The British journal of general practice : the journal of the Royal College of General Practitioners
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System problems, known as operational failures, can greatly affect the work of GPs, with negative consequences for patient and professional experience, efficiency, and effectiveness. Many operational failures are tractable to improvement, but which ones should be prioritised is less clear. ⋯ This study identified the highest-priority operational failures in general practice according to GPs and patients, and indicates where improvement efforts relating to operational failures in general practice should be focused.
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Observational Study
Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.
Despite many benefits of continuity of care with a named regular GP (RGP), continuity is deteriorating in many countries. ⋯ Higher disease-related and overall RGP UPC are both associated with lower mortality. However, changing RGP did not significantly affect mortality, indicating a compensatory benefit of informational and management continuity in a patient list system.