ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023
Continuity of care in diverse ethnic groups: a general practice record study in England.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. 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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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Healthcare interventions to improve health outcomes for racially/ethnic minoritised people with multiple long-term conditions: a systematic review and narrative synthesis.BMC public health · 2026Pooled it
- Continuity in a fragmented healthcare system: - organizational and individual determinants.Scandinavian journal of primary health care · 2026Article
- Maintaining continuity in fragmented healthcare systems.Journal of the Royal Society of Medicine · 2026Article
- Primary care use among adults with eating disorders in England: a population-based cohort study using electronic health records.BMJ open · 2026Article
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Continuity of Primary Care in Community Health Centers.Annals of family medicine · 2026Article
- Patient-Physician Ethnic Concordance and its Impact on Care Continuity: First Evidence from Tibet.Journal of racial and ethnic health disparities · 2026Article
- Impact of ethnicity on long-term mortality following hospitalization for acute decompensated heart failure: a retrospective cohort study.BMC cardiovascular disorders · 2026Article
- Continuity of care for all? Associations between migration background and personal continuity among persons aged 50 and older in Dutch primary care: a registry-based observational study.Family practice · 2025Observational
- Article
- 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
- Delivering relational continuity of care in light of recent GP contract changes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Continuity of care in general practice and secondary care: retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- The incidence and prevalence of juvenile idiopathic arthritis differs between ethnic groups in England.Rheumatology (Oxford, England) · 2025Article
- Inequalities in the prevalence recording of 205 chronic conditions recorded in primary and secondary care for 12 million patients in the English National Health Service.BMC medicine · 2024Article
- Ongoing Decline in Continuity With GPs in English General Practices: A Longitudinal Study Across the COVID-19 Pandemic.Annals of family medicine · 2024Article
- 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
- COVID-19 pandemic has disrupted the continuity of care for chronic patients: evidence from a cross-sectional retrospective study in a developing country.BMC primary care · 2023Article
- Modernising continuity: a new conceptual framework.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Continuity of care in primary healthcare settings among patients with chronic diseases in Saudi Arabia.SAGE open medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs and patients value continuity of care. Ethnic differences in continuity could contribute to inequalities in experience and outcomes.
aimTo describe relational continuity of care in general practice by ethnicity and long-term conditions. DESIGN AND
settingIn total, 381 474 patients in England were included from a random sample from the Clinical Practice Research Datalink (January 2016 to December 2019).
methodFace-to-face, telephone, and online consultations with a GP were included. Continuity, measured by the Usual Provider of Care and Bice-Boxerman indices, was calculated for patients with ≥3 consultations. Ethnicity was taken from the GP record or linked Hospital Episode Statistics data, and long-term conditions were counted at baseline. Multilevel regression models were used to describe continuity by ethnicity sequentially adjusted for: a) the number of consultations, follow-up time, age, sex, and practice-level random intercept; b) socioeconomic deprivation in the patient's residential area; and c) long-term conditions.
resultsOn full adjustment, 5 of 10 ethnic minority groups (Bangladeshi, Pakistani, Black African, Black Caribbean, and any other Black background) had lower continuity of care compared with White patients. Continuity was lower for patients in more deprived areas and younger patients but this did not account for ethnic differences in continuity. Differences by ethnicity were also seen in patients with ≥2 long-term conditions.
conclusionEthnic minority identity and socioeconomic deprivation have additive associations with lower continuity of care. Structural factors affecting demand for, and supply of, GPs should be assessed for their contribution to ethnic inequalities in relational continuity and other care quality domains.
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