Evidence map›Paper›PMID 8745863›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1995

What type of general practice do patients prefer? Exploration of practice characteristics influencing patient satisfaction.

R Baker, J Streatfield

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 6 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

68 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Does practice size matter? Review of effects on quality of care in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Pooled it
  5. Walk-in centres in primary care: a review of the international literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Pooled it
  6. The relationship between consultation length, process and outcomes in general practice: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
    Pooled it
  7. Trial
  8. A cluster randomised controlled trial of patient-held medical records for people with schizophrenia receiving shared care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Trial
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  18. Measuring OPD Patient Satisfaction with Different Service Delivery Aspects at Public Hospitals in Pakistan.International journal of environmental research and public health · 2019
    Article
  19. A method for measuring continuity of care in day-to-day general practice: a quantitative analysis of appointment data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  20. Observational

8 more citing papers are in PubMed but not listed here.

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

2 authors.

R BakerEli Lilly National Clinical Audit Centre, Department of General Practice, University of Leicester.
J Streatfield

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practice is currently experiencing a large number of developments. Studies of patient satisfaction are required to guide the changes that many general practitioners are introducing.

aimA study set out to examine the characteristics of general practices that influence patient satisfaction.

methodIn 1991-92, a surgery satisfaction questionnaire of demonstrated reliability and validity was administered to 220 patients in each of 89 general practices. A further questionnaire completed by a member of practice staff collected information about practice characteristics including total list size, number, age and sex of practice partners, training status, fundholding status, presence of a practice manager and whether there was a personal list system. Stepwise multiple regression analyses were undertaken to identify those practice characteristics that influenced patient satisfaction.

resultsThe mean of the response rates of patients completing questionnaires in each practice was 82%. An increasing total list size of patients registered with practices was associated with decreasing levels of general satisfaction and decreased satisfaction with accessibility, availability, continuity of care, medical care and premises. The presence of a personal list system was associated with increased levels of general satisfaction and increased satisfaction with accessibility, availability, continuity of care and medical care. Training practices were associated with decreased levels of general satisfaction and decreased satisfaction with availability and continuity of care.

conclusionThe patients of practices in this study preferred smaller practices, non-training practices and practices that had personal list systems. Practice organization should be reviewed in order to ensure that the trend towards larger practices that provide a wider range of services does not lead to a decline in patient satisfaction. General practitioners should have personal list systems and consider the creation of several personal teams within the practice consisting of small numbers of doctors, receptionists and practice nurses.

Indexed as

Patient SatisfactionAdolescentAdultAgedContinuity of Patient CareEnglandFamily PracticeHumansMiddle AgedSurveys and Questionnaires

Identifiers

PMID8745863
PMCPMC1239467

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.