Säröledens Familjeläkare, Billdal, Sweden.
Scand J Prim Health Care. 2024 Mar;42(1):195-200. doi: 10.1080/02813432.2023.2299119. Epub 2024 Feb 7.
The primary objective of this study was to evaluate the patients' view on continuity of care (CoC), including preference for a certain general practitioner (GP) and importance and access to a regular general practitioner (RGP).
Cross-sectional study.
Primary care center in Halland County, in the western part of Sweden.
Patients ≥18 years old and having at least one appointment at the primary care center during October-December 2022.
Preference for a certain GP and importance of and accessibility for an RGP.
The study included 404 patients. Importance of having an RGP was considered by 86% of the patients. Preference for a certain GP was thought by 73% of the patients, and when asked as a bivariate question, 69% considered having an RGP. Both the importance of an RGP and preference for a certain GP were more often considered by patients ≥65 years ( < .0001). Regarding accessibility, 67% of the patients reported having access to their RGP 'always/most of the time or a lot of the time' and 62% reported seeing their RGP at last visit.
In conclusion, this study showed that the majority of patients value CoC in terms of importance of having an RGP. Older patients were more likely to have a preference for a certain GP. Two-third of the patients succeeded in seeing their RGP always or a lot of the time. The results in this study provide evidence that CoC is important for most patients, regardless of age and gender.Key pointsPrevious studies have showed that continuity of care (CoC) is important regarding mortality and morbidity. In primary care, there is a current debate regarding CoC, accessibility and the strive for CoC. This study showed that the majority of patients, regardless of age and gender, value CoC and consider it being important. However, there was a statistically significant difference regarding age, where patients above 65 years old thought it was more important to have a regular general practitioner and more often had a preference for a certain GP.
本研究的主要目的是评估患者对连续性护理（CoC）的看法，包括对特定全科医生（GP）的偏好以及对常规全科医生（RGP）的重要性和可及性。
横断面研究。
瑞典西部哈兰省的一个初级保健中心。
年龄≥18 岁且 2022 年 10 月至 12 月期间至少在初级保健中心预约过一次的患者。
对特定 GP 的偏好以及对 RGP 的重要性和可及性。
本研究共纳入 404 名患者。86%的患者认为拥有 RGP 很重要。73%的患者认为对特定 GP 有偏好，当以双变量问题询问时，69%的患者认为有 RGP。无论年龄大小，患者对 RGP 的重要性和对特定 GP 的偏好都更为常见（<0.0001）。在可及性方面，67%的患者报告说他们总是/大部分时间或大部分时间都可以获得他们的 RGP，62%的患者报告说他们在最近一次就诊时看到了他们的 RGP。
总之，本研究表明，大多数患者认为拥有 RGP 很重要，这体现了 CoC 的重要性。年龄较大的患者更有可能对特定的 GP 有偏好。三分之二的患者总能或大部分时间见到他们的 RGP。本研究的结果表明，CoC 对大多数患者，无论年龄和性别如何，都很重要。
先前的研究表明，连续性护理（CoC）在死亡率和发病率方面很重要。在初级保健中，目前正在围绕 CoC、可及性和对 CoC 的追求进行辩论。本研究表明，大多数患者，无论年龄和性别如何，都重视 CoC 并认为其很重要。然而，在年龄方面存在统计学上的显著差异，65 岁以上的患者认为拥有常规全科医生更为重要，并且更倾向于选择特定的全科医生。
