Quality of care in general practice varies widely

No single type of general practice has a monopoly on high quality of care. Campbell and colleagues (p 784) studied a random sample of 60 English practices and found that diabetes care was better in larger practices, but access to care was better in smaller practices. Quality scores for management of asthma, diabetes, and angina were substantially higher in practices with longer booking intervals. Levels of preventive care were lower in practices located in socioeconomically deprived areas. Practices with a better practice team climate had higher scores for diabetes care, overall satisfaction, continuity of care, and access to care.

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Relevant Article

Identifying predictors of high quality care in English general practice: observational study

S M Campbell, M Hann, J Hacker, C Burns, D Oliver, A Thapar, N Mead, D Gelb Safran, and M O Roland
BMJ 2001 323: 784. [Abstract] [Full Text] [PDF]