ArticleBMJ (Clinical research ed.)2001
Do single handed practices offer poorer care? Cross sectional survey of processes and outcomes.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does practice size matter? Review of effects on quality of care in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- Predictors of high-performing family medicine clinics: Prospective cohort study in Alberta.Canadian family physician Medecin de famille canadien · 2026Article
- Relationship between research activity and the performance of English general practices: cross-sectional and longitudinal analyses.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Practice list size, workforce composition and performance in English general practice: a latent profile analysis.BMC primary care · 2024Article
- Health mediators as members of multidisciplinary group practice: lessons learned from a primary health care model programme in Hungary.BMC family practice · 2020Article
- Article
- Does the availability of a South Asian language in practices improve reports of doctor-patient communication from South Asian patients? Cross sectional analysis of a national patient survey in English general practices.BMC family practice · 2015Article
- Practice size, financial sharing and quality of care.BMC health services research · 2013Article
- Which practice characteristics are associated with the quality of cardiovascular disease prevention in European primary care?Implementation science : IS · 2013Article
- Under-provision of medical care for vascular diseases for people with dementia in primary care: a cross-sectional review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Observational
- Is the health of people living in rural areas different from those in cities? Evidence from routine data linked with the Scottish Health Survey.BMC health services research · 2012Article
- Performance of small general practices under the UK's Quality and Outcomes Framework.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Network organizations of general practitioners: antecedents of formation and consequences of participation.BMC health services research · 2010Article
- Nurse staffing and quality of care in UK general practice: cross-sectional study using routinely collected data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Isolation and insight: practical pillars of revalidation?The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- A method for modelling GP practice level deprivation scores using GIS.International journal of health geographics · 2007Article
- Practice size, caseload, deprivation and quality of care of patients with coronary heart disease, hypertension and stroke in primary care: national cross-sectional study.BMC health services research · 2007Article
- Diabetes prevalence, process of care and outcomes in relation to practice size, caseload and deprivation: national cross-sectional study in primary care.Journal of the Royal Society of Medicine · 2007Article
- The relationship between general practice characteristics and quality of care: a national survey of quality indicators used in the UK Quality and Outcomes Framework, 2004-5.BMC family practice · 2006Article
- Practice size and quality attainment under the new GMS contract: a cross-sectional analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether there are important differences in performance between group practices and singlehanded general practitioners and the extent to which any differences are explained by practice characteristics such as deprivation.
designCross sectional survey.
setting206 singlehanded practices and 606 partnerships in Trent region, United Kingdom.
methodComparison of process and outcome measures derived from routinely collected data on hospital admissions and target payments for singlehanded practices and partnerships. Multivariate analysis was used to adjust for the confounding effects of general practice characteristics-deprivation (Townsend score), percentage of Asian residents, percentage of black residents, proportion of men over 75 years, proportion of women over 75 years, rurality, presence of a female general practitioner, and vocational training status.
resultsDifferences in achievement of immunisation and cytology targets apparent on univariate analysis were not seen after adjustment for other general practice characteristics. Similarly, significant differences (>15%; P<0.01) for three types of hospital admission seen on univariate analysis were not present after adjustment for other practice characteristics.
conclusionsThis study provides no evidence that singlehanded general practitioners are underperforming clinically. Our results offer insight into the structural difference between the two types of practice and underline the importance of the effect of other practice characteristics on process and outcome measures.
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