• C Salisbury.
• Department of Primary Health Care and General Practice, Imperial College School of Medicine at St Mary's, London.
• BMJ. 1997 May 31;314(7094):1594-8.

ObjectiveTo assess patients' satisfaction with out of hours care by a general practice cooperative compared with that by a deputising service.DesignPostal questionnaire survey.SettingA general practice cooperative in London and a deputising service operating in an overlapping area.SubjectsWeighted samples of patients receiving telephone advice, a home visit, or attending a primary care centre after contacting either service in an eight week period.Main Outcome MeasuresPatients' overall satisfaction and scores for specific aspects of satisfaction. Satisfaction with telephone advice or attendance at centre compared with home visit. Relation between satisfaction and patient's age, sex, ethnic group, car ownership, preference for consulting own doctor, and expectation of a visit.ResultsThe overall response rate was 67% (1555/2312). There was little difference in overall satisfaction between patients contacting the cooperative or the deputising service, but patients contacting the latter were less satisfied with the explanation and advice received and the wait for a visit. There were significant differences between patients in different age and ethnic groups, with white patients and those aged over 60 years being more satisfied. Lower scores for overall satisfaction were reported by patients who received telephone advice, those who would have preferred to see their own doctor or who originally wanted a home visit, and those who waited longer for their consultation. Overall levels of patients' satisfaction seemed to be lower than previously reported.ConclusionsThere were larger differences in satisfaction between different groups of patients than between different models of organisation for out of hours care. A shift to a service based predominantly on telephone advice may lead to increased patient dissatisfaction.

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