Evidence map›Paper›PMID 36720564›Full record

ArticleBJGP open2023

Optimising personal continuity: a survey of GPs' and older patients' views.

Lex Groot, Marije Te Winkel, Henk Schers, Jako Burgers, Martin Smalbrugge, Annemarie Uijen, Henriëtte van der Horst, Otto Maarsingh

Abstract read
In one paragraph

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Optimising personal continuity in general practice: process evaluation of a toolkit.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. The decline in relationship continuity in England: can a European perspective help?The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lex GrootDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Aging and Later Life, Amsterdam Public Health, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-1129-3315
Marije Te WinkelDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Aging and Later Life, Amsterdam Public Health, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9899-0038
Henk SchersDepartment of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Jako BurgersMaastricht University Medical Center+, Maastricht University, Department of General Practice, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands.
Martin SmalbruggeAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Boelelaan, Amsterdam, The Netherlands.
Annemarie UijenDepartment of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Henriëtte van der HorstDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Aging and Later Life, Amsterdam Public Health, Amsterdam, The Netherlands.
Otto MaarsinghDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Aging and Later Life, Amsterdam Public Health, Amsterdam, The Netherlands o.maarsingh@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-3747-9217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersonal continuity - having a GP who knows their patients and keeps track of them - is an important dimension of continuity of care and is associated with lower mortality rates, higher quality of life, and reduced healthcare costs. In recent decades it has become more challenging for GPs to provide personal continuity owing to changes in society and health care.

aimTo investigate GPs' and older patients' views on personal continuity and how personal continuity can be improved. DESIGN &

settingCross sectional survey study in The Netherlands.

methodA digital and postal survey was sent to 499 GPs and 1599 patients aged 65 years or older. Results were analysed using descriptive statistics for quantitative data and thematic analysis for open questions.

resultsIn total, 249 GPs and 582 patients completed the surveys. A large majority of GPs (92-99%) and patients (91-98%) felt it was important for patients to see their own GP for life events or psychosocial issues. GPs and patients provided suggestions on how personal continuity can be improved. The thematic analysis of these suggestions identified nine themes: 1) personal connection, 2) GP accessibility and availability, 3) communication about (dis)continuity, 4) GP responsibility, 5) triage, 6) time for the patient, 7) actions by third parties, 8) team continuity, and 9) GP vocational training.

conclusionBoth GPs and older patients still place high value on personal continuity in the context of a changing society. GPs and patients provided a wide range of suggestions for improving personal continuity. The authors will use these suggestions to develop interventions for optimising personal continuity in general practice.

Indexed as

agedaged, 80 and overcontinuity of caregeneral practiceNetherlandsphysician-patient relationsquality of lifesurveys and questionnaires

Identifiers

PMID36720564
PMCPMC10354384

What OpenQuestion holds

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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.