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Denis Pereira Gray and colleagues argue that a renewed focus on continuity could help reduce the pressures facing general practice and the wider health system
General practice is in crisis with falling numbers of general practitioners and low morale. For the first time, more patients are dissatisfied than are satisfied with general practice.1 National policies to deal with the crisis include the NHS workforce plan and deploying other health professionals into practices, but the potential of enhanced continuity of care to ameliorate professional and public discontent has been largely overlooked. Though definitions of general practice continuity of care differ,2 relational continuity—when a patient sees the same GP repeatedly, regardless of also seeing other professionals—generates trust among patients.3 Longitudinal continuity (being registered with the same practice) fosters relational continuity over time and is the most important component enhancing GPs’ understanding of the patient’s context.
The General Practice Patient Survey shows that continuity for patients in the UK with their GPs has been falling, with a 27.5% decline between 2012 and 2017.4 Multiple factors contribute including a severe shortage of GPs, fewer GPs consulting five days a week, and national policies that focus on access times at the expense of continuity.
Although some people believe that continuity and fast access are incompatible, continuity may improve access overall by saving the total number of repeat appointments required.5 Furthermore, as more patients live longer with multiple, complex, chronic conditions, we argue that it is both possible and desirable for GPs to build strong therapeutic relationships with patients through continuity.
A wealth of observational data are available on the effects on continuity on important patient outcomes. For example, in a 2018 systematic review of 22 studies, 18 showed lower mortality with higher levels of continuity, while the rest showed no …
Senior Associate Dean Mark Rickenbach to take role in Office of the Vice Chancellor for Research and Graduate Education – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.
CALS EDC lunch and learn: Update on college DEI efforts – Feb. 21 – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.
Nominate – or apply – for LEAD21 leadership development program – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.
Positive budget developments for Division of Extension result in approved Extension-funded faculty positions in CALS – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.
2021-22 Faculty Personnel Deadlines – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.
May 10, 2021 | Bill Barker, associate dean for research and graduate programs in the College of Agricultural and Life Sciences, is set to retire on June 30, 2021 after 30 years with UW–Madison. Barker joined the university in 1991, working as a researcher in the Department of Geology and Geophysics for many years. In 2000, he made a career shift to administration, becoming assistant dean for research and technology transfer in the College of Letters and Science. Barker went on to hold numerous leadership roles in L&S through 2013, including associate dean for regulatory compliance. In 2013, he joined the Office of the Vice Chancellor for Graduate Research and Education, where he served as the first director of the Offices of Research Policy and Industrial Partnerships.
Wisconsin DOT Issues Funds to Support County Forest Roads A county forest road in Douglas County. (Wisconsin Department of Transportation) The Wisconsin Department of Transportation recently distributed funds to improve public roads that run through county forests. Some $320,600 will support 900 miles of public roads throughout 24 counties. The funding was administered by WisDOT through the County Forest Road Aids program, which covers costs for the improvement and maintenance of roads that traverse county forests. These roads are important for timber hauling operations, according to a WisDOT spokesperson. “County forests are an asset to Wisconsin, and maintaining good access to these lands improves tourism, industry and agriculture,” said WisDOT Secretary-designee Craig Thompson. “WisDOT is pleased to work with our county partners to make good investments in our local transportation infrastructure.”
Rickenbach offers updates on CALS climate survey findings and next steps – eCALS wisc.edu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from wisc.edu Daily Mail and Mail on Sunday newspapers.