Abstract
Primary care and public health both work to improve the population's health. The potential benefits of improved integration between these disciplines have however not been fully seen because of the lack of a structured way to deliver the integration. This article reviews the benefits, models of working, and challenges to the integration of public health and primary care. General practitioners with special interests (GPwSI) have now been created and formally recognised in clinical roles in the United Kingdom. It is proposed that the creation of GPwSI in public health offers an ideal model of a way of achieving integration and ensuring public health is delivered in primary care.
Full Text
The Full Text of this article is available as a PDF (60.9 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ashton J. Public health and primary care: towards a common agenda. Public Health. 1990 Nov;104(6):387–398. doi: 10.1016/s0033-3506(05)80082-4. [DOI] [PubMed] [Google Scholar]
- Bhopal R. Public health medicine and primary health care: convergent, divergent, or parallel paths? J Epidemiol Community Health. 1995 Apr;49(2):113–116. doi: 10.1136/jech.49.2.113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown Theodore M., Fee Elizabeth. "Palliatives will no longer do": the deep roots and continuing dynamic of community-oriented primary care. Am J Public Health. 2002 Nov;92(11):1711–1712. doi: 10.2105/ajph.92.11.1711. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Busby Helen, Elliott Heather, Popay Jennie, Williams Gareth. Public health and primary care: a necessary relationship. Health Soc Care Community. 1999 Jul;7(4):239–241. doi: 10.1046/j.1365-2524.1999.00182.x. [DOI] [PubMed] [Google Scholar]
- Gerada Clare, Wright Nat, Keen Jenny. The general practitioner with a special interest: new opportunities or the end of the generalist practitioner? Br J Gen Pract. 2002 Oct;52(483):796–798. [PMC free article] [PubMed] [Google Scholar]
- Graffy J., Jacobson B. General practitioners and public health doctors: sharing common goals? Br J Gen Pract. 1995 Dec;45(401):640–642. [PMC free article] [PubMed] [Google Scholar]
- Griffiths Sian, Haslam David. Putting public health practice into primary care practice: practical implications of implementing the changes in shifting the balance of power in England. J Public Health Med. 2002 Dec;24(4):243–245. doi: 10.1093/pubmed/24.4.243. [DOI] [PubMed] [Google Scholar]
- Hannay D. R. Primary care and public health. BMJ. 1993 Aug 28;307(6903):516–517. doi: 10.1136/bmj.307.6903.516. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heller Richard F., Edwards Richard, Patterson Lesley, Elhassan Moneim. Public health in Primary Care Trusts: a resource needs assessment. Public Health. 2003 May;117(3):157–164. doi: 10.1016/S0033-3506(03)00081-7. [DOI] [PubMed] [Google Scholar]
- Howe Amanda, Baker Maureen, Field Steve, Pringle Mike. Special non-clinical interests--GPs in education, research, and management. Br J Gen Pract. 2003 Jun;53(491):438–440. [PMC free article] [PubMed] [Google Scholar]
- Iliffe Steve, Lenihan Penny. Integrating primary care and public health: learning from the community-oriented primary care model. Int J Health Serv. 2003;33(1):85–98. doi: 10.2190/40HL-U1B9-F7K7-KK64. [DOI] [PubMed] [Google Scholar]
- Mullan Fitzhugh, Epstein Leon. Community-oriented primary care: new relevance in a changing world. Am J Public Health. 2002 Nov;92(11):1748–1755. doi: 10.2105/ajph.92.11.1748. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reid J. A. When I'm 64... will you still need me? Epidemiology in country practice: W H Pickles, 1939. J Epidemiol Community Health. 2004 Apr;58(4):263–264. doi: 10.1136/jech.2003.015230. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reingold A. L., Broome C. V., Hightower A. W., Ajello G. W., Bolan G. A., Adamsbaum C., Jones E. E., Phillips C., Tiendrebeogo H., Yada A. Age-specific differences in duration of clinical protection after vaccination with meningococcal polysaccharide A vaccine. Lancet. 1985 Jul 20;2(8447):114–118. doi: 10.1016/s0140-6736(85)90224-7. [DOI] [PubMed] [Google Scholar]
- Shanks J., Kheraj S., Fish S. Better ways of assessing health needs in primary care. BMJ. 1995 Feb 25;310(6978):480–481. doi: 10.1136/bmj.310.6978.480. [DOI] [PMC free article] [PubMed] [Google Scholar]