Abstract：
BACKGROUND:Personal continuity is a core value for family practice, but policy and performance targets emphasise other aspects of care, particularly waiting times for consultation. This study examined patient and general practitioner (GP) perceptions of the value of personal continuity and rapid access, and the relationship between them. METHODS:Qualitative analysis of semi-structured interviews with a purposive sample of 16 GPs and 32 patients in the Lothian region of Scotland, to identify whether, how, why and in which circumstances personal continuity and rapid access were valued. RESULTS:From the patients' perspective, what mattered was 'access to appropriate care' depending on the problem to be dealt with. For a few patients, rapid access was the only priority. For most, rapid access was balanced against greater involvement in the consultation when seeing 'their' trusted doctor, which was particularly valued for chronic, complex and emotional problems. GPs focused on the value of personal continuity in the consultation for improving the diagnosis and management of the same kinds of problem. GPs did not perceive enabling access to be a core part of their work. There was little evidence that GPs routinely discussed with patients when or how personal continuity and access should be balanced. CONCLUSION:'Access to appropriate care' from the patients' perspective is not fully addressed by GPs' focus on personal continuity, nor by performance targets focused only on speed of access. GPs need to make enabling access as much a part of their core values as personal continuity, and access targets need to be based on less simplistic measures that account for the appropriateness of care as well as speed of access.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Guthrie B,Wyke Sdoi
10.1186/1471-2296-7-11keywords:
subject
Has Abstractpub_date
2006-02-24 00:00:00pages
11issn
1471-2296pii
1471-2296-7-11journal_volume
7pub_type
杂志文章abstract：BACKGROUND:Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health a...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-33
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abstract：BACKGROUND:A cluster randomised trial was conducted to determine the effectiveness of locally adapted practice guidelines and education about paediatric asthma management, delivered to general practitioners (GPs) in small group interactive workshops. METHODS:Twenty-nine practices were randomly allocated to one of thre...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-9-22
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abstract：BACKGROUND:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-12-12 00:00:00
abstract：BACKGROUND:Elderly patients with multimorbidity who are treated according to guidelines use a large number of drugs. This number of drugs increases the risk of adverse drug events (ADEs). Stopping medication may relieve these effects, and thereby improve the patient's wellbeing. To facilitate management of polypharmacy...
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abstract：BACKGROUND:Distress is an expected emotional response to a negative life event. Experiences common in later life may trigger distress such as bereavement or loss of physical mobility. Distress is considered to be distinct to anxiety and/or depression and is not diagnostically labelled as a mental health problem. Older ...
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abstract：BACKGROUND:In a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising 's...
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abstract：BACKGROUND:Chest complaints presented to a general practitioner (GP) are frequently caused by diseases which have advantageous outcomes. However, in some cases, acute coronary syndrome (ACS) is present (1.5-22% of cases). The patient's signs, symptoms and electrocardiography results are insufficient diagnostic tools to...
journal_title：BMC family practice
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更新日期：2014-12-12 00:00:00
abstract：BACKGROUND:The UK National GP Patient Survey is one of the largest ever survey programmes of patients registered to receive primary health care, inviting five million respondents to report their experience of NHS primary healthcare. The third such annual survey (2008/9) involved the development of a new survey instrume...
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pub_type： 杂志文章,多中心研究
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更新日期：2008-10-14 00:00:00
abstract：BACKGROUND:The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in order to facilitate inter-organizational and inter-sectoral collaboration. However, this task can be ...
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pub_type： 杂志文章
doi：10.1186/s12875-015-0231-z
更新日期：2015-02-13 00:00:00
abstract：BACKGROUND:Multimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core aspect of the shared decision-making (SDM) approach. This study aims to analyse clinician perceptions o...
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pub_type： 杂志文章
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更新日期：2019-06-06 00:00:00
abstract：BACKGROUND:International disease management guidelines recommend the regular assessment of depression and anxiety in heart failure patients. Currently there is little data on the effect of screening for depression and anxiety on the quality of life and the prognosis of heart failure (HF). We will investigate the associ...
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pub_type： 杂志文章
doi：10.1186/1471-2296-14-180
更新日期：2013-11-27 00:00:00
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journal_title：BMC family practice
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更新日期：2005-03-01 00:00:00
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更新日期：2008-06-30 00:00:00
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pub_type： 杂志文章
doi：10.1186/1471-2296-8-50
更新日期：2007-09-03 00:00:00
abstract：BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...
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pub_type： 杂志文章
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更新日期：2005-09-14 00:00:00
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pub_type： 杂志文章
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更新日期：2010-06-15 00:00:00
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更新日期：2020-04-22 00:00:00
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更新日期：2014-11-25 00:00:00
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pub_type： 杂志文章
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更新日期：2008-02-19 00:00:00
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