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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

12/ Researchers urge policymakers to study regions with high continuity and apply those practices where GP shortages and mobility are high.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

11/ “Continuity is crucial for safety, quality, and efficiency,” says Peder Ahnfeldt-Mollerup, GP. Frequent switchers point to a structural issue.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

10/ Continuity loss increases risks: repeated tests, outdated treatments, missed follow-ups. Only rarely is a “fresh perspective” beneficial.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

10/ Continuity loss increases risks: repeated tests, outdated treatments, missed follow-ups. Only rarely is a “fresh perspective” beneficial.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

9/ Chronically ill patients—who need steady care—were surprisingly prone to switching GPs. This contradicts expectations and raises concern.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

8/ Even after adjusting for age, illness, and income, patients in Capital Region/Zealand had more discontinuity—suggesting systemic causes.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

7/ Researchers suggest structural or organizational factors support this stability and recommend applying those lessons elsewhere.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

6/ Patients in “intermediate” municipalities—neither clearly rural nor urban—had the highest continuity and fewest changes.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

5/ Study data from 4.5M Danes: most had 1–2 GP changes. But young adults and residents of Capital Region & Zealand switched far more often.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

4/ “This increases the risk of errors and makes the healthcare system less efficient,” says Troels Kristensen, assoc. professor and health economist.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

3/ Reasons for switching: moving, clinic closure, or patient choice. Repeated changes risk losing continuity, medical knowledge, and trust—undermining care.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

2/ Groups more likely to switch GPs include: low income, low education, unemployed, non-Danish ethnicities, and those with chronic illness or living in certain regions.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

1/ A new SDU study shows patients with low socioeconomic status, chronic illness, or who live in Capital Region/Zealand change GPs more often—harming continuity, care quality, and equality.

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Troels Kristensen @trkristensen.bsky.social · 04/08/2025

Thanks @victoriatb.bsky.social for sharing!‬ Yes, this is a ‪New nationwide study in BJGP Open: Vulnerable patients experience more discontinuity in general practice — especially those with chronic conditions or lower socioeconomic status. See press release comments below:

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Reposted by Troels Kristensen

BJGP @bjgp.org · 15/07/2025

Discontinuity of care was higher among younger adults, subgroups of males, urban residents, lower socioeconomic groups, those of "other" ethnicity, those who were unemployed, and patients with higher morbidity in this Danish cohort study doi.org/10.3399/BJGP... #PrimaryCare @trkristensen.bsky.social

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