ArticleJournal of health services research & policy2021
Sociodemographic inequalities in patients' experiences of primary care: an analysis of the General Practice Patient Survey in England between 2011 and 2017.
Article in Journal of health services research & policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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.
The trial behind it
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- 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 · 2025Pooled it
- Primary care experiences at the intersection of sexual minority status and long-term mental health conditions in England: a cross-sectional analysis using the English General Practice Patient Survey.EClinicalMedicine · 2026Article
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Article
- A scoping review protocol for the application of intersectionality in primary care research.Systematic reviews · 2025Article
- Article
- Did a national extended access scheme translate to improvements in patient experience to GP services in England? A retrospective observational study using patient-level data from the English GP patient survey.BMC health services research · 2025Observational
- Strengthening general practice will help improve longevity and could reduce health inequalities.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Article
- Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom.EClinicalMedicine · 2024Review
- Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.BMC health services research · 2024Article
- Using Routine Data to Improve Lesbian, Gay, Bisexual, and Transgender Health.Interactive journal of medical research · 2024Article
- Does workforce explain the relationship between funding and patient experience? A mediation analysis of primary care data in England.BMJ open · 2024Article
- Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK.Frontiers in health services · 2024Article
- Article
- 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
- Article
- A cross-sectional study of socioeconomic status and treatment interruption among Japanese workers during the COVID-19 pandemic.Journal of occupational health · 2021Article
- Commissioning [Integrated] Care in England: An Analysis of the Current Decision Context.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveYounger people, minority ethnic groups, sexual minorities and people of lower socioeconomic status report poorer experiences of primary care. In light of NHS ambitions to reduce unwarranted variations in care, we aimed to investigate whether inequalities in patient experience of primary care changed between 2011 and 2017, using data from the General Practice Patient Survey in England.
methodsWe considered inequalities in relation to age, sex, deprivation, ethnicity, sexual orientation and geographical region across five dimensions of patient experience: overall experience, doctor communication, nurse communication, access and continuity of care. We used linear regression to explore whether the magnitude of inequalities changed between 2011 and 2017, using mixed models to assess changes within practices and models without accounting for practice to assess national trends.
resultsWe included 5,241,408 responses over 11 survey waves from 2011-2017. There was evidence that inequalities changed over time (p < 0.05 for 27/30 models), but the direction and magnitude of changes varied. Changes in gaps in experience ranged from a 1.6 percentage point increase for experience of access among sexual minorities, to a 5.6 percentage point decrease for continuity, where experience worsened for older ages. Inequalities in access in relation to socio-economic status remained reasonably stable for individuals attending the same GP practice; nationally inequalities in access increased 2.1 percentage points (p < 0.0001) between respondents living in more/less deprived areas, suggesting access is declining fastest in practices in more deprived areas.
conclusionsThere have been few substantial changes in inequalities in patient experience of primary care between 2011 and 2017.
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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.