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Br J Gen Pract. Jun 2002; 52(479): 459–462.
PMCID: PMC1314320

Continuity of care in general practice: a survey of patients' views.


BACKGROUND: It is not known how patients value continuity for different health problems. In addition, it is not clear how different types of patients value continuity. It has been argued, for example, that young and healthy individuals have different ideas about continuity from older people with chronic illnesses. More extensive exploration of patients' views and expectations on personal continuity is important as this may help to organise general practice better in the future. AIM: To explore patients' views on continuity of care in general practice and their relations to patient characteristics. DESIGN OF STUDY: Postal questionnaire survey. SETTING: Thirty-five general practices throughout The Netherlands. METHOD: A sample of 25 patients from each practice was sent a questionnaire. RESULTS: The response rate was 644/875 (74%). The percentage of patients feeling that it was important to see their personal doctor varied, from 21% for a splinter in the eye, to 96% for discussing the future when seriousy ill. The main reasons for preference of their own general practitioners (GPs) were the GP's assumed better medical knowledge of the patient and understanding of the personal and family background. Multiple linear regression analysis (GLM) showed that patient characteristics could explain 10% to 12% of the variance in these views on personal continuity. CONCLUSION: The importance that patients attach to continuity of care depends on the seriousness of the conditions/facing them. Patients in The Netherlands desire a high level of personal care for serious conditions. Patient characteristics, such as age, sex, and frequency of visits to the GP influence views on continuity of care only to a minor extent.

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Selected References

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  • Guthrie B, Wyke S. Does continuity in general practice really matter? BMJ. 2000 Sep 23;321(7263):734–736. [PMC free article] [PubMed]
  • Freeman G. Priority given by doctors to continuity of care. J R Coll Gen Pract. 1985 Sep;35(278):423–426. [PMC free article] [PubMed]
  • Hjortdahl P, Borchgrevink CF. Continuity of care: influence of general practitioners' knowledge about their patients on use of resources in consultations. BMJ. 1991 Nov 9;303(6811):1181–1184. [PMC free article] [PubMed]
  • Taylor MB. Compassion: its neglect and importance. Br J Gen Pract. 1997 Aug;47(421):521–523. [PMC free article] [PubMed]
  • McWhinney IR. Primary care: core values. Core values in a changing world. BMJ. 1998 Jun 13;316(7147):1807–1809. [PMC free article] [PubMed]
  • Dixon DM, Sweeney KG, Gray DJ. The physician healer: ancient magic or modern science? Br J Gen Pract. 1999 Apr;49(441):309–312. [PMC free article] [PubMed]
  • Di Blasi Z, Harkness E, Ernst E, Georgiou A, Kleijnen J. Influence of context effects on health outcomes: a systematic review. Lancet. 2001 Mar 10;357(9258):757–762. [PubMed]
  • Uhlmann RF, Inui TS, Carter WB. Patient requests and expectations. Definitions and clinical applications. Med Care. 1984 Jul;22(7):681–685. [PubMed]
  • Neuberger J. Primary care: core values. Patients' priorities. BMJ. 1998 Jul 25;317(7153):260–262. [PMC free article] [PubMed]
  • Hall JA, Dornan MC. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27(9):935–939. [PubMed]
  • Wensing M, Jung HP, Mainz J, Olesen F, Grol R. A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain. Soc Sci Med. 1998 Nov;47(10):1573–1588. [PubMed]
  • Jung HP, Wensing M, Grol R. What makes a good general practitioner: do patients and doctors have different views? Br J Gen Pract. 1997 Dec;47(425):805–809. [PMC free article] [PubMed]
  • Mainous AG, 3rd, Baker R, Love MM, Gray DP, Gill JM. Continuity of care and trust in one's physician: evidence from primary care in the United States and the United Kingdom. Fam Med. 2001 Jan;33(1):22–27. [PubMed]
  • Hjortdahl P, Laerum E. Continuity of care in general practice: effect on patient satisfaction. BMJ. 1992 May 16;304(6837):1287–1290. [PMC free article] [PubMed]
  • Howie JG, Heaney DJ, Maxwell M, Walker JJ, Freeman GK, Rai H. Quality at general practice consultations: cross sectional survey. BMJ. 1999 Sep 18;319(7212):738–743. [PMC free article] [PubMed]
  • Lydeard S. The questionnaire as a research tool. Fam Pract. 1991 Mar;8(1):84–91. [PubMed]
  • Stone DH. Design a questionnaire. BMJ. 1993 Nov 13;307(6914):1264–1266. [PMC free article] [PubMed]
  • Kearley KE, Freeman GK, Heath A. An exploration of the value of the personal doctor-patient relationship in general practice. Br J Gen Pract. 2001 Sep;51(470):712–718. [PMC free article] [PubMed]
  • Hagman E, Rehnström T. Priorities in primary health care. The views of patients, politicians and health care professionals. Scand J Prim Health Care. 1985 Nov;3(4):197–200. [PubMed]
  • Murphy AW. Opening Pandora's box: patients' attitudes towards trainees. Dublin General Practice Vocational Training Scheme Third Year Group 1991-1992. Fam Pract. 1995 Sep;12(3):318–323. [PubMed]
  • Fletcher RH, O'Malley MS, Earp JA, Littleton TA, Fletcher SW, Greganti MA, Davidson RA, Taylor J. Patients' priorities for medical care. Med Care. 1983 Feb;21(2):234–242. [PubMed]
  • Schuman JS. A study of family practice in New York City. J Fam Pract. 1983 Jun;16(6):1125–1129. [PubMed]

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