Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors

Baker, Richard; Mainous, Arch G.; Gray, Denis Pereira; Love, Margaret M.

doi:10.1080/0283430310000528

Cited by 146 publications

(125 citation statements)

References 15 publications

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“…[61][62][63][64][65][66][67][68] Interpersonal continuity is highly valued by both patients and providers, and it has been associated with better adherence to provider recommendations. [69][70][71] Comprehensive primary care, which involves meeting the large majority of each patient's physical and mental health care needs, has been associated with better health outcomes provided at lower cost, 11,14,17,23,72,73 lower hospitalization rates for ambulatory care-sensitive conditions, 14,74 improved health and better self-reported health outcomes, 11,14,17,72,75 and greater equity (i.e., reduced disparities in disease severity as a result of earlier detection and prevention across different populations). 11,14,17,23 Better coordination between primary care and specialists (reflected by better communication and information exchange, use of nurses to help coordinate patient care between providers, or primary care coordination of referrals to specialists) has been associated with less service duplication, better patient outcomes, [76][77][78] greater satisfaction for providers and patients, 78,79 and higher overall efficiency.…”

Section: Primary Care Features and Associations With Patient Outcomesmentioning

confidence: 99%

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

et al. 2015

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Primary care plays a central role in the provision of health care, and is an organizing feature for health care delivery systems in most Western industrialized democracies. For a variety of reasons, however, the practice of primary care has been in decline in the U.S. This paper reviews key primary care concepts and their definitions, notes the increasingly complex interplay between primary care and the broader health care system, and offers research priorities to support future measurement, delivery and understanding of the role of primary care features on health care costs and quality.

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Section: Primary Care Features and Associations With Patient Outcomesmentioning

confidence: 99%

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

et al. 2015

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“…28 The association between continuity, patient trust and satisfaction has been previously discussed in the literature. 6,37 Trust in the treating primary care physician has been shown to be positively associated with patient satisfaction, the duration of the doctor-patient relationship and the number of visits to the physician. 37 The GPR, with a relatively brief period of time in a practice, is unlikely to have the opportunity to establish the level of trust that his/her supervisors have previously established.…”

Section: Patient Trustmentioning

confidence: 99%

“…22 This, and the relative reluctance of older patients and those with chronic conditions to be treated by GPRs, 12 is consistent with the medical literature on continuity of care. 6,34 Previous research has shown continuity means more to patients who share a history of significant events with their physician, 35 describing the sense of security that access to a regular GP provides to those who are chronically ill. 36 These factors work against the willingness of these patients to see a newly introduced GPR.…”

Section: Patient Acceptance Of Being Treated By Gprsmentioning

confidence: 99%

“…3 A large UK study reported that being a training practice was significantly associated with a reduction in patient satisfaction and reduced continuity was proposed as a cause. 4 Continuity of care has been shown to be associated with patient trust, 5,6 patient satisfaction 6,7 and improved patient outcomes. 8 The importance of continuity is reflected in a Canadian study that found that a primary reason why patients chose not to see a family medicine trainee was to maintain personal continuity with their regular doctor.…”

Section: Introductionmentioning

confidence: 99%

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Patients’ Attitudes to General Practice Registrars: A Review of the Literature

Bonney

Phillipson

Reis

et al. 2009

Education for Primary Care

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Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature and magnitude of the challenge, and to identify important research gaps. Methods Major electronic medical literature databases were searched for relevant articles using search terms including general practice, registrar, doctor-patient relationship, patient attitudes and elderly, for the period from 1980 to March 2009. The studies were analysed by methodology, content and theme. Results A total of 15 studies were identified that directly addressed patients' attitudes to GP registrars. Whilst there appeared an overall high acceptance of registrars by patients, increasing patient age was associated with more negative attitudes towards registrars, reduced trust and decreased satisfaction with communication. Presentations for chronic or emotional problems were associated with reduced willingness to consult registrars. Patients generally appreciated an ongoing involvement with their usual GP. Discussion These findings have implications for training practices and research directions. Demonstrating continuity of care through shared chronic disease management between supervisors and registrars is a possible model that meets registrars training and continuity needs. There is a need for quality research on the type and magnitude of problems affecting GP registrar encounters with older patients and, based on results from these studies to, create and assess models of registrar training involving older patients, that meet patients' needs for continuity of care.

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“…Continuity is one of the basic aspects in general practice (4,14). In the CB group patients received an appointment with the preferred doctor more often than in the TB group.…”

Section: Discussionmentioning

confidence: 99%

The quality of GP consultation in two different salary systemsA Finnish experience

Kuusela

Vainiomäki

Hinkka

et al. 2004

Scandinavian Journal of Primary Health Care

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Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors

Cited by 146 publications

References 15 publications

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

Patients’ Attitudes to General Practice Registrars: A Review of the Literature

The quality of GP consultation in two different salary systemsA Finnish experience

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