Insight into patients' priorities with respect to health care should c
omplement the views of professionals and policy makers on what is thou
ght to be appropriate health care. To determine the strengths and weak
nesses of general practice care from patients' perspectives written su
rveys were performed among patients in Denmark, Germany, Israel, Nethe
rlands, Norway, Portugal, Sweden and United Kingdom (n = 3540). The po
tential quality problems identified were spread over the different cou
ntries: the low involvement of general practitioners in out-of-hours s
ervices in Portugal; the low provision of routine screening in Sweden,
Norway and The Netherlands; the lack of a defined patient population
in Germany; the lack of a formal gatekeeper role to secondary care in
general practice in Germany and Sweden; and the low number of home vis
its in Sweden. (C) 1998 Elsevier Science Ireland Ltd. All rights reser
ved.