Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2024
Factors affecting the experience of joined-up, continuous primary care in the absence of relational continuity: an observational study.
Observational study 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 8 papers.
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
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.
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Who cites it
8 citing papers in PubMed.
- Which aspects of continuity of care in primary care are associated with better self-rated health? A cross-sectional study among older adults in Berlin.BMC primary care · 2026Article
- Continuity of Care as Diagnostic Infrastructure.Journal of evaluation in clinical practice · 2026Article
- What do patients and clinicians think about continuity in general practice in England? a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Patient perceptions of relational continuity in England: insights from two cross-sectional surveys.BJGP open · 2025Article
- Jess's Rule: advocating for continuity, ownership, and generalism in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- How do patients access and experience long-term care after stroke in the German healthcare system? A qualitative interview study.BMJ open · 2025Article
- Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- 'None of Them Know Me': A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience.Health expectations : an international journal of public participation in health care and health policy · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an international trend towards the at-scale provision of primary care services, with such services often provided in different settings by a clinician unfamiliar to the patient. It is often assumed that, in the absence of relational continuity, any competent clinician can deliver joined-up, continuous care if they have access to clinical notes.
aimTo explore the factors that affect the potential for providing joined-up, continuous care in a system where care is delivered away from a patient's regular practice, by a different organisation and set of staff. DESIGN AND
settingCase studies of two extended-access providers in the north of England.
methodCase studies were carried out between September 2021 and January 2022 in two sites. Data collected included observations of patient-healthcare professional interactions, interviews with staff and patients, and documentation. Analysis took place using a constant comparison approach. Data were coded. A model of the factors affecting continuity was constructed.
resultsThe potential for joined-up, continuous care appears dependent on staff, patient, and system factors. This includes diverse elements such as the attitude of clinicians to care coordination and the ability of an organisation to retain staff.
conclusionHealthcare systems increasingly rely on the assumption that any competent clinician can deliver joined-up, continuous care if they have access to clinical notes. This appears not to be the case. This study presents a model of factors affecting the patient's experience of continuity. The model needs validating in in-hours general practice and other settings.
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