Access targets undermined continuity of care

Continuity of care fell after 48-hour appointment targets were introduced and access has not improved for most patients, research has found.

Professor Martin Roland, director of the National Primary Care Research and Development Centre in Manchester, and colleagues studied 42 practices in England.

The researchers sent questionnaires to patients in 2003, 2005 and 2007. There were no significant changes in quality of care in terms of communication, coordination and overall satisfaction.

But patients said they found it harder to see their usual GP and were less satisfied with the continuity of the care they received. The researchers blame access targets.

‘This outcome may be related to the incentives to provide rapid appointments or to the increased number of specialised clinics in primary care,’ they said. ‘Unintended effects need to be considered when introducing pay for performance schemes.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

How GPs should support vulnerable patients during COVID-19 outbreak

How GPs should support vulnerable patients during COVID-19 outbreak

GPs are expected to play a key role to play in supporting patients most at-risk during...

GP workforce hit hard by COVID-19 self-isolation, BMA poll reveals

GP workforce hit hard by COVID-19 self-isolation, BMA poll reveals

More than two in five GPs say their practice workforce has been significantly reduced...

Just 2% of GPs feel fully protected against COVID-19, BMA poll shows

Just 2% of GPs feel fully protected against COVID-19, BMA poll shows

Most GPs 'rarely' or 'never' have adequate personal protective equipment (PPE) for...

Death certification during the coronavirus outbreak

Death certification during the coronavirus outbreak

The MDU's Dr Ed Nandasoma answers questions relating to certifying deaths in all...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

NICE publishes rapid guidance on managing COVID-19 in primary care

NICE publishes rapid guidance on managing COVID-19 in primary care

New guidance on symptom management in patients with suspected and confirmed COVID-19...