%). The proportion of people who saw a GP generally increased with age. Seven in ten (72.0%) people aged 15–24 saw a GP compared with over nine in ten (94.9%) people aged 65 and over. (Tables 2.1 and 2.2) Visits to GPs were also related to health characteristics, with people who rated their health as fair or poor being more likely to see a GP than those who rated their health as good, very good or excellent (94.8% compared with 80.4%). Further to this, people with a long term health condition were more likely to see a GP (93.6%) than those without a long term health condition (71.4%). (Tables 1, 2.2 and 3.2) WAITING TIMES People living in outer regional, remote or very remote areas of Australia were more likely to wait longer than felt acceptable to get an appointment with a GP (28.5%) than those living in inner regional Australia (23.7%) or major cities (21.5%). (Table 6.2)
Source(s): Patient Experience Survey: Summary of Findings One in 10 people (9.9%) saw a GP for urgent medical care. Of those who saw a GP for urgent medical care, nearly two thirds (64.2%) were seen by a GP within four hours of making an appointment, 10.0% waited four hours or more but were seen within 24 hours of making an appointment, and 25.8% waited 24 hours or more. People living in major cities were more likely to be seen within 4 hours than those living in outer regional, remote or very remote areas of Australia (67.0% compared with 60.6%). (Table 6.2) BARRIERS In 2013–14, of those who needed to see a GP in the previous 12 months, 1 in 20 (4.9%) delayed seeing or did not see a GP at least once because of the cost. People living in outer regional, remote or very remote areas of Australia were more likely to delay seeing or not see a GP due to cost than those living in major cities (6.0% compared with 4.3%). (Table 6.2) AFTER HOURS GP CARE In 2013–14, one in twelve people saw an after hours GP in the previous 12 months (8.1%). As with other health services, more females than males saw an after hours GP (9.4% compared with 6.8%). (Table 2.2) People with a long term health condition were more likely to see an after hours GP than those without a long term health condition (9.6% compared with 6.7%). Similarly, those who rated their health as fair or poor were more likely to see an after hours GP than those who rated their health as excellent, very good, or good (12.4% compared with 7.3%). (Table 3.2) People living in major cities were more likely to see an after hours GP than those living in outer regional, remote or very remote areas of Australia (8.6% compared with 7.2%). (Table 3.2) One in four people (25.2%) who needed to see an after hours GP did not see one at all. When asked the main reason why they did not go, just under half reported that the service was not available when required (41.5%), 11.4% reported that the waiting time was too long and a further 9.9% reported cost. Of those who saw an after hours GP, the type of clinic most visited was a regular general practice (40.4%), followed by a late night clinic (26.2%) then an after hours clinic at a hospital (18.7%). A further 12.9% received a home visit from a GP. (Table 7.2) EXPERIENCE WITH GPs Of those who had seen a GP in the previous 12 months, 71.5% reported that the GP always listened carefully to them, 77.5% reported that they always showed them respect and 72.2% reported that they always spent enough time with them. Similar patterns were reported by male and female patients. (Table 6.2)
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