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Improving personal continuity in general practice: a focus group study
Lex Jozef Johannes Groot1, Esther Janssen2, Marjan Westerman3
1Department of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam and Aging and Later Life, Amsterdam Public Health, Amsterdam, the Netherlands.
Summary
Improving personal continuity in general practice requires a team-based approach. Investing in team communication and retaining GP availability are key strategies for enhancing continuity of care for all patients.
Area of Science:
- General Practice
- Healthcare Management
- Patient Care Quality
Background:
- Personal continuity in general practice is vital for high-quality care and reduced mortality.
- Societal and healthcare changes challenge personal continuity, particularly impacting older patients.
- Discontinuous care negatively affects older patients' health outcomes.
Purpose of the Study:
- To explore GP, patient, nurse, and assistant perspectives on enhancing personal continuity.
- To identify barriers and facilitators influencing personal continuity improvement in general practice.
Main Methods:
- Qualitative study utilizing focus groups (May-August 2019).
- Four focus groups conducted: GPs (n=17), patients (n=7), practice assistants (n=4), and nurses (n=2).
- Reflexive thematic analysis applied to focus group data.
Main Results:
- Personal continuity is perceived as a team effort, not solely the GP's responsibility.
- Suggestions for improvement include enhancing team communication, EHR utilization, and GP task delegation.
- Barriers and facilitators identified at individual, organizational, and societal levels.
Conclusions:
- General practice is shifting towards team-based care to ensure personal continuity.
- Future efforts should support team-based continuous care delivery.
- Focus on team dynamics and resource allocation is crucial for sustained personal continuity.
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