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Rethinking General Practice: Dilemmas in Primary Medical Care, 1972-1975
Creator
University of London, Bedford College, Social Research Unit
Study number / PID
1687 (UKDA)
10.5255/UKDA-SN-1687-1 (DOI)
Data access
Restricted
Series
Not available
Abstract
Abstract copyright UK Data Service and data collection copyright owner.The material was obtained in a longitudinal study of general practice in a variety of organisational and physical settings. More specifically, it was designed to assess the effects of a move to a Health Centre on providers and recipients of care by means both of before and after comparisons and by comparing Health Centre practices with practices not accommodated in Health Centres.
Two group practices, one with six, the other with five principals, were scheduled to move to a purpose-built Health Centre in 1973. The practices agreed to be studied over a period covering the year before the move as well as two years after the move. Additionally two practices, a partnership and a single-handed one, not planning to move to a Health Centre, agreed to participate in the study. Changes occurred in the latter practices in the course of the study: the single-handed practice became a partnership and the partnership, with the retirement of a principal, single-handed. A third comparative practice, a single-handed one, joined the sample.
The patient studies were intended to contribute information on patient views and experience of the care provided by the practices, and, in the case of the group practices, the effects of the move on them. The information was obtained from medical records, from taped recordings of doctor-patient consultations, from interviews with patients in their homes and their doctors' surgeries. Additionally, data on the consultation was abstracted from the doctor's notes.
The data on the providers of care were obtained mainly by intensive unstructured open-ended interviews and by observation at practice meetings and elsewhere.Main Topics:Variables
1. The Attenders' Enquiries
The object was to obtain information about patient requirements of specific consultations with a doctor and their assessments of the consultation immediately afterwards. Patients attending their doctors' surgeries...
Terminology used is generally based on DDI controlled vocabularies: Time Method, Analysis Unit, Sampling Procedure and Mode of Collection, available at CESSDA Vocabulary Service.
Methodology
Data collection period
01/03/1972 - 01/12/1975
Country
England
Time dimension
Longitudinal/panel/cohort
four surveys between March 1972 and December 1975
Analysis unit
Individuals
Subnational
Patients
Universe
Patients registered with four, later five practices in an inner London borough
Sampling procedure
Selection of patients was determined by the flow of patients through the doctor's consulting rooms. See Research Procedures
Kind of data
Not available
Data collection mode
Face-to-face interview
Compilation or synthesis of existing material
Access
Publisher
UK Data Service
Publication year
1982
Terms of data access
The Data Collection is available to UK Data Service registered users subject to the End User Licence Agreement.
Commercial use of the data requires approval from the data owner or their nominee. The UK Data Service will contact you.
Related publications
Jefferys, M. and Sachs, H. (1983) Rethinking general practice: : dilemmas in primary medical care, London: Tavistock.
Sachs, H. (1982) 'Can patients influence health decisions'
Sachs, H. (1978) 'The practice nurse', Nursing Mirror
Sachs, H. (1982) 'Health visitors as other professionals see them', Health Visitor