Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorGuthrie, Bruce-
dc.contributor.authorWyke, Sally-
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 Central-
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".-
dc.subject.lcshPatient Care Management methods-
dc.subject.lcshNursing Social aspects-
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 Practice-
dc.type.statusPublisher version (final published refereed version)-
dc.contributor.affiliationUniversity of Dundee-
dc.contributor.affiliationNMAHP Research-
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
Personal continuity and access in UK general practice.pdf257.34 kBAdobe PDFView/Open

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.