ArticleBMJ open2019
The impact of a named GP scheme on continuity of care and emergency hospital admission: a cohort study among older patients in England, 2012-2016.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of relational continuity of primary care in aged care: a systematic review.BMC geriatrics · 2022Pooled it
- Trial
- Continuity in a fragmented healthcare system: - organizational and individual determinants.Scandinavian journal of primary health care · 2026Article
- Development of a novel GP continuity measurement for practices without personal lists: a two-practice pilot of the modified SLICC.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- GP continuity of care can be regained: lessons from Finland.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Sustaining named GP continuity requires organisational change: a comparative implementation analysis in Finland.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Impact of changes in primary care attachment: a scoping review.Family medicine and community health · 2025Article
- Enabling patient-physician continuity in Swedish primary care: the importance of a named GP. A registry-based observational study.BJGP open · 2024Article
- Article
- Continuity and discontinuity of care among older patients in Danish general practice: a retrospective cohort study.BJGP open · 2023Article
- Article
- Which methods are most practicable for measuring continuity within general practices?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Observational
- Assessing the impact of clinical coordination interventions on the continuity of care for patients with chronic conditions: participatory action research in five Latin American countries.Health policy and planning · 2022Article
- The Impact of Change in Hospital Admissions When Primary Care Is Provided by a Single Primary Care Physician: A Cohort Study Among HMO Patients in Israel.Advances in experimental medicine and biology · 2022Article
- Continuity in general practice and hospitalization patterns: an observational study.BMC family practice · 2021Observational
- Continuity of care as a predictor of ongoing frequent attendance in primary care: a retrospective cohort study.BJGP open · 2020Article
- Article
- Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.BJGP open · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether the introduction of a named general practitioner (GP, family physician) improved patients' healthcare for patients aged 75 and over in England.
settingRandom sample of 27 500 patients aged 65 to 84 in 2012 within 139 English practices from the Clinical Practice Research Datalink linked with Hospital Episode Statistics.
designProspective cohort approach, measuring patients' GP consultations and emergency hospital admissions 2 years before/after the intervention. Patients were grouped in (i) aged over 74 and (ii) younger than 75 in both periods in order to compare who were or were not subject to the intervention. Adjusted associations between the named GP scheme, continuity of care and emergency hospital admission were examined using multilevel modelling.
interventionNational Health Service policy to introduce a named accountable GP for patients aged over 74 in April 2014.
main outcome measures(A) Continuity of care index-score, (B) risk of emergency hospital admissions, (C) number of emergency hospital admissions.
resultsThe intervention was associated with a decrease in continuity index-scores of -0.024 (95% CI -0.030 to -0.018, p<0.001); there were no differences in the decrease between the two age groups (-0.005, 95% CI -0.014 to 0.005). In the pre-intervention and post-intervention periods, respectively, 15.4% and 19.4% patients had an emergency admission. The probability of an emergency hospital admission increased after the intervention (OR 1.156, 95% CI 1.064 to 1.257, p=0.001); this increase was bigger for patients over 74 (relative OR 1.191, 95% CI 1.066 to 1.330, p=0.002). The average number of emergency hospital admissions increased after the intervention (rate ratio (RR) 1.178, 95% CI 1.103 to 1.259, p<0.001); this increase was greater for patients over 74 (relative RR 1.143, 95% CI 1.052 to 1.242, p=0.001).
conclusionThe introduction of the named GP scheme was not associated with improvements in either continuity of care or rates of unplanned hospitalisation.
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