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Standards set by patients for access to and continuity of care in
general practice are higher than government targets. In a secondary
analysis of quality surveys, Bower and colleagues (p 258) found that
patients wanted next day appointments, waits for consultations of no
more than 6-10 minutes, and to be seen regularly. Patients' standards,
however, varied by the methods used and their sociodemographic group.
Setting standards in primary care must take account of the potential
tension between improving access and continuity and ensuring quality in
other areas, such as clinical and interpersonal care.