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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.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|September 20, 2024
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
continuity of carefocus groupsgeneral practicephysician–patient relations

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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.