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The impact of initiatives announced by the NHS to boost GP numbers and improved terms await determination. Using linked, routinely collected data from primary and secondary care in England, we have shown that rates of consultation with a GP or nurse are not associated with clinical outcomes at the general practice level. However, higher rates of consultation are associated with greater quality of care and measures of patient satisfaction. Our results can be viewed as reassuring, indicating that despite increasing pressure in general practice, this is not associated with negative patient outcomes.
However, they also indicate that improved clinical outcomes may not be achieved by simply increasing the number of consultations offered in general practice. A more nuanced approach, taking into account the particular demographic challenges individual practices face and concerns of professionals regarding workload, may be warranted.
Clinical workload in UK primary care: a retrospective analysis of million consultations in England, — The ageing society and emergency hospital admissions. Health Policy New York [Internet]. Accessed 6 July Which features of primary care affect unscheduled secondary care use? A systematic review. BMJ Open [Internet]. What aspects of primary care predict emergency admission rates?
A cross sectional study. Accessed 17 July Spilsbury K, editor. PLoS One [Internet]. Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. BMJ [Internet].
Continuity of care with doctors-a matter of life and death? A systematic review of continuity of care and mortality. Delayed access to health care and mortality. Health Serv Res [Internet]. Ann Fam Med [Internet]. Nurse staffing and quality of care in UK general practice: cross-sectional study using routinely collected data. Br J Gen Pract. Patient experience of access to primary care: identification of predictors in a national patient survey. Baker R, Streatfield J. What type of general practice do patients prefer?
Exploration of practice characteristics influencing patient satisfaction. Br J Gen Pract [Internet].
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Int J Epidemiol [Internet]. Accessed 7 June Health and Social Care Information Centre. General and personal medical services: England, —, As at 30 September [Internet]. Accessed 11 May NHS Digital. NHS England. GP patient survey practice report July publication. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med [Internet]. Accessed 10 June Improving access to general practice [Internet]. Accessed 11 Oct Evaluation of telephone first approach to demand management in English general practice: observational study.
General practice — developing confidence, capability and capacity: A ten point action plan for general practice nursing [Internet]. Accessed 10 Dec Why do GPs leave direct patient care and what might help to retain them?
Quitting patient care and career break intentions among general practitioners in South West England: findings of a census survey of general practitioners. Download references. The funders had no involvement in the design of the study or in the collection, analysis and interpretation of data or in writing the manuscript. The data that support the findings of this study are available from the Clinical Practice Research Datalink CPRD but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available.
Researchers should contact CPRD directly for access to equivalent data. All authors have read and approved the manuscript. Correspondence to Sarah Lay-Flurrie or F. Richard Hobbs. CS is a GP in Bristol. Cassady, J. Nanda, et al. Consumer experiences and provider perceptions of the quality of primary care: implications for managed care.
J Fam Pract, 46 , pp.
- Primary Care | Pharmetique.
- Primary Care.
Cassady, B. Hurtado, et al. Measuring consumer experiences with primary care. Pediatrics, , pp. Levinson Miller, B. Druss, E. Dombrowski, et al. Barriers to primary medical care among patients at a community mental health center. Pshyquiatric Services, 54 , pp. Macinko, C. Almeida, P. A rapid assessment methodology for the evaluation of primary care organization and performance in Brazil. Health Policy Plan, 22 , pp. Haggerty, R. Pineault, M. Beaulieu, et al. Can Fam Phys, 53 , pp. Lee, Y. Choi, N. Sung, et al. Development of the Korean primary care assessment tool - measuring user experience: tests of data quality and measurement performance.
Int J Qual Health Care, 21 , pp.
Nurses as substitutes for doctors in primary care
Wong, K. Kung, S. Griffiths, et al. Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong. BMC Public Health, 10 , pp. Tsai, L. Shi, W. Yu, et al. Usual source of care and the quality of medical care experiences: a cross-sectional survey of patients from a Taiwanese community. Med Care, 48 , pp. Pizzanelli, J. Ponzo, M. Buglioli, et al. Berra, Y. Audisio, J. Berra, L. Rajmil, et al. Aten Primaria, 39 , pp.
Rocha, M. Assessment of primary health care in health surveys: a population perspective. Eur J Public Health, 22 , pp. Berra, K. Properties of a short questionnaire for assessing Primary Care experiences for children in a population survey. BMC Public Health, 11 , pp.
Reverte-Cejudo, M. Developing health services to Spain's autonomous regions. BMJ, , pp. Beaton, C. Bombardier, F. Guillemin, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25 , pp. Valderas, M. Ferrer, J. Instrumentos de medida de calidad de vida relacionada con la salud y de otros resultados percibidos por los pacientes. Med Clin Barc , , pp.
Terwee, S. Bot, M. Quality criteria wer proposed for measurement properties of health status questionnaires.
J Clin Epidemiol, 60 , pp. Sans-Corrales, E. Pujol-Ribera, J.
PRIMARY CARE | meaning in the Cambridge English Dictionary
Family medicine attributes related to satisfaction, health and costs. Fam Pract, 23 , pp. Sans-Corrales, et al. Gac Sanit, 20 , pp. Guarga, M. Aten Primaria, 24 , pp. Accessed January 9, Kringos, W. Boerma, T. Bourgueil, et al. The European primary care monitor: structure, process and outcome indicators.
BMC Fam Pract, 11 , pp. Berra, M. Herdman, et al. Vilagut, M. Ferrer, L. Gac Sanit, 19 , pp. Serra-Sutton, L. Rajmil, J.
A Range of Possibilities
Alonso, et al. Valores poblacionales de referencia del perfil de salud CHIP-AE a partir de una muestra representativa de adolescentes escolarizados. Gac Sanit, 17 , pp. Almeida, E. Primary care—now more than ever. Accessed May 31, Many thanks Professor Barbara Starfield! Are you a health professional able to prescribe or dispense drugs? Si continua navegando, consideramos que acepta su uso. To improve our services and products, we use "cookies" own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
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