A taxonomy of general practice

Kieran Sweeney and Iona Heath¹ try to give some theoretical basis for the enduring features of general practice but don't make it easy because of where they start. In the case history, Mrs B's GP uses the first part of the consultation to rehearse the evidence for various interventions to improve her biochemistry. It would, perhaps, be better to start with the history, which, if it includes something about Mrs B's ideas, concerns and expectations, might lead the GP to comfort and care before considering ‘a cure’ — or in this case secondary prevention. This could lead to better communication, the patient telling her story and the GP responding appropriately with his, using evidence from research judiciously and sensitively applied.