title: Familiarity with a GP and patients' evaluations of care. A cross-sectional study.
abstract: BACKGROUND
  Personal continuity is considered a core feature of general practice care. Nowadays, another important concept for general practice may be patients' familiarity with a GP.
  
  
  OBJECTIVE
  We studied the extent to which patients see a familiar GP, and how this matches their preferences. Furthermore we studied the impact of knowing the GP on patients' evaluations of consultations.
  
  
  METHODS
  A cross-sectional design was used and 2400 patients visiting 17 general practices (30 GPs) in The Netherlands for a consultation were approached; 2152 patients completed the questionnaire. The main outcome measures were: i) the extent to which patients saw a familiar GP in relation to the reason for encounter, perceived seriousness of symptoms, and concern about symptoms; and ii) the impact of 'knowing the GP' on patients' overall satisfaction with the consultation, feeling of being helped to move forwards, trust in the GP, and perceived clearness of treatment plans.
  
  
  RESULTS
  Patients saw a familiar GP to a high extent, regardless of the reason for encounter, perceived seriousness of symptoms and worries. Higher levels of familiarity with a GP were associated with higher levels of satisfaction, with increased feelings of being helped forward, with more trust in the GP, and with the perception of clearer treatment plans made. A multivariate model including the variable 'knowing the GP' explained 11% of the observed variance in patients' evaluations of consultations.
  
  
  CONCLUSIONS
  Familiarity with a GP improves patients' assessment of general practice care. Also in the future, personal continuity should be promoted.
authors.affiliation: Centre for Quality of Care Research (WOK), University Medical Centre St Radboud Nijmegen and University of Maastricht, The Netherlands. H.schers@hag.umcn.nl
authors.forename: Henk
authors.initials: H
authors.lastname: Schers
authors.forename: Henk
authors.initials: H
authors.lastname: van den Hoogen
authors.forename: Hans
authors.initials: H
authors.lastname: Bor
authors.forename: Richard
authors.initials: R
authors.lastname: Grol
authors.forename: Wil
authors.initials: W
authors.lastname: van den Bosch
mesh_terms: D000328:Adult; D016001:Confidence Intervals; D003266:Continuity of Patient Care; D003430:Cross-Sectional Studies; D005069:Evaluation Studies as Topic; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D011795:Surveys and Questionnaires