{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T18:58:48Z","timestamp":1778093928573,"version":"3.51.4"},"reference-count":40,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2024,12,18]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Declining continuity of care in England could disproportionately affect some patient groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine patients\u2019 perceptions of continuity of primary care, identify factors associated with continuity, and measure changes in continuity of care for different patient groups, following primary care network (PCN) implementations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>Cross-sectional surveys were undertaken of patients from three groups (older adults with polypharmacy, patients with mild or moderate anxiety or depression, and working-age adults [18\u201345 years]), attending 19 practices in five PCNs in England, at two timepoints (November 2021\u2013April 2022 and November 2022\u2013April 2023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Relational continuity was measured using the Nijmegen Continuity Questionnaire (NCQ) score. Differences between patient groups and two timepoints were tested using multiple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Survey response rates were\n                      <jats:italic>n<\/jats:italic>\n                      = 362\/1547 (23%) and\n                      <jats:italic>n<\/jats:italic>\n                      = 350\/1528 (23%). Adults with polypharmacy experienced significantly better continuity than adults with anxiety or depression and younger working-age adults after adjusting for PCN, practice, and population-level characteristics (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). Those who always or sometimes saw their preferred GP experienced significantly better continuity than those who never did (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01). PCNs with pre-existing inter-practice collaborations were not associated with differences in relational continuity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found differences in experienced continuity of care between patient groups. Relational continuity depends on seeing a preferred GP, not a non-preferred GP or other healthcare professional (HCP). Better continuity was associated with larger practice networks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2024.0267","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T07:55:14Z","timestamp":1747122914000},"page":"BJGPO.2024.0267","source":"Crossref","is-referenced-by-count":1,"title":["Patient perceptions of relational continuity in England: insights from two cross-sectional surveys"],"prefix":"10.3399","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3215-3937","authenticated-orcid":false,"given":"Bolanle","family":"Odebiyi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4177-8049","authenticated-orcid":false,"given":"Jonathan","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4936-2881","authenticated-orcid":false,"given":"Mhorag","family":"Goff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1076-435X","authenticated-orcid":false,"given":"Ali MK","family":"Hindi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-9514","authenticated-orcid":false,"given":"Jonathan","family":"Hammond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9961-5317","authenticated-orcid":false,"given":"Katherine","family":"Checkland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6635-2127","authenticated-orcid":false,"given":"Matt","family":"Sutton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6199-5748","authenticated-orcid":false,"given":"Sally","family":"Jacobs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"key":"2025111817501086000_BJGPO.2024.0267v2.1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1499"},{"key":"2025111817501086000_BJGPO.2024.0267v2.2","doi-asserted-by":"publisher","DOI":"10.1258\/135581906778476490"},{"key":"2025111817501086000_BJGPO.2024.0267v2.3","doi-asserted-by":"publisher","DOI":"10.1370\/afm.285"},{"key":"2025111817501086000_BJGPO.2024.0267v2.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05136.x"},{"key":"2025111817501086000_BJGPO.2024.0267v2.5","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmr104"},{"key":"2025111817501086000_BJGPO.2024.0267v2.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.05.013"},{"key":"2025111817501086000_BJGPO.2024.0267v2.7","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp16X686101"},{"key":"2025111817501086000_BJGPO.2024.0267v2.8","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.20079"},{"key":"2025111817501086000_BJGPO.2024.0267v2.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101492"},{"key":"2025111817501086000_BJGPO.2024.0267v2.10","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000018"},{"key":"2025111817501086000_BJGPO.2024.0267v2.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.06.027"},{"key":"2025111817501086000_BJGPO.2024.0267v2.12","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2017.1333303"},{"key":"2025111817501086000_BJGPO.2024.0267v2.13","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzp059"},{"key":"2025111817501086000_BJGPO.2024.0267v2.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-021161"},{"key":"2025111817501086000_BJGPO.2024.0267v2.15","doi-asserted-by":"publisher","DOI":"10.1177\/1077558710371485"},{"key":"2025111817501086000_BJGPO.2024.0267v2.16","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2022.0099"},{"key":"2025111817501086000_BJGPO.2024.0267v2.17","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2020.0935"},{"key":"2025111817501086000_BJGPO.2024.0267v2.18","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp24X738477"},{"key":"2025111817501086000_BJGPO.2024.0267v2.19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-074584"},{"key":"2025111817501086000_BJGPO.2024.0267v2.20","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X696209"},{"key":"2025111817501086000_BJGPO.2024.0267v2.21","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3128"},{"key":"2025111817501086000_BJGPO.2024.0267v2.22","unstructured":"NHS England NHS Improvement (2020) Science in healthcare: delivering the NHS long term plan.The chief scientific officer\u2019s strategy. accessed. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/03\/science-in-healthcare-delivering-the-nhs-long-term-plan.pdf. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-075111"},{"key":"2025111817501086000_BJGPO.2024.0267v2.24","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X694469"},{"key":"2025111817501086000_BJGPO.2024.0267v2.25","unstructured":"Core Prescribing Solutions (2024) Additional Roles Reimbursement Scheme (ARRS). accessed. .. https:\/\/coreprescribingsolutions.co.uk\/arrs-support. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.26","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14032"},{"key":"2025111817501086000_BJGPO.2024.0267v2.27","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2023.0208"},{"key":"2025111817501086000_BJGPO.2024.0267v2.28","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7425.1219"},{"key":"2025111817501086000_BJGPO.2024.0267v2.29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.03.006"},{"key":"2025111817501086000_BJGPO.2024.0267v2.30","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0042256"},{"key":"2025111817501086000_BJGPO.2024.0267v2.31","unstructured":"Duerden M Avery T Payne R (2013) Polypharmacy and medicines optimisation: making it safe and sound. accessed. https:\/\/assets.kingsfund.org.uk\/f\/256914\/x\/0ffd18f8d6\/polypharmacy_medicines_optismisation_2013.pdf. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.32","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X653624"},{"key":"2025111817501086000_BJGPO.2024.0267v2.33","unstructured":"NHS England (2020) GP Patient Survey: national results and trends."},{"key":"2025111817501086000_BJGPO.2024.0267v2.34","unstructured":"NHS England (2022) General practice workforce. accessed. https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/general-and-personal-medical-services. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.35","unstructured":"NHS England (2022) NHS payments to general practice. accessed. https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-payments-to-general-practice. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.36","unstructured":"Department of Health and Social Care (2022) National general practice profiles. accessed. .. https:\/\/fingertips.phe.org.uk\/profile\/general-practice. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.37","unstructured":"NHS England (2022) GP Patient Survey 2022 results, accessed. https:\/\/www.gov.uk\/government\/statistics\/gp-patient-survey-2022-results. 10 Jul 2025."},{"key":"2025111817501086000_BJGPO.2024.0267v2.38","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp14X682825"},{"issue":"479","key":"2025111817501086000_BJGPO.2024.0267v2.39","first-page":"459","article-title":"Continuity of care in general practice: a survey of patients\u2019 views","author":"Schers","year":"2002","journal-title":"Br J Gen Pract"},{"key":"2025111817501086000_BJGPO.2024.0267v2.40","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2022.0043"}],"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2024.0267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T01:50:18Z","timestamp":1763517018000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2024.0267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,13]]},"references-count":40,"alternative-id":["10.3399\/BJGPO.2024.0267"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2024.0267","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,13]]}}}