Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2018
Predicting declines in perceived relationship continuity using practice deprivation scores: a longitudinal study in primary care.
Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Primary care micro-teams: an international systematic review of patient and healthcare professional perspectives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Pooled it
- Primary medical care continuity and patient mortality: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Implications of skill-mix change in general practice: secondary analysis of data from the GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Less continuity with more complaints: a repeated cross-sectional study of the association between relational continuity of care and patient complaints in English general practice.BMJ quality & safety · 2026Article
- Article
- What do patients and clinicians think about continuity in general practice in England? a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Experiences of access to general practice in England: qualitative study and implications for the NHS 10 year plan.BMJ (Clinical research ed.) · 2026Article
- Patient perceptions of relational continuity in England: insights from two cross-sectional surveys.BJGP open · 2025Article
- Patient characteristics and degrees of discontinuity of care in Danish general practice: a cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Article
- The Use of Online Consultation Systems and Patient Experience of Primary Care: Cross-Sectional Analysis Using the General Practice Patient Survey.Journal of medical Internet research · 2024Article
- Ongoing Decline in Continuity With GPs in English General Practices: A Longitudinal Study Across the COVID-19 Pandemic.Annals of family medicine · 2024Article
- Conservative Party's legacy on the NHS.BMJ (Clinical research ed.) · 2024Article
- Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- 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
- Article
- Locum doctors in English general practices: evidence from a national survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- 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 · 2023Article
- Doctor trustworthiness influences pain and its neural correlates in virtual medical interactions.Cerebral cortex (New York, N.Y. : 1991) · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreased relationship continuity in primary care is associated with better health outcomes, greater patient satisfaction, and fewer hospital admissions. Greater socioeconomic deprivation is associated with lower levels of continuity, as well as poorer health outcomes.
aimTo investigate whether deprivation scores predicted variations in the decline over time of patient-perceived relationship continuity of care, after adjustment for practice organisational and population factors. DESIGN AND
settingAn observational study in 6243 primary care practices with more than one GP, in England, using a longitudinal multilevel linear model, 2012-2017 inclusive.
methodPatient-perceived relationship continuity was calculated using two questions from the GP Patient Survey. The effect of deprivation on the linear slope of continuity over time was modelled, adjusting for nine confounding variables (practice population and organisational factors). Clustering of measurements within general practices was adjusted for by using a random intercepts and random slopes model. Descriptive statistics and univariable analyses were also undertaken.
resultsRelationship continuity declined by 27.5% between 2012 and 2017, and at all deprivation levels. Deprivation scores from 2012 did not predict variations in the decline of relationship continuity at practice level, after accounting for the effects of organisational and population confounding variables, which themselves did not predict, or weakly predicted with very small effect sizes, the decline of continuity. Cross-sectionally, continuity and deprivation were negatively correlated within each year.
conclusionThe decline in relationship continuity of care has been marked and widespread. Measures to maximise continuity will need to be feasible for individual practices with diverse population and organisational characteristics.
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