Evolving an appointment system in PHC centers in Basrah: Opinion of physicians and patients

  • Jasim N. Al-Asadi Assist. Prof., College of Medicine, Basrah University.
  • Shukrya K. Khalaf Lectures, College of Medicine, Basrah University
  • Alaa H. Abed Lecturer, College of Medicine, Thi-Qar University
  • Sabah A. Shami Basrah General Health Directorate.
Keywords: Appointment system, PHC centers, Basrah


Background: Despite the increasing interest in implementation of appointment system in many countries, patients, and physicians' views about such system is not examined in Basrah. Objectives: To study the views of both patients and physicians about introducing appointment system in primary care centers in Basrah. Methods: Six hundreds and eighty (680) patients and 115 physicians in 20 PHC centers were included in the study. A structured questionnaire was used to collect data. Results: The majority of patients (79.6%) supported the idea of introducing the appointment system. Married women, employed, and highly educated patients and those who lived far from the PHC center were more in favour of introducing the appointment system. Likewise, the majority of physicians (95.7%) were also in favour of introducing the appointment system. The main disadvantages indicated by both patients and physicians was that it was not beneficial for patients with acute cases. Conclusions: Both patients and physicians showed positive attitude toward introducing appointment system in PHC centers in Basrah.


Al-Haqwi AI, Al-Shehri AM. Appointment system in primary care: opinion of consumers and providers. J Family Community Med 2007;14(3): 99-102.

Cardew B. An appointment System Service for General Practitioners: Its Growth and Present Usage. BMJ 1967; 4:542–543.

Appointment System in General Practice. BMJ 1967; 4:500–501.

Appointment System in General Practice. The Lancet 1967; 2(527): 1190.

Arber S, Sawyer L.Do Appointment System Work. BMJ 1982; 284:478–480.

Engels Y, Campbell S, Dautzenberg M. Developing a framework of, and Quality Indicators for, General Practice Management in Europe. Family Practice 2005; 22:215–222.

Al-Omar B. Patients’ expectations, Satisfaction and Future Behavior in Hospitals in Riyadh City. Saudi Med J 2000;21(7):655–665.

Knight A1, LembkeT.Appointments 101 -how to shape a more effective appointment system.AustFam Physician 2013:42(3): 152-156.

Campbell SM, Roland MO, Gormanly B. Evaluation of a computerized appointment system in general practice. Br J Gen Pract1996;46(409):477-478.

Gogorcena MA, Castillo M, Casajuana J, Jové FA. Accessibility to primary health care centers: experience and evaluation of an appointmentsystem program. QualAssur Health Care 1992;4(1):33-41.

Allen D, Marks B. Patient Access and Appointment Systems. Practitioner 1988; 232:1380–1382.

Arber S. What is a good GP? BMJ 1987; 294:2887–2888.

Parry D, Bryan S, Gee K, Murray E, Fitzmaurice D. Patient costs inanticoagulation management: a comparison of primary andsecondary care. Br J Gen Pract2001; 51: 972–976.

Stevenson JSK. Appointment Systems in General Practice: Do Patients Like Them, and How Do They Affect Work Load? Brit. Med. J 1966; 2: 515-518.

Ariba A, Thanni L, Adebayo O.Patient perception of quality emergency care in a Nigerian teaching hospital: The influence of patient-provider interactions. Nigeria Postgraduate Medical Journal 2007;14(4): 296-301.

Yuchi T, Guannming C. Patient satisfaction with and recommendation of a primary care provider: Association of perceived quality and patient education. International Journal For Quality In Health Care 2009; 21(3): 206-213.

Fallon C. Introduction of an Appointment System In General Practice: Surveys of Patient and Staff. Health Bulletin 1990;48(5):232–237.18. AlastruéLoscos JI, Giner Valero M, BonetPla JA, MerellesTormo A, Núñez AJ, SuperviolaCollados VJ. An evaluation of the prior appointment program in primary care by a user opinion survey.AtenPrimaria. 1992;9(6):299-300. [PubMed]

Mahomed H, Bachmann MO. Block appointments in an overloaded South African health centre: quantitative and qualitative evaluation. Int J Health Care QualAssurIncLeadershHealth Serv. 1998; 11(4-5): 123-126.

Cao W, Wan Y, Tu H, Shang F, Liu D, Tan Z, et al. A web-based appointment system to reduce waiting for outpatients: a retrospective study. BMC Health Serv Res 2011 Nov 22; 11:318.