What do patients and the public want from primary care?

doi:10.1136/bmj.331.7526.1199

BMJ 2005;331:1199-1201 (19 November), doi:10.1136/bmj.331.7526.1199

Education and debate

The NHS revolution: health care in the market place

What do patients and the public want from primary care?

Angela Coulter, chief executive¹

¹ Picker Institute Europe, Oxford OX1 1RX angela.coulter@pickereurope.ac.uk

The government hopes that getting patients' views on their prioritiesfor primary care will ensure support for its plans. It is likelyto find patients care more about quality of care than structuralor financial reform

The first 150 words of the full text of this article appear below.

Introduction

The UK government has stated it wants the public to help shapethe future of the health service. In the run-up to the plannedpublication of a white paper on care outside hospitals, PatriciaHewitt, secretary of state for health in England, is leadinga big public engagement exercise to "genuinely involve patients,public and staff in designing family health and social careto meet the challenges of the 21st century."¹ The secretaryof state's commitment to engaging directly with the public iscommendable if it is a genuine attempt to listen and learn,but she should also take account of the extensive body of researchevidence on what patients and the public want. Patients havediverse needs and expectations leading to different, and some-timesconflicting, views on priorities,² but it is possible to discernthemes. What does the evidence show?

Structure of primary care

A distinction can be made between what patients want . . . [Full text of this article]

Interpersonal care

Access

Choice and continuity

Shared decision making

Equity and participation

Conclusion

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