Characteristic | Small practice,<2500 listed patients (n= 12) | Intermediate practice, 2500–4000 listed patients (n= 21) | Large practice, >4000 listed patients (n= 15) | All practices (n= 48) |
---|---|---|---|---|
Continuity indices per practice, MMCI, median (minimum–maximum) | 0.78 (0.68–0.87) | 0.78 (0.63–0.90) | 0.74 (0.57–0.79) | 0.76 (0.57–0.90) |
Practice characteristics | ||||
List size, mean (SD) | 2287.0 (204.9) | 3141.0 (347.0) | 6661.1 (1752.5) | 4027.5 (2077.3) |
Usual GP characteristics, mean (SD) | ||||
Number of usual GPs | 3.1 (1.1) | 3.5 (1.3) | 7.1 (1.8) | 4.5 (2.3) |
Number of working days/year | 176.2 (63.3) | 183.4 (47.9) | 191.9 (30.0) | 184.3 (48.0) |
Number of GPs >5 years at practice | 1.6 (1.0) | 1.8 (0.6) | 4.2 (2.0) | 2.5 (1.7) |
Locum GP characteristics, mean (SD) | ||||
Number of locum GPs | 6.8 (5.4) | 5.7 (5.5) | 5.7 (4.6) | 6.0 (5.2) |
Percentage of contacts with locum GPs | 11.5 (8.0) | 11.0 (9.0) | 16.6 (14.9) | 12.8 (11.0) |
Number of employees, mean (SD)a | 27.3 (13.7) | 24.9 (16.5) | 45.2 (11.9) | 31.9 (17.0) |
Training practice, n (%)b | 4 (33.3) | 14 (66.7) | 13 (86.7) | 31 (64.6) |
Patient characteristicsc | ||||
Sex, male, %, mean (SD) | 44.1 (4.2) | 42.7 (3.6) | 42.7 (3.6) | 43.3 (3.3) |
Age, years, %, mean (SD)d | ||||
0–17 | 18.1 (2.8) | 18.5 (5.3) | 22.5 (7.4) | 19.7 (5.8) |
18–65 | 60.6 (5.2) | 66.9 (6.1) | 64.1 (5.7) | 64.5 (6.1) |
>65 | 21.3 (5.9) | 14.6 (5.3) | 13.4 (6.9) | 15.9 (6.6) |
Medical history, %, mean (SD)e | ||||
>2 chronic diseases | 35.6 (8.0) | 30.4 (7.5) | 30.2 (5.7) | 31.6 (7.4) |
Oncological disease | 11.5 (2.7) | 8.8 (3.3) | 8.0 (2.9) | 9.2 (3.3) |
Coronary heart disease | 5.3 (2.1) | 4.4 (1.6) | 4.4 (1.8) | 4.6 (1.8) |
Psychiatric disease | 15.0 (3.2) | 16.0 (3.2) | 15.5 (3.0) | 15.6 (3.1) |
Income (area), %, mean (SD)f | ||||
Low | 22.0 (16.7) | 29.9 (19.1) | 40.0 (32.1) | 31.1 (24.4) |
Average | 55.3 (14.7) | 50.8 (26.0) | 37.8 (30.8) | 47.9 (25.9) |
High | 22.7 (17.2) | 19.3 (26.9) | 22.2 (53.5) | 21.0 (25.7) |
Migration background (area), %, mean (SD)f | ||||
<10 | 39.3 (20.3) | 29.9 (17.8) | 13.7 (18.5) | 27.6 (21.0) |
10–30 | 39.9 (14.2) | 46.2 (21.7) | 34.7 (30.8) | 41.5 (23.6) |
30–70 | 16.8 (13.7) | 24.0 (28.6) | 51.6 (38.4) | 30.9 (32.2) |
Years since registration, mean (SD)g | 12.7 (2.3) | 11.1 (2.6) | 9.8 (1.8) | 11.1 (2.5) |
Number of GP contacts per patient, mean (SD) | 12.8 (2.7) | 15.3 (1.9) | 15.2 (2.2) | 14.7 (2.6) |
Type of GP contacts per practice, %, mean (SD) | ||||
Telephone calls | 16.4 (5.1) | 20.5 (6.3) | 19.9 (3.6) | 19.2 (5.5) |
Home visits | 2.2 (0.7) | 1.8 (1.0) | 2.0 (1.5) | 1.9 (1.0) |
Face-to-face | 80.7 (4.9) | 76.5 (6.5) | 77.5 (4.3) | 78.0 (5.6) |
0.8 (1.5) | 1.1 (1.5) | 0.6 (1.0) | 0.7 (1.3) |
↵a Excluding GPs.
↵b Trainee GP at practice.
↵c Determined at the patient level, aggregated at practice level.
↵d On 1 January 2016.
↵e Percentage of patients who have been diagnosed with chronic conditions (>1); cancer; coronary heart disease; or chronic psychiatric disorder.
↵f Estimated income and migration background based on national data on 1 January 2016; local income, corrected for differences between family compositions; and local migration background, that is, local percentage of population whose parents were born in Africa, South America, or Asia.
↵g On 31 December 2018. MMCI = Modified Modified Continuity Index. SD = standard deviation.