ArticleAnnals of family medicine
Changes in patient experiences of primary care during health service reforms in England between 2003 and 2007.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring the impact and use of patients' feedback about their care experiences in general practice settings-a realist synthesis.Family practice · 2018Pooled it
- Pay-for-performance in the United Kingdom: impact of the quality and outcomes framework: a systematic review.Annals of family medicinePooled it
- Does accreditation of general practice promote patient-reported quality of care? A natural cluster randomised experiment.BMJ open · 2020Trial
- Designing a performance-based payment model for physicians at outpatient clinics contracted with Iran health insurance: a case study from Iran.Journal of preventive medicine and hygiene · 2025Article
- The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review.BMC primary care · 2025Article
- Changing patterns of general practice services during a period of public sector investment in Britain.PloS one · 2025Article
- Exploration of primary care models and timely access to care in New Brunswick (Canada).BMC primary care · 2024Article
- Article
- The performance of general practice in the English National Health Service (NHS): an analysis using Starfield's framework for primary care.Health affairs scholar · 2024Article
- Primary care for all: lessons for Canada from peer countries with high primary care attachment.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Review
- The association between general practitioner regularity of care and 'high use' hospitalisation.BMC health services research · 2020Article
- Article
- Observational
- Quality after the QOF? Before dismantling it, we need a redefined measure of 'quality'.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Why do patients seek primary medical care in emergency departments? An ethnographic exploration of access to general practice.BMJ open · 2017Article
- Reports of unintended consequences of financial incentives to improve management of hypertension.PloS one · 2017Observational
- Patient experiences with family medicine: a longitudinal study after the Dutch health care reforms in 2006.BMC family practice · 2016Article
- Using Patient-Reported Information to Improve Clinical Practice.Health services research · 2015Review
- Challenges of managing people with multimorbidity in today's healthcare systems.BMC family practice · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeMajor primary care reforms have been introduced in recent years in the United Kingdom, including financial incentives to improve clinical quality and provide more rapid access to care. Little is known about the impact of these changes on patient experience. We examine patient reports of quality of care between 2003 and 2007, including random samples of patients on practice lists and patients with long-term conditions.
methodsWe conducted a cross-sectional design study of family practices in which questionnaires were sent to serial samples of patients in 42 representative general practices in England. Questionnaires sent to samples of patients with chronic disease (asthma, angina, and diabetes) and random samples of adult patients (excluding patients who reported any long-term condition) in 2003, 2005, and 2007 addressed issues of access, communication, continuity of care, coordination, nursing care, and overall satisfaction.
resultsThere were no significant changes in quality of care reported by either group of patients between 2003 and 2007 for communication, nursing care, coordination, and overall satisfaction. Some aspects of access improved significantly for patients with chronic disease, but not for the random samples of patients. Patients in both samples reported seeing their usual physician less often and gave lower satisfaction ratings for continuity of care. Most scores were significantly higher for the chronic illness samples than for the random samples of patients in 2003, even after adjusting for age.
conclusionsThere was a modest improvement in access to care for patients with chronic illness, but all patients now find it somewhat harder to obtain continuity of care. This outcome may be related to the incentives to provide rapid appointments or to the increased number of specialized clinics in primary care. The possibility of unintended effects needs to be considered when introducing pay for performance schemes.
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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.