Community preferences in general practice: important factors for choosing a general practitioner

Health Expect. 2016 Feb;19(1):26-38. doi: 10.1111/hex.12326. Epub 2015 Jan 7.

Abstract

Background: Understanding the important factors for choosing a general practitioner (GP) can inform the provision of consumer information and contribute to the design of primary care services.

Objective: To identify the factors considered important when choosing a GP and to explore subgroup differences.

Design: An online survey asked about the respondent's experience of GP care and included 36 questions on characteristics important to the choice of GP.

Participants: An Australian population sample (n = 2481) of adults aged 16 or more.

Methods: Principal components analysis identified dimensions for the creation of summated scales, and regression analysis was used to identify patient characteristics associated with each scale.

Results: The 36 questions were combined into five scales (score range 1-5) labelled: care quality, types of services, availability, cost and practice characteristics. Care quality was the most important factor (mean = 4.4, SD = 0.6) which included questions about technical care, interpersonal care and continuity. Cost (including financial and time cost) was also important (mean = 4.1, SD = 0.6). The least important factor was types of services (mean = 3.3, SD = 0.9), which covered the range of different services provided by or co-located with the practice. Frequent GP users and females had higher scores across all 5 scales, while the importance of care quality increased with age.

Conclusions: When choosing a GP, information about the quality of care would be most useful to consumers. Respondents varied in the importance given to some factors including types of services, suggesting the need for a range of alternative primary care services.

Keywords: consumers; general practice; preferences.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Appointments and Schedules
  • Australia
  • Fees, Medical / statistics & numerical data
  • Female
  • General Practice / economics
  • General Practice / organization & administration*
  • Humans
  • Male
  • Middle Aged
  • Patient Preference*
  • Quality of Health Care / organization & administration*
  • Socioeconomic Factors
  • Time Factors
  • Young Adult