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. 1994 Feb 19;308(6927):513–516. doi: 10.1136/bmj.308.6927.513

New roles for general practitioners.

S Handysides 1
PMCID: PMC2542787  PMID: 8136671

Abstract

General practice is likely to change greatly over the next few years. Increases in care in the community and day surgery will lead to more work, and the demand for better data on practice activity will mean the development of audit and epidemiological work. To make time general practitioners will have to learn to delegate work that does not require a doctor. Fundholding has already stimulated some practices to bring services to patients rather than send patients to hospital, and this trend seems set to continue. It is important to pool resources, not only within practices but among other practices in the area--joint action will increase the ability to improve the services for patients. If general practitioners take the opportunity to gain control of the changes the morale of the profession should improve.

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Selected References

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  1. Berlin A., Bhopal R. A., Spencer J., Van Zwanenberg T. Creating a death register for general practice. Br J Gen Pract. 1993 Feb;43(367):70–72. [PMC free article] [PubMed] [Google Scholar]
  2. Christie Bryan. Government rejects Scottish IVF plan. BMJ. 1993 Mar 20;306(6880):741–741. doi: 10.1136/bmj.306.6880.741. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cole D. Attachments in general practice for hospital trainees. BMJ. 1993 May 22;306(6889):1416–1417. doi: 10.1136/bmj.306.6889.1416-c. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Donaldson L. Registering a need. BMJ. 1992 Sep 12;305(6854):597–598. doi: 10.1136/bmj.305.6854.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Eve R., Hodgkin P. In praise of non-fundholding practices. BMJ. 1991 Jul 20;303(6795):167–168. doi: 10.1136/bmj.303.6795.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gray D. J. The key to personal care. J R Coll Gen Pract. 1979 Nov;29(208):666–678. [PMC free article] [PubMed] [Google Scholar]
  7. 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]
  8. Hasler J. The primary health care team: history and contractual farces. BMJ. 1992 Jul 25;305(6847):232–234. doi: 10.1136/bmj.305.6847.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hobbs F. D. Violence in general practice: a survey of general practitioners' views. BMJ. 1991 Feb 9;302(6772):329–332. doi: 10.1136/bmj.302.6772.329. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Honigsbaum F. Reconstruction of general practice: failure of reform. Br Med J (Clin Res Ed) 1985 Mar 16;290(6471):823–826. doi: 10.1136/bmj.290.6471.823. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Honigsbaum F. Reconstruction of general practice: the way forward. Br Med J (Clin Res Ed) 1985 Mar 23;290(6472):904–906. doi: 10.1136/bmj.290.6472.904. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hurwitz B., Goodman C., Yudkin J. Prompting the clinical care of non-insulin dependent (type II) diabetic patients in an inner city area: one model of community care. BMJ. 1993 Mar 6;306(6878):624–630. doi: 10.1136/bmj.306.6878.624. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Iliffe S., Freudenstein U. Fundholding: from solution to problem. BMJ. 1994 Jan 1;308(6920):3–4. doi: 10.1136/bmj.308.6920.3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Iliffe S., Haug U. Out of hours work in general practice. BMJ. 1991 Jun 29;302(6792):1584–1586. doi: 10.1136/bmj.302.6792.1584. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Irvine D. Educating general practitioners. BMJ. 1993 Sep 18;307(6906):696–697. doi: 10.1136/bmj.307.6906.696. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Irvine D. General practice in the 1990s: a personal view on future developments. Br J Gen Pract. 1993 Mar;43(368):121–125. [PMC free article] [PubMed] [Google Scholar]
  17. Jick H., Jick S. S., Derby L. E. Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. BMJ. 1991 Mar 30;302(6779):766–768. doi: 10.1136/bmj.302.6779.766. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Keeley D. The future of general practice: Personal care or the polyclinic? BMJ. 1991 Jun 22;302(6791):1514–1516. doi: 10.1136/bmj.302.6791.1514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Lowy A., Brazier J., Fall M., Thomas K., Jones N., Williams B. T. Minor surgery by general practitioners under the 1990 contract: effects on hospital workload. BMJ. 1993 Aug 14;307(6901):413–417. doi: 10.1136/bmj.307.6901.413. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Marinker M., Gray D. P., Maynard A. The doctor, the patient, and their contract. II. A good practice allowance: is it feasible? Br Med J (Clin Res Ed) 1986 May 24;292(6532):1374–1376. doi: 10.1136/bmj.292.6532.1374. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Marsh G. N. The future of general practice. Caring for larger lists. BMJ. 1991 Nov 23;303(6813):1312–1316. doi: 10.1136/bmj.303.6813.1312. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Moore G. T. The case of the disappearing generalist: does it need to be solved? Milbank Q. 1992;70(2):361–379. [PubMed] [Google Scholar]
  23. Ross F. M., Bower P. J., Sibbald B. S. Practice nurses: characteristics, workload and training needs. Br J Gen Pract. 1994 Jan;44(378):15–18. [PMC free article] [PubMed] [Google Scholar]
  24. Salisbury C. Visiting through the night. BMJ. 1993 Mar 20;306(6880):762–764. doi: 10.1136/bmj.306.6880.762. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Scott M. G., Marinker M. Imposed change in general practice. BMJ. 1992 Jun 13;304(6841):1548–1550. doi: 10.1136/bmj.304.6841.1548. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Sheppard J. The clinical task. BMJ. 1992 Aug 1;305(6848):288–290. doi: 10.1136/bmj.305.6848.288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Smith R. Medicine's need for kaizen. BMJ. 1990 Oct 3;301(6754):679–680. doi: 10.1136/bmj.301.6754.679. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Stott N. C. William Pickles Lecture 1993. When something is good, more of the same is not always better. Br J Gen Pract. 1993 Jun;43(371):254–258. [PMC free article] [PubMed] [Google Scholar]
  29. Stott N. The new general practitioner? Br J Gen Pract. 1994 Jan;44(378):2–3. [PMC free article] [PubMed] [Google Scholar]
  30. Winkler F. Complaints by patients. BMJ. 1993 Feb 20;306(6876):472–473. doi: 10.1136/bmj.306.6876.472. [DOI] [PMC free article] [PubMed] [Google Scholar]

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