ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024
Primary care transformation in Scotland: a qualitative evaluation of the views of patients.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Perspectives of patients on the role of general practice pharmacists: a systematic review and meta-synthesis of qualitative studies.BMC primary care · 2025Pooled it
- Implications of skill-mix change in general practice: secondary analysis of data from the GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Can multidisciplinary teams improve the quality of primary care? A scoping review.EClinicalMedicine · 2025Review
- Laryngeal Cancer in the West of Scotland 2014-2020: Trends and Survival in a Cohort of 867 Patients.The Laryngoscope · 2025Article
- The Integration of Social and Health Sectors in Scotland: An Analysis from the Prism of Different Public Policy Models.Journal of market access & health policy · 2025Article
- Patients' views on primary care multidisciplinary teams in Scotland: a mixed-methods evaluation.BJGP open · 2024Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe new Scottish GP contract introduced in April 2018 aims to improve quality of care through expansion of the multidisciplinary team (MDT) to enable GPs to spend more time as expert medical generalists with patients with complex needs.
aimTo explore patients' views on the changes in general practice in Scotland since the inception of the new contract. DESIGN AND
settingQualitative study with 30 patients (10 living in urban deprived areas, 10 living in urban affluent/mixed urban areas, and 10 living in remote and rural areas).
methodIn-depth semi-structured interviews with thematic analysis.
resultsPatients were generally unaware of the new GP contract, attributing recent changes in general practice to the COVID-19 pandemic. Ongoing concerns included access to GP consultations (especially face-to-face ones), short consultation length with GPs, and damage to continuity of care and the GP-patient relationship. Most patients spoke positively about consultations with MDT staff but still wanted to see a known GP for health concerns that they considered potentially serious. These issues were especially concerning for patients with multiple complex problems, particularly those from deprived areas.
conclusionFollowing the introduction of the new Scottish GP contract, patients in this study's sample were accepting of first contact care from the MDT but still wanted continuity of care and longer face-to-face consultations with GPs. These findings suggest that the expert generalist role of the GP is not being adequately supported by the new contract, especially in deprived areas, though further quantitative research is required to confirm this.
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