期刊
BRITISH JOURNAL OF GENERAL PRACTICE
卷 62, 期 601, 页码 -出版社
ROYAL COLL GENERAL PRACTITIONERS
DOI: 10.3399/bjgp12X653624
关键词
-
资金
- National Institutes of Health Research (NIHR) [PDF-2011-04-047] Funding Source: National Institutes of Health Research (NIHR)
- National Institute for Health Research [PDF-2011-04-047] Funding Source: researchfish
- Department of Health [PDF-2011-04-047] Funding Source: Medline
Background: Interpersonal continuity of care is valued by patients, but there is concern that it has declined in recent years. Aim: To determine how often patients express preference for seeing a particular GP and the extent to which that preference is met. Design of study: Analysis of data from the 2009/2010 English GP Patient Survey. Setting: A stratified random sample of adult patients registered with 8362 general practices in England (response rate 39%, yielding 2?169?718 responses). Method: Weighted estimates were calculated of preference for and success in seeing a particular GP. Multilevel logistic regression was used to identify characteristics associated with these two outcomes. Results: Excluding practices with one GP, 62% of patients expressed a preference for seeing a particular GP. Of these patients, 72% were successful in seeing their preferred GP most of the time. Certain patient groups were associated with more preference for and success in seeing a particular GP. These were older patients (preference odds ratio [OR]?=?1.7, success OR?=?1.8), those with chronic medical conditions (preference OR?=?1.9, success OR?=?1.3), those with chronic psychological conditions (preference OR?=?1.6, success OR?=?1.3), and those recently requesting only non-urgent versus urgent appointments (preference OR?=?1.4, success OR?=?1.6). Patient groups that had more frequent preference but less success in seeing a preferred GP were females (preference OR?=?1.5, success OR?=?0.9), patients in larger practices (preference OR?=?1.3, success OR?=?0.5), and those belonging to non-white ethnic groups. Conclusion: The majority of patients value interpersonal continuity, yet a large minority of patients and specific patient groups are not regularly able to see the GP they prefer.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据