Enhancing understanding of interventions to increase relational continuity in general practice: a realist review protocol.

IF 2 Q2 PRIMARY HEALTH CARE
BJGP Open Pub Date : 2025-09-10 DOI:10.3399/BJGPO.2025.0119
Serge Engamba, Jane Smith, Nada Khan, Kate Sidaway-Lee, Patrick Burch, Tom Marshall, Phil Evans, Denis Pereira Gray, Rob Anderson
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引用次数: 0

Abstract

Background: Relational continuity of care (RCC), which is characterised by an ongoing therapeutic relationship between patients and their primary care providers, is critical for ensuring high-quality care in general practice. Despite its importance, challenges such as staffing shortages, policy shifts, and evolving patient needs often impede its consistent delivery. With the new GP contract in England highlighting the need for primary care providers to monitor and deliver relational continuity, it is more than ever crucial to understand how best to achieve it.

Aim: This realist review aims to explore how, why, and under what conditions interventions to improve relational continuity are successfully implemented in general practice.

Design & setting: The review will be supported by an expert stakeholder panel and a patient advisory group to consider the diverse and dynamic settings of general practice, and generate contexts, mechanisms and outcomes configurations exploring how interventions to enhance RCC in general practice work.

Method: Through the synthesis of diverse international evidence sources, including qualitative, quantitative, mixed-methods studies, and grey literature, the review will develop an understanding of the mechanisms that produce relational continuity, the contexts in which these mechanisms operate, and the outcomes they produce for the health system, practices, practitioners, and patients.

Conclusion: The findings will provide data to inform future research and refine strategies and policies that support the effective delivery of relational continuity, which in turn may lead to improved patient outcomes and enhanced care experiences.

加强对干预措施的理解,以增加全科实践中的关系连续性:现实主义审查方案。
背景:护理的关系连续性(RCC),其特点是患者和他们的初级保健提供者之间持续的治疗关系,是确保高质量护理的关键。尽管它很重要,但人员短缺、政策转变和不断变化的患者需求等挑战往往阻碍了它的持续提供。随着英格兰新的全科医生合同强调初级保健提供者监控和提供关系连续性的必要性,了解如何最好地实现这一目标比以往任何时候都更加重要。目的:这篇现实主义评论旨在探讨在一般实践中如何、为什么以及在什么条件下成功实施改善关系连续性的干预措施。设计和背景:该审查将得到一个专家利益相关者小组和一个患者咨询小组的支持,以考虑全科实践的多样化和动态背景,并产生背景、机制和结果配置,探索干预措施如何加强全科实践中的RCC工作。方法:通过综合各种国际证据来源,包括定性、定量、混合方法研究和灰色文献,本综述将加深对产生关系连续性的机制、这些机制运作的背景以及它们对卫生系统、实践、从业者和患者产生的结果的理解。结论:研究结果将为未来的研究提供数据,并完善支持关系连续性有效交付的策略和政策,这反过来可能会改善患者的治疗结果和增强护理体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
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