ArticleBJGP open2026
Enhancing understanding of interventions to increase relational continuity in general practice: a realist review protocol.
Article in BJGP open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
9 authors.
Funding
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Abstract
backgroundRelational continuity of care (RCC), which is characterised by an ongoing therapeutic relationship between patients and their primary care providers, is critical for ensuring high-quality care in general practice. Despite its importance, challenges, such as staffing shortages, policy shifts, and evolving patient needs, often impede its consistent delivery. With the new GP contract in England highlighting the need for primary care providers to monitor and deliver relational continuity, it is more crucial than ever to understand how best to achieve it.
aimTo explore how, why, and under what conditions interventions to improve relational continuity are successfully implemented in general practice. DESIGN &
settingThe realist review will be supported by an expert stakeholder panel and a patient advisory group to consider the diverse and dynamic settings of general practice, and generate contexts, mechanisms, and outcomes configurations exploring how interventions to enhance RCC in general practice work.
methodThrough the synthesis of diverse international evidence sources, including qualitative, quantitative, and mixed-methods studies, as well as grey literature, the review will develop an understanding of the mechanisms that produce relational continuity, the contexts in which these mechanisms operate, and the outcomes they produce for the health system, practices, practitioners, and patients.
conclusionThe findings will provide data to inform future research and refine strategies and policies that support the effective delivery of relational continuity, which in turn may lead to improved patient outcomes and enhanced care experiences.
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