Evidence map›Paper›PMID 22867681›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012

Do English patients want continuity of care, and do they receive it?

Ahmed Aboulghate, Gary Abel, Marc N Elliott, Richard A Parker, John Campbell, Georgios Lyratzopoulos, Martin Roland

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. What patients want from access to UK general practice: systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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  3. Trial
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  5. Observational
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  7. Complexity, demand, and those little white spots.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  9. Article
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  11. Continuity of care in diverse ethnic groups: a general practice record study in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  17. Changes in patient experience associated with growth and collaboration in general practice: observational study using data from the UK GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ahmed AboulghateCambridge Centre for Health Services Research, University of Cambridge, Institute of Public Health, Cambridge. aa577@medschl.cam.ac.uk
Gary Abel
Marc N Elliott
Richard A Parker
John Campbell
Georgios Lyratzopoulos
Martin Roland

Funding

Department of Health PDF-2011-04-047
6 · The paper itself

Abstract

backgroundInterpersonal continuity of care is valued by patients, but there is concern that it has declined in recent years.

aimTo determine how often patients express preference for seeing a particular GP and the extent to which that preference is met. DESIGN OF STUDY: Analysis of data from the 2009/2010 English GP Patient Survey.

settingA stratified random sample of adult patients registered with 8362 general practices in England (response rate 39%, yielding 2,169,718 responses).

methodWeighted estimates were calculated of preference for and success in seeing a particular GP. Multilevel logistic regression was used to identify characteristics associated with these two outcomes.

resultsExcluding practices with one GP, 62% of patients expressed a preference for seeing a particular GP. Of these patients, 72% were successful in seeing their preferred GP most of the time. Certain patient groups were associated with more preference for and success in seeing a particular GP. These were older patients (preference odds ratio [OR] = 1.7, success OR = 1.8), those with chronic medical conditions (preference OR = 1.9, success OR = 1.3), those with chronic psychological conditions (preference OR = 1.6, success OR = 1.3), and those recently requesting only non-urgent versus urgent appointments (preference OR = 1.4, success OR = 1.6). Patient groups that had more frequent preference but less success in seeing a preferred GP were females (preference OR = 1.5, success OR = 0.9), patients in larger practices (preference OR = 1.3, success OR = 0.5), and those belonging to non-white ethnic groups.

conclusionThe majority of patients value interpersonal continuity, yet a large minority of patients and specific patient groups are not regularly able to see the GP they prefer.

Indexed as

Patient SatisfactionAdolescentAdultAgedAged, 80 and overContinuity of Patient CareEnglandFemaleHumansMaleMiddle AgedMultivariate AnalysisNeeds AssessmentYoung Adult

Identifiers

PMID22867681
PMCPMC3404335

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.