From General Practice to Primary Care: The industrialization of family medicine

Paperback | March 1, 2008

bySteve Iliffe

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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 isparticularly 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 thecareful 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 other professions 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 anddangers. 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 workingin the community to customise current changes in potentially beneficial ways.

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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 isparticularly prevalent in general practice,...

From 1978 to 2007 Steve Iliffe worked in an inner-city general practice, helping build a large multi-disciplinary team of doctors, nurses, psychologists and counsellors that achieved Beacon status for patient services. He leads a research team that works on service development and evaluation, innovative approaches to professional educ...

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Format:PaperbackDimensions:184 pages, 8.5 × 5.43 × 0.55 inPublished:March 1, 2008Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199214506

ISBN - 13:9780199214501

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Table of Contents

1. Industrialization2. Management3. Forward integration4. Mass production5. Evidence based medicine6. Clinical governance7. Consumerism and producerism8. What are the alternatives?Bibliography