Imperial College London
Alternate

Professor the Lord Darzi of Denham PC KBE FRS FMedSci HonFREng

Faculty of Medicine, Department of Surgery & Cancer

Co-Director of the IGHI, Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3312 1310a.darzi

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kovacevic:2023:10.1016/j.healthpol.2023.104940,
author = {Kovacevic, L and Naik, R and Lugo-Palacios, DG and Ashrafian, H and Mossialos, E and Darzi, A},
doi = {10.1016/j.healthpol.2023.104940},
journal = {Health Policy},
title = {The impact of collaborative organisational models and general practice size on patient safety and quality of care in the English National Health Service: A systematic review.},
url = {http://dx.doi.org/10.1016/j.healthpol.2023.104940},
volume = {138},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Collaborative primary care has become an increasingly popular strategy to manage existing pressures on general practice. In England, the recent changes taking place in the primary care sector have included the formation of collaborative organisational models and a steady increase in practice size. The aim of this review was to summarise the available evidence on the impact of collaborative models and general practice size on patient safety and quality of care in England. We searched for quantitative and qualitative studies on the topic published between January 2010 and July 2023. The quality of articles was assessed using the Newcastle-Ottawa Scale and the Critical Appraisal Skills Programme checklist. We screened 6533 abstracts, with full-text screening performed on 76 records. A total of 29 articles were included in the review. 19 met the inclusion criteria following full-text screening, with seven identified through reverse citation searching and three through expert consultation. All studies were found to be of moderate or high quality. A predominantly positive impact on service delivery measures and patient-level outcomes was identified. Meanwhile, the evidence on the effect on pay-for-performance outcomes and hospital admissions is mixed, with continuity of care and access identified as a concern. While this review is limited to evidence from England, the findings provide insights for all health systems undergoing a transition towards collaborative primary care.
AU  - Kovacevic,L
AU  - Naik,R
AU  - Lugo-Palacios,DG
AU  - Ashrafian,H
AU  - Mossialos,E
AU  - Darzi,A
DO  - 10.1016/j.healthpol.2023.104940
PY  - 2023///
TI  - The impact of collaborative organisational models and general practice size on patient safety and quality of care in the English National Health Service: A systematic review.
T2  - Health Policy
UR  - http://dx.doi.org/10.1016/j.healthpol.2023.104940
UR  - https://www.ncbi.nlm.nih.gov/pubmed/37976620
VL  - 138
ER  -
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