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dc.contributor.authorGuthrie, Bruceen_UK
dc.contributor.authorWyke, Sallyen_UK
dc.description.abstractBackground: 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.en_UK
dc.publisherBioMed Centralen_UK
dc.relationGuthrie B & Wyke S (2006) Personal continuity and access in UK general practice: a qualitative study of general practitioners' and patients' perceptions of when and how they matter. BMC Family Practice, 7 (1), p. 11.;
dc.rightsPublished in BMC Family Practice by BioMed Central Ltd.; © 2006 Guthrie and Wyke; licensee BioMed Central Ltd.; Publisher statement: "This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited".en_UK
dc.subjectPatient Care Management methodsen_UK
dc.subjectNursing Social aspectsen_UK
dc.titlePersonal continuity and access in UK general practice: a qualitative study of general practitioners' and patients' perceptions of when and how they matteren_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleBMC Family Practiceen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorGuthrie, Bruce|en_UK
local.rioxx.authorWyke, Sally|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenamePersonal continuity and access in UK general practice.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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