A method for measuring continuity of care in day-to-day general practice: a quantitative analysis of appointment data.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Kate Sidaway-LeePhilip Evans

Abstract

Despite patient preference and many known benefits, continuity of care is in decline in general practice. The most common method of measuring continuity is the Usual Provider of Care (UPC) index. This requires a number of appointments per patient and a relatively long timeframe for accuracy, reducing its applicability for day-to-day performance management. To describe the St Leonard's Index of Continuity of Care (SLICC) for measuring GP continuity regularly, and demonstrate how it has been used in service in general practice. Analysis of appointment audit data from 2016-2017 in a general practice with 8823-9409 patients and seven part-time partners, in Exeter, UK. The percentage of face-to-face appointments for patients on each doctor's list, with the patient's personal doctor (the SLICC), was calculated monthly. The SLICC for different demographic groupings of patients (for example, sex and frequency of attendance) was compared. The UPC index over the 2 years was also calculated, allowing comparisons between indices. In the 2-year study period, there were 35 622 GP face-to-face appointments; 1.96 per patient per year. Overall, 51.7% (95% confidence interval = 51.2 to 52.2) of GP appointments were with the patients' personal do...Continue Reading

References

Oct 1, 1979·Annals of Internal Medicine·J F Burnum
May 16, 1992·BMJ : British Medical Journal·P Hjortdahl, E Laerum
Nov 3, 1990·BMJ : British Medical Journal·G K Freeman, S C Richards
Oct 1, 1996·The British Journal of Oral & Maxillofacial Surgery·P J McArdle, M Whitnall
Jun 27, 1998·Journal of the American Podiatric Medical Association·R D EvansN S Heath
Jun 10, 2000·American Journal of Public Health·D A ChristakisF A Connell
Mar 27, 2004·Annals of Family Medicine·Jan M De MaeseneerJozef Heyerick
Apr 6, 2006·Medical Care Research and Review : MCRR·Sandra H Jee, Michael D Cabana
Oct 31, 2008·Journal of General Internal Medicine·John H Wasson
Apr 4, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Chris SalisburyAlan A Montgomery
Jan 8, 2010·Family Practice·Rhodes AdlerNina Bickell
Jun 18, 2010·Journal of Evaluation in Clinical Practice·Carl van WalravenAlan J Forster
Jul 10, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Anne Helen HansenOlav Helge Førde
Dec 7, 2013·Medical Care·Craig E PollackEric C Schneider
May 29, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Kurt StangeJeannie Haggerty
Apr 18, 2015·BMC Health Services Research·Yang CuiLuis Oppenheimer
May 27, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Alex HardingUNKNOWN Society for Academic Primary Care (SAPC) Heads of Teaching Group
Sep 29, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Liliana RisiGeorge Freeman
Oct 9, 2015·PloS One·James R WarrenLouisa Jorm
Apr 10, 2016·Lancet·F D Richard HobbsUNKNOWN National Institute for Health Research School for Primary Care Research
Nov 19, 2017·BMJ Open·Sarah StevensUNKNOWN NIHR School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford
Apr 25, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Toqir K MukhtarFd Richard Hobbs
May 10, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Louis S LeveneJohn Bankart
Oct 27, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Carolyn Chew-Graham
Apr 27, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ian Bennett-Britton, Chris Salisbury

❮ Previous
Next ❯

Citations

Dec 5, 2019·BMJ : British Medical Journal·Helen Salisbury
Dec 28, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Denis Pereira GrayAlex Harding
Jun 27, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Denis Pereira GrayPhilip Evans
Oct 28, 2019·BMJ : British Medical Journal·Denis Pereira GrayAlex Harding
Jun 15, 2019·Australian Journal of Primary Health·Alexandra Hofer, Malcolm McDonald
Sep 30, 2020·BMJ : British Medical Journal·Denis Pereira GrayMartin Roland
Aug 27, 2021·Israel Journal of Health Policy Research·A Golan-CohenS Vinker
Oct 2, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Denis Pereira GrayPhilip H Evans
Oct 6, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Hogne SandvikSteinar Hunskaar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.