Troels Kristensen
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trkristensen.bsky.social
Troels Kristensen
@trkristensen.bsky.social
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Researchers urge policymakers to study regions with high continuity and apply those practices where GP shortages and mobility are high.
August 4, 2025 at 10:31 AM
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“Continuity is crucial for safety, quality, and efficiency,” says Peder Ahnfeldt-Mollerup, GP. Frequent switchers point to a structural issue.
August 4, 2025 at 10:31 AM
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Continuity loss increases risks: repeated tests, outdated treatments, missed follow-ups. Only rarely is a “fresh perspective” beneficial.
August 4, 2025 at 10:29 AM
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Continuity loss increases risks: repeated tests, outdated treatments, missed follow-ups. Only rarely is a “fresh perspective” beneficial.
August 4, 2025 at 10:28 AM
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Chronically ill patients—who need steady care—were surprisingly prone to switching GPs. This contradicts expectations and raises concern.
August 4, 2025 at 10:27 AM
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Even after adjusting for age, illness, and income, patients in Capital Region/Zealand had more discontinuity—suggesting systemic causes.
August 4, 2025 at 10:26 AM
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Researchers suggest structural or organizational factors support this stability and recommend applying those lessons elsewhere.
August 4, 2025 at 10:26 AM
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Patients in “intermediate” municipalities—neither clearly rural nor urban—had the highest continuity and fewest changes.
August 4, 2025 at 10:25 AM
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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.
August 4, 2025 at 10:25 AM
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“This increases the risk of errors and makes the healthcare system less efficient,” says Troels Kristensen, assoc. professor and health economist.
August 4, 2025 at 10:24 AM
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Reasons for switching: moving, clinic closure, or patient choice. Repeated changes risk losing continuity, medical knowledge, and trust—undermining care.
August 4, 2025 at 10:23 AM
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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.
August 4, 2025 at 10:23 AM
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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.
August 4, 2025 at 10:22 AM
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:
August 4, 2025 at 10:05 AM