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Improving personal continuity in general practice: a focus group study.

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Improving personal continuity in general practice requires a team-based approach. Enhancing team communication and retaining GP accessibility are key to better continuity of care, especially for older patients.

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Area of Science:

  • General Practice
  • Healthcare Management
  • Patient Care Continuity

Background:

  • Personal continuity in general practice enhances care quality and reduces mortality.
  • Societal and healthcare changes challenge personal continuity, disproportionately affecting older patients.
  • Discontinuous care negatively impacts older individuals.

Purpose of the Study:

  • To explore perspectives on improving personal continuity in general practice.
  • To identify barriers and facilitators to enhancing personal continuity.
  • To understand the roles of GPs, older patients, practice nurses, and assistants.

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 practice nurses (n=2).
  • Reflexive thematic analysis applied to focus group data.

Main Results:

  • Personal continuity is a team effort, not solely the GP's responsibility.
  • Improving continuity involves enhancing team communication, utilizing electronic health records, and ensuring GP accessibility for frail older patients.
  • Barriers exist at individual, organizational (e.g., staff shortages), and societal levels (e.g., payment systems).

Conclusions:

  • General practice is shifting towards team-based care for personal continuity.
  • Efforts to improve personal continuity should support this team-based model.
  • Focusing on team-based provision of continuous care is essential.