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    Telephone survey of private patients' views on continuity of care and registration with general practice in Ireland.

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    Authors
    Carmody, Patricia
    Whitford, David L
    Affiliation
    Fairview Family Practice, Dublin 3, Ireland. patriciacarmody@ffp.ie <patriciacarmody@ffp.ie>
    Issue Date
    2007
    MeSH
    Adult
    Aged
    Continuity of Patient Care
    Cross-Sectional Studies
    Family Practice
    Fee-for-Service Plans
    Female
    Health Care Reform
    Health Care Surveys
    Humans
    Incidence
    Ireland
    Male
    Middle Aged
    Patient Acceptance of Health Care
    Physician-Patient Relations
    Private Practice
    Probability
    Questionnaires
    Risk Factors
    State Medicine
    Telephone
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    Citation
    Telephone survey of private patients' views on continuity of care and registration with general practice in Ireland. 2007, 8:17 BMC Fam Pract
    Journal
    BMC family practice
    URI
    http://hdl.handle.net/10147/95632
    DOI
    10.1186/1471-2296-8-17
    PubMed ID
    17397546
    Abstract
    BACKGROUND: The desire of patients for personal continuity of care with a General Practitioner (GP) has been well documented, but not within non-registered private patients in Ireland. This study set out to examine the attitudes and reported behaviours of private fee-paying patients towards continuity of GP care and universal registration for patients. METHODS: Cross-sectional telephone survey of 400 randomly chosen fee-paying patients living within County Dublin. There is no formal system of registration with a GP for these patients. Main outcomes were attendance of respondents at primary health care facilities and their attitudes towards continuity of care and registration with a GP. Data was analysed using descriptive statistics and using parametric and non-parametric tests of association. Pearson correlation was used to quantify the association between the described variables and attitudes towards continuity and registration with a GP. Variables showing significance at the 5% level were entered into multiple linear regression models. RESULTS: 97% of respondents had seen a GP in the previous 5 years. The mean number of visits to the GP for respondents was 2.3 per annum. 89% of respondents had a regular GP and the mean length of time with their GP was 15.6 years. 96% preferred their personal medical care to be provided within one general practice. 16% of respondents had consulted a GP outside of their own practice in the previous year. They were more likely to be female, commute a longer distance to work or have poorer health status. 81% considered it important to be officially registered with a GP practice of their choice. CONCLUSION: Both personal and longitudinal continuity of care with a GP are important to private patients. Respondents who chose to visit GPs other than their regular GP were not easily characterised in this study and individual circumstances may lead to this behaviour. There is strong support for a system of universal patient registration within general practice.
    Language
    en
    ISSN
    1471-2296
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2296-8-17
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