Abstract
While much has been written about the benefits of personal continuity of care there has been little research about the views of patients. In this cross sectional study 111 patients from three group practices (one of which ran a personal list system) were interviewed at home within a week of consulting a general practitioner. Patients were selected randomly from a systematic series of consulting sessions and a semi-structured interview was administered. Patients receiving more personal continuity of care were likely to be older, to have booked their most recent appointment further in advance, to desire personal continuity of care, to have an external health locus of control and to have a lower extroversion score. In the practice with a personal list, patients had a high level of continuity of care, were satisfied and showed little interest in having a choice of doctor. In the combined list practices patients valued their choice of doctor but often could not exercise it enough and they were more critical. They made more suggestions for change than those in the practice with a personal list system, mostly about receptionists and appointments. It is concluded that most patients like to see the same doctor, but they may not be willing to wait two days for this if there is a quicker option. It may be difficult to deliver both personal continuity of care and choice in group practice.
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Selected References
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- Arber S., Sawyer L. Changes in general practice: do patients benefit? Br Med J (Clin Res Ed) 1981 Nov 21;283(6303):1367–1370. doi: 10.1136/bmj.283.6303.1367. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dietrich A. J., Marton K. I. Does continuous care from a physician make a difference? J Fam Pract. 1982 Nov;15(5):929–937. [PubMed] [Google Scholar]
- FOX T. F. The personal doctor and his relation to the hospital. Observations and reflections on some American experiments in general practice by groups. Lancet. 1960 Apr 2;1(7127):743–760. doi: 10.1016/s0140-6736(60)90632-2. [DOI] [PubMed] [Google Scholar]
- Freeman G. K. Receptionists, appointment systems and continuity of care. J R Coll Gen Pract. 1989 Apr;39(321):145–147. [PMC free article] [PubMed] [Google Scholar]
- Freeman G. K., Richards S. C. How much personal care in four group practices? BMJ. 1990 Nov 3;301(6759):1028–1030. doi: 10.1136/bmj.301.6759.1028. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gray D. J. The key to personal care. J R Coll Gen Pract. 1979 Nov;29(208):666–678. [PMC free article] [PubMed] [Google Scholar]
- Hjortdahl P., Laerum E. Continuity of care in general practice: effect on patient satisfaction. BMJ. 1992 May 16;304(6837):1287–1290. doi: 10.1136/bmj.304.6837.1287. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin E., Russell D., Goodwin S., Chapman R., North M., Sheridan P. Why patients consult and what happens when they do. BMJ. 1991 Aug 3;303(6797):289–292. doi: 10.1136/bmj.303.6797.289. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Preston-Whyte M. E., Fraser R. C., Beckett J. L. Effect of a principal's gender on consultation patterns. J R Coll Gen Pract. 1983 Oct;33(255):654–658. [PMC free article] [PubMed] [Google Scholar]
- Shortell S. M. Continuity of medical care: conceptualization and measurement. Med Care. 1976 May;14(5):377–391. doi: 10.1097/00005650-197605000-00001. [DOI] [PubMed] [Google Scholar]
- Smith C. H., Armstrong D. Comparison of criteria derived by government and patients for evaluating general practitioner services. BMJ. 1989 Aug 19;299(6697):494–496. doi: 10.1136/bmj.299.6697.494. [DOI] [PMC free article] [PubMed] [Google Scholar]