TY - JOUR T1 - Slaying the dragon myth: an ethnographic study of receptionists in UK general practice JF - British Journal of General Practice JO - Br J Gen Pract SP - e177 LP - e184 DO - 10.3399/bjgp13X664225 VL - 63 IS - 608 AU - Jonathan Hammond AU - Katja Gravenhorst AU - Emma Funnell AU - Susan Beatty AU - Derek Hibbert AU - Jonathan Lamb AU - Heather Burroughs AU - Marija Kovandžić AU - Mark Gabbay AU - Christopher Dowrick AU - Linda Gask AU - Waquas Waheed AU - Carolyn A Chew-Graham Y1 - 2013/03/01 UR - http://bjgp.org/content/63/608/e177.abstract N2 - Background General practice receptionists fulfil an essential role in UK primary care, shaping patient access to health professionals. They are often portrayed as powerful ‘gatekeepers’. Existing literature and management initiatives advocate more training to improve their performance and, consequently, the patient experience.Aim To explore the complexity of the role of general practice receptionists by considering the wider practice context in which they work.Design and setting Ethnographic observation in seven urban general practices in the north-west of England.Method Seven researchers conducted 200 hours of ethnographic observation, predominantly in the reception areas of each practice. Forty-five receptionists were involved in the study and were asked about their work as they carried out their activities. Observational notes were taken. Analysis involved ascribing codes to incidents considered relevant to the role and organising these into related clusters.Results Receptionists were faced with the difficult task of prioritising patients, despite having little time, information, and training. They felt responsible for protecting those patients who were most vulnerable, however this was sometimes made difficult by protocols set by the GPs and by patients trying to ‘play’ the system.Conclusion Framing the receptionist–patient encounter as one between the ‘powerful’ and the ‘vulnerable’ gets in the way of fully understanding the complex tasks receptionists perform and the contradictions that are inherent in their role. Calls for more training, without reflective attention to practice dynamics, risk failing to address systemic problems, portraying them instead as individual failings. ER -