ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
Is the quality of care in general medical practice improving? Results of a longitudinal observational study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed.
- Relationship between general practice capitation funding and the quality of primary care in England: a cross-sectional, 3-year study.BMJ open · 2019Article
- Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study.BMJ (Clinical research ed.) · 2015Article
- Organizational determinants of high-quality routine diabetes care.Scandinavian journal of primary health care · 2014Article
- GPAQ-R: development and psychometric properties of a version of the general practice assessment questionnaire for use for revalidation by general practitioners in the UK.BMC family practice · 2013Article
- A comparison of chronic illness care quality in US and UK family medicine practices prior to pay-for-performance initiatives.Family practice · 2009Article
- The Quality and Outcomes Framework: what have you done to yourselves?The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- The contribution of general practice and the general practitioner to NHS patients.Journal of the Royal Society of Medicine · 2006Article
- A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff.BMC family practice · 2005Article
- Making general practice fit for the 21st century.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Efforts to ban direct-to-consumer advertising in New Zealand: a call to action.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- How to change clinical behaviour: no answers yet.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- Confidentiality: consent is not sufficient.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice.Journal of the American Medical Informatics Association : JAMIAArticle
- Changes in patient experiences of primary care during health service reforms in England between 2003 and 2007.Annals of family medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe demand for increased accountability within health care has led to a myriad of government initiatives in the United Kingdom, with the aim of improving care, setting minimum standards, and addressing poor performance.
aimTo assess the quality of care in English general practice in the year 2001 compared with 1998, in terms of access, interpersonal care, and clinical care (chronic disease management, elderly care, and mental health care). DESIGN OF STUDY: Observational study in a purposive sample of general practices in England.
settingTwenty-three general practices in England--eight in North Thames, seven in the North West, and eight in the South West.
resultsOutcome measures were: quality of chronic disease management (angina, adult asthma and type 2 diabetes from practice questionnaires and medical record review), elderly care and mental health care (from practice questionnaires), access to care, continuity of care and interpersonal care (from practice and patient questionnaires) and costs (mean change in practice budget between 1998 and 2001). There were significant improvements in quality of care in terms of organisational access to services (P = 0.016), practice organisation of chronic disease management (P = 0.039), and the quality of angina care (P = 0.003). There were no significant changes in quality scores for mental health care, elderly care, access and interpersonal care. The mean practice budget rose by 3.4% between 1998 and 2001 (adjusted for inflation).
conclusionThese findings provide evidence of improvements in some aspects of the quality of care, achieved at modest cost. This was achieved during a time when the National Health Service was undergoing a series of reforms. However, primary care in England is characterised by variation in care, with significant improvements still possible.
Indexed as
Identifiers
12879830PMC1314572What OpenQuestion holds
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.