Format

Send to

Choose Destination
J Health Serv Res Policy. 2007 Jul;12(3):132-7.

Do patients value continuity of care in general practice? An investigation using stated preference discrete choice experiments.

Author information

1
Wessex Institute for Health Research and Development, University of Southampton, Southampton, UK. D.Turner@soton.ac.uk

Abstract

OBJECTIVES:

To estimate the relative importance to patients of continuity of care compared with other aspects of a primary care consultation.

METHODS:

We carried out a discrete choice experiment in Leicestershire and London on a stratified random sample of 646 community dwelling adults taken from general practitioner (GP) registers, plus 20 interviews with Punjabi, Urdu and Gujarati speakers. The attributes examined were: the type of professional consulted, relational continuity, informational continuity and access.

RESULTS:

Individuals' values changed according to their reason for making a primary care consultation. If consulting for minor familiar symptoms, individuals would be prepared to trade off one extra day's wait to see a GP rather than a nurse, 0.9 days for relational continuity, and 1.6 days for informational continuity. If consulting for a new condition they were uncertain about, they would be prepared to trade off an additional wait of 3.5 days to see a GP rather than a nurse, 2.4 days for relational continuity and 3.9 days for informational continuity. For a routine check-up, an individual would be prepared to trade off an additional wait of 3.5 days to see a GP rather than a nurse, 4.2 days for relational continuity and 7.8 days for informational continuity.

CONCLUSIONS:

Respondents stated their preference to wait longer to see a familar medical practitioner who was well informed about their case when they had a problem causing uncertainty or needed a routine check-up. They preferred quick access for likely minor 'low impact' symptoms. Appointment systems in general practice should be sufficiently flexible to meet these different preferences.

PMID:
17716414
DOI:
10.1258/135581907781543021
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center