From General Practice to Primary Care
The industrialization of family medicine
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Product details:
- Publisher OUP Oxford
- Date of Publication 14 February 2008
- ISBN 9780199214501
- Binding Paperback
- No. of pages248 pages
- Size 215x137x14 mm
- Weight 329 g
- Language English
- Illustrations 5 line illustrations 0
Categories
Short description:
Do the many targets, guidelines and governance inherent in modern general practice mean the specialty is becoming increasingly impersonal and mechanised? Is this an advantage or a disadvantage? This book explores this idea, looking at implications for both staff and members of the public.
MoreLong description:
Anxiety about medicine becoming impersonal and mechanised permeates the NHS. In addition, the popular media is full of stories about the health service and its unhappy staff, focusing on the belief that professionals and patients are being turned into assembly-line workers and objects. This is particularly prevalent in general practice, as plans for massive policlinics are revealed and payment systems shift seemingly inexorably towards incentives and targets. The ethos of family medicine, which places so much stress on continuity of care, psychosocial understanding of illness, and the careful management of doubt, is challenged by guidelines, governance, quality frameworks, and patient satisfaction surveys. General practice is being industrialized into primary care, or so it can seem.
This book explores the many dimensions of industrialization as it has occurred to others in the past, and analyses the origins of the current wave of reform in general practice. It analyses why industrialization is being pursued as a government strategy, and explores its benefits and dangers. It concludes that the medical profession has reasons for being perturbed by industrialization, but that it has advantages as well as disadvantages for the NHS and the public. Its conclusions may not please either policy makers or practitioners, but they offer ways for professionals working in the community to customise current changes in potentially beneficial ways.
An excellent interpretation of where we have come from, where we might end up...and what we can do to achieve a degree of self determination in the face of recent reforms.
Table of Contents:
Industrialization
Management
Forward integration
Mass production
Evidence based medicine
Clinical governance
Consumerism and producerism
What are the alternatives?
Bibliography
