ArticleBMJ (Clinical research ed.)2001
Identifying predictors of high quality care in English general practice: observational study.
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 158 papers, 6 of them syntheses that pooled it.
What it found
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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.
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Who cites it
158 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled 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
- A systematic review of teamwork training interventions in medical student and resident education.Journal of general internal medicine · 2008Pooled it
- A systematic review: how to choose appropriate health-related quality of life (HRQOL) measures in routine general practice?Journal of Zhejiang University. Science. B · 2005Pooled it
- Effectiveness of antibiotics in preventing meningococcal disease after a case: systematic review.BMJ (Clinical research ed.) · 2004Pooled it
- The relationship between consultation length, process and outcomes in general practice: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Pooled it
- Trial
- Improvement of primary care for patients with chronic heart failure: a study protocol for a cluster randomised trial comparing two strategies.Implementation science : IS · 2011Trial
- Interdisciplinary diabetes care teams operating on the interface between primary and specialty care are associated with improved outcomes of care: findings from the Leuven Diabetes Project.BMC health services research · 2009Trial
- Patient preferences for key organizational features of primary cardiovascular care in Quebec: a discrete choice experiment.BMC primary care · 2025Article
- Health-Related Quality of Life with Six Domains: A Comparison of Healthcare Providers without Chronic Diseases and Participants with Chronic Diseases.Journal of clinical medicine · 2024Article
- Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.BMC health services research · 2024Article
- Practice list size, workforce composition and performance in English general practice: a latent profile analysis.BMC primary care · 2024Article
- General practitioners' decision-making process to prescribe pain medicines for low back pain: a qualitative study.BMJ open · 2023Article
- Patient experiences during the COVID-19 pandemic: a qualitative study in Dutch primary care.BJGP open · 2022Article
- Opportunity loss: care team job satisfaction and urgent care, emergency department, and hospital costs for patients with cardiovascular disease.Family practice · 2022Observational
- Implementing a Virtual Emergency Department: Qualitative Study Using the Normalization Process Theory.JMIR human factors · 2022Article
- Exploring the factors influencing adherence to oral anticancer drugs in patients with digestive cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Healthcare Professionals' Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care.Frontiers in endocrinology · 2022Article
- The Quality of Medical Care in the Conditions of the COVID-19 Pandemic, with Particular Emphasis on the Access to Primary Healthcare and the Effectiveness of Treatment in Poland.Journal of clinical medicine · 2021Article
98 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess variation in the quality of care in general practice and identify factors associated with high quality care.
designObservational study.
settingStratified random sample of 60 general practices in six areas of England. OUTCOME MEASURES: Quality of management of chronic disease (angina, asthma in adults, and type 2 diabetes) and preventive care (rates of uptake for immunisation and cervical smear), access to care, continuity of care, and interpersonal care (general practice assessment survey). Multiple logistic regression with multilevel modelling was used to relate each of the outcome variables to practice size, routine booking interval for consultations, socioeconomic deprivation, and team climate.
resultsQuality of clinical care varied substantially, and access to care, continuity of care, and interpersonal care varied moderately. Scores for asthma, diabetes, and angina were 67%, 21%, and 17% higher in practices with 10 minute booking intervals for consultations compared with practices with five minute booking intervals. Diabetes care was better in larger practices and in practices where staff reported better team climate. Access to care was better in small practices. Preventive care was worse in practices located in socioeconomically deprived areas. Scores for satisfaction, continuity of care, and access to care were higher in practices where staff reported better team climate.
conclusionsLonger consultation times are essential for providing high quality clinical care. Good teamworking is a key part of providing high quality care across a range of areas and may need specific support if quality of care is to be improved. Additional support is needed to provide preventive care to deprived populations. No single type of practice has a monopoly on high quality care: different types of practice may have different strengths.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.