BMJ  2006;332 (18 February), doi:10.1136/bmj.332.7538.0-b

Larger clinical teams deliver higher quality primary care

Under the new UK general medical services contract, the size and the composition of the clinical team are the most important determinants of the quality of primary medical care. Sutton and McLean carried out a cross sectional study of 60 general practices in Scotland to identify factors associated with quality under the new UK contract for 2004-5 (p 389). They found higher quality scores in deprived areas, in practices with larger clinical teams, and in practices more likely to respond to financial incentives. Further initiatives to improve primary care quality should focus on structure and resourcing of providers, they say.

Credit: MARK CLARKE/SPL

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Relevant Article

Determinants of primary medical care quality measured under the new UK contract: cross sectional study

Matt Sutton and Gary McLean
BMJ 2006 332: 389-390. [Abstract] [Full Text] [PDF]