ArticleBMJ (Clinical research ed.)2003
Setting standards based on patients' views on access and continuity: secondary analysis of data from the general practice assessment survey.
Article in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07299201 (Evaluation of the Efficiency of Proactive Telemedicine vs Face-to-Face Visits for Universal Access and Health Prevention in a Rural Primary Care Team), which is not on this map. Cited by 48 papers, 5 of them syntheses 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.
Evaluation of the Efficiency of Proactive Telemedicine vs Face-to-Face Visits for Universal Access and Health Prevention in a Rural Primary Care Team: Randomized Non-Inferiority Clinical Trial
Who cites it
48 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Access or continuity: a zero sum game? A systematic review of the literature examining the relationship between access and continuity in primary healthcare.BMC primary care · 2025Pooled it
- Society of American Gastrointestinal and Endoscopic Surgeons guidelines development: patient engagement update to standard operating procedure.Surgical endoscopy · 2025Guideline
- The score of integrated disease surveillance and response adequacy (SIA): a pragmatic score for comparing weekly reported diseases based on a systematic review.BMC public health · 2019Pooled it
- The breadth of primary care: a systematic literature review of its core dimensions.BMC health services research · 2010Pooled it
- Systematic review of recent innovations in service provision to improve access to primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Pooled it
- Trial
- Trial
- Patient preferences for key organizational features of primary cardiovascular care in Quebec: a discrete choice experiment.BMC primary care · 2025Article
- Patient experience during medical visits in predominately African American rural communities in Alabama.Frontiers in health services · 2025Article
- Factors associated with patients' experience of accessibility to general practice: results from a national survey in Norway.BMC health services research · 2024Article
- The hospital care experiences of older patients compared to younger patients.Journal of the American Geriatrics Society · 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
- Qualitative Analyses of the Reasons Why Patients Do Not Attend Scheduled Inpatient Appointments in a Hospital in Guangzhou, China.Risk management and healthcare policy · 2020Article
- What the elderly experience and expect from primary care services in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2019Article
- Article
- Development of the Japanese version of the general practice assessment questionnaire: measurement of patient experience and testing of data quality.BMC family practice · 2018Article
- An assessment of patient waiting and consultation time in a primary healthcare clinic.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2017Article
- Which family physician should I choose? The analytic hierarchy process approach for ranking of criteria in the selection of a family physician.BMC medical informatics and decision making · 2015Article
- Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs.Journal of general internal medicine · 2015Review
- What are the core predictors of 'hassles' among patients with multimorbidity in primary care? A cross sectional study.BMC health services research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine patients' views on access and continuity in general practice to derive quality standards.
designSecondary analysis of data from general practice research studies and routine quality assessment activities undertaken by practices and primary care trusts.
settingGeneral practice.
participantsGeneral practice patients.
resultsSatisfactory standards of access were next day appointments with general practitioners and a 6-10 minute wait for consultations to begin. A satisfactory level of continuity was seeing the same general practitioner "a lot of the time." Standards varied with the analytic method used and by sociodemographic group.
conclusionsStandards expected by patients in primary care can be derived from linked report-assessment pairs. Patients may have expectations of access that are in excess of government targets. Patients also have high expectations of continuity of care. It is unclear the degree to which such standards are reliable or valid, how conflicts between access and continuity should be resolved, or how these standards relate to other priorities of patients such as high quality interpersonal care.
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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.