Study ID | Patient-reported outcome | Patient population | Effects of practice size |
---|---|---|---|
Bower et al, 2003/Campbell et al, 200115,16 | Patient centredness, continuity of care, communication, interpersonal care, doctor’s knowledge of patient, nursing care, and overall satisfaction | General | No effect |
Access | General | Small practices (regression coefficient = 40.2; 95% CI = 25.5 to 54.9, P<0.001) | |
Treatment by receptionist | General | Small practices (OR per unit increase in number of WTE GPs = 0.82; 95% CI = 0.74 to 0.90, P<0.001) | |
Baker, 1995/Baker and Streatfield, 199620,21 | |||
Surgery satisfaction | General satisfaction | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.78; SE = 0.18, P<0.001) |
Accessibility | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.67; SE = 0.13, P<0.001) | |
Availability | >16 years | Small practices (regression coefficient for total list size per 1000 = −1.90; SE = 0.33, P<0.001) | |
Continuity of care | >16 years | Small practices (regression coefficient for total list size per 1000 = −1.47; SE = 0.35, P<0.001) | |
Medical care | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.70; SE = 0.12, P<0.001) | |
Premises | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.99; SE = 0.40, P<0.05) | |
Consultation satisfaction | Professional care, and depth of relationship | >16 years | No effect |
General satisfaction | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.26; SE = 0.09, P<0.05) | |
Perceived time | >16 years | Small practices (regression coefficient for total list size per 1000 = −0.28; SE = 0.11, P<0.005) | |
Kontopantelis et al, 201024 | Satisfaction with getting through on the phone | General | Small practices (OR per 1000 increase in patients = 0.319; P≤0.0001) |
Able to get appointment same day or in next 2 days | General | Small practices (OR per 1000 increase in patients = 0.616; P≤0.0001) | |
Able to get appointment >2 days in advance | General | Small practices (OR per 1000 increase in patients = 0.407; P≤0.0001) | |
Able to get appointment with particular GP | General | Small practices (OR per 1000 increase in patients = 0.556; P≤0.0001) | |
Satisfaction with hours GP surgery open | General | Small practices (OR per 1000 increase in patients = 0.839; P≤0.0001) |
OR = odds ratio. SE = standard error. WTE = whole-time equivalent.