Continuity of care: in search of the Holy Grail of general practice

Harris, Mark; Frith, J

doi:10.5694/j.1326-5377.1996.tb122119.x

Cited by 8 publications

(3 citation statements)

References 1 publication

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“…General practitioners in countries with a well developed primary medical care system such as Britain,37 Norway,10 and Australia38 seem caught between the rhetoric and tradition of longitudinal continuity and the often conflicting pressures of patients' expectations and society's demands. To be in demand is a yardstick of success in any profession 39.…”

Section: What Do General Practitioners Want?mentioning

confidence: 99%

What future for continuity of care in general practice?

Freeman

Hjortdahl

1997

BMJ

132

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Section: What Do General Practitioners Want?mentioning

confidence: 99%

What future for continuity of care in general practice?

Freeman

Hjortdahl

1997

BMJ

132

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“…Nevertheless the retention rate of patients in the doctor/dietitian group after 12 months compared favourably with the retention rates found by Croft et al 13 and Johnston et al 15 This is encouraging for Australian general practice where the absence of formal practice lists is seen as a barrier to continuity of care and preventive care. 24 Further research is needed to determine if outcomes are sustained beyond the intervention period.…”

Section: Discussionmentioning

confidence: 99%

Nutritional counselling in general practice: a cost effective analysis

Pritchard

Hyndman

Taba

1999

Journal of Epidemiology & Community Health

124

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Study objective-To study the clinical and cost outcomes of providing nutritional counselling to patients with one or more of the following conditions: overweight, hypertension and type 2 diabetes. Design-The study was designed as a random controlled trial. Consecutive patients were screened opportunistically for one or more of the above conditions and randomly allocated to one of two intervention groups (doctor/dietitian or dietitian) or a control group. Both intervention groups received six counselling sessions over 12 months from a dietitian. However, in the doctor/dietitian group it was the doctor and not the dietitian who invited the patient to join the study and the same doctor also reviewed progress at two of the six counselling sessions. Setting-The study was conducted in a university group general practice set in a lower socioeconomic outer suburb of Perth, Western Australia. Patients-Of the 273 patients randomly allocated to a study group, 198 were women. Age ranged from 25 to 65 years. Seventy eight per cent of patients resided in the lower two socioeconomic quartiles, 56 per cent described their occupation as home duties and 78 per cent were partnered. Results-Both intervention groups reduced weight and blood pressure compared with the control group. Patients in the doctor/dietitian group were more likely to complete the 12 month programme than those in the dietitian group. Patients in the doctor/dietitian group lost an average of 6.7 kg at a cost of $A9.76 per kilogram, while the dietitian group lost 5.6 kg at a cost of $A7.30 per kilogram. Conclusion-General practitioners, in conjunction with a dietitian, can produce significant weight and blood pressure improvement by health promotion methods. (J Epidemiol Community Health 1999;53:311-316)

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“…On the general practice side, the establishment of such programs has been driven by the increasing fragmentation of care across multiple providers (including often multiple GPS). 35 On the specialist services side, there have been pressures to reduce hospital length of stay and move care into the community, and a desire to achieve population health outcomes. "…”

Section: Discussionmentioning

confidence: 99%