Do English patients want continuity of care, and do they receive it?

作者：Rubin Greg^*

来源：British Journal of General Practice, 2012, 62(602): 462-462.

DOI：10.3399/bjgp12X654533

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.

• 出版日期2012-9