{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:20:02Z","timestamp":1788182402788,"version":"build-2803163510"},"reference-count":38,"publisher":"Royal College of General Practitioners","issue":"767","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"accepted":{"date-parts":[[2025,9,3]]},"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Profound changes to English general practice aim to improve access to appointments, however, how these changes might affect patients\u2019 confidence and trust in healthcare professionals is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine whether appointments that were 1) face to face with any type of healthcare professional, or 2) with GPs in any mode, were associated with variations in confidence and trust in the professional last seen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>A practice-level cross-sectional study of 6196 English general practices was conducted from 2023\u20132024, using published data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In a weighted regression model, the outcome was patient-reported confidence and trust in healthcare professionals. The two variables of interest were the percentages of appointments with GPs in any mode or face to face any healthcare professional and the nine covariates were continuity, access, whether patients\u2019 needs were met, the annual appointment rate, practice list size, NHS region, deprivation, and practice populations\u2019 age and ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the model, higher confidence and trust was associated with higher percentages of patients seen by GPs in any mode or face to face any healthcare professional, also with increased continuity, appointment rates, percentages of patients having their needs met, percentages of patients aged &gt;18 years, and percentages of White ethnicity. Confidence and trust was higher in all regions compared with London. Lower confidence and trust was associated with higher deprivation. There was no association with improved access or list size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study cannot establish causation but does suggest that strategies to improve access that lower continuity, reduce the percentage of appointments that are with GPs, and increase remote consulting may lead to lower confidence and trust in healthcare professionals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgp.2025.0154","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T14:35:13Z","timestamp":1759761313000},"page":"e479-e485","source":"Crossref","is-referenced-by-count":0,"title":["Factors influencing confidence and trust in health professionals: a cross-sectional study of English general practices"],"prefix":"10.3399","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9215-0086","authenticated-orcid":false,"given":"Richard","family":"Baker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7092-8117","authenticated-orcid":false,"given":"Louis S","family":"Levene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5157-0431","authenticated-orcid":false,"given":"Emilie","family":"Couchman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2936-8592","authenticated-orcid":false,"given":"Christopher","family":"Newby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7096-517X","authenticated-orcid":false,"given":"George K","family":"Freeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"2026083105502891000_76.767.e479.1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12598"},{"key":"2026083105502891000_76.767.e479.2","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2023.89404"},{"key":"2026083105502891000_76.767.e479.3","doi-asserted-by":"publisher","DOI":"10.3390\/soc14120269"},{"key":"2026083105502891000_76.767.e479.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjms.2016.01.010"},{"key":"2026083105502891000_76.767.e479.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170988"},{"key":"2026083105502891000_76.767.e479.6","unstructured":"Royal College of General Practitioners (RCGP) (2021) The power of relationships: what is relationship-based care and why is it important? general practice COVID-19 recovery (RCGP), accessed. https:\/\/www.rcgp.org.uk\/getmedia\/ca3e21e7-f742-47d7-9538-77e59bbb1ec7\/power-of-relationships-rcgp-2021.pdf. 22 Jan 2026."},{"key":"2026083105502891000_76.767.e479.7","unstructured":"Morland P (2022) A fortunate woman, A country doctor\u2019s story (Picador, London)."},{"key":"2026083105502891000_76.767.e479.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m226"},{"key":"2026083105502891000_76.767.e479.9","unstructured":"NHS England and Ipsos GP Patient Survey, accessed. https:\/\/gp-patient.co.uk\/. 22 Jan 2026."},{"key":"2026083105502891000_76.767.e479.10","unstructured":"Hoddinott S (2025) General practice across England (Institute for Government, London)."},{"key":"2026083105502891000_76.767.e479.11","unstructured":"NHS Race & Health Observatory (2025) Patient experience and trust in NHS primary care, accessed. https:\/\/www.nhsrho.org\/wp-content\/uploads\/2025\/03\/TRUST-IN-PRIMARY-CARE-REPORT.pdf. 22 Jan 2026."},{"key":"2026083105502891000_76.767.e479.12","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp21X716093"},{"issue":"1","key":"2026083105502891000_76.767.e479.13","first-page":"22","article-title":"Continuity of care and trust in one\u2019s physician: evidence from primary care in the United States and the United Kingdom","volume":"33","author":"Mainous","year":"2001","journal-title":"Fam Med"},{"issue":"468","key":"2026083105502891000_76.767.e479.14","first-page":"575","article-title":"James Mackenzie Lecture. 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