ArticleBJGP open2023
Continuity and discontinuity of care among older patients in Danish general practice: a retrospective cohort study.
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 8 papers.
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Who cites it
8 citing papers in PubMed.
- GP turnover in a multiprofessional team-based primary care system: evidence from Sweden.Scandinavian journal of primary health care · 2026Observational
- Older immigrants' use of general practice in Denmark a register-based cohort study.Scandinavian journal of primary health care · 2026Article
- General practice consultation patterns and patient factors predicting older patients' use of out-of-hours services: a nationwide register-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Danish primary care: a focus on general practice in the Danish healthcare system.Scandinavian journal of primary health care · 2025Article
- Consultation frequency patterns for older patients in Danish general practice: a nationwide register-based cohort study.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
- The Gatekeeper's Dilemma: Unpacking the Complexity of Low-Value Care in General Practice.Sociology of health & illness · 2025Article
- Enabling patient-physician continuity in Swedish primary care: the importance of a named GP. A registry-based observational study.BJGP open · 2024Article
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundContinuity of care (COC) for older adults has been associated with lower use of healthcare services, decreased risk of hospitalisation, and lower mortality. However, research on COC in older adults is limited by short time periods and small sample sizes. Long-term COC can only develop if the patient stays with the general practice for ≥10 years. Therefore, research that focuses on long duration and broader populations is needed.
aimTo measure the extent of longitudinal site-level COC in general practice and listing duration of the patient-general practice relation for all older Danish citizens. DESIGN &
settingRetrospective cohort study of all patients aged ≥65 years on 31 December 2021 listed with a Danish general practice (
methodIndividual-level register data were used on start and end dates for listing with a general practice to analyse site-level COC by number of changes and listing duration of the patient-general practice relation from January 2007-December 2021.
resultsDuring the 15 years, 39.3% of older adults did not change general practice. Among the remaining 60.7%, who experienced discontinuity of care, 34.0% changed once, 16.3% changed twice, and 6.3% changed three times. Overall, <5% changed general practice >3 times. The duration of the patient-general practice relations were on average 9.5 years. Overall, 27.5% lasted 0-4 years, 33.7% lasted 5-9 years, and 38.8% lasted ≥10 years.
conclusionDanish general practice provides high levels of site-level COC for their older patients. On average, patients aged ≥65 years changed general practice once and had a patient-general practice relation length of 9.5 years.
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