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eBook From General Practice to Primary Care: The Industrialization of Family Medicine ePub

by Steve Iliffe

eBook From General Practice to Primary Care: The Industrialization of Family Medicine ePub
Author: Steve Iliffe
Language: English
ISBN: 0199214506
ISBN13: 978-0199214501
Publisher: Oxford University Press; 1 edition (April 23, 2008)
Pages: 184
Category: Medicine & Health Sciences
Subcategory: Other
Rating: 4.4
Votes: 344
Formats: mobi mbr azw mobi
ePub file: 1849 kb
Fb2 file: 1988 kb

First Online: 01 March 2002.

First Online: 01 March 2002.

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Family & General Medical Practice Books. ENG. Number of Pages. Reader in General Practice Steve Iliffe. Walmart 9780199214501. This button opens a dialog that displays additional images for this product with the option to zoom in or out. Tell us if something is incorrect.

Bibliographic Information.

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.

New York, United States: Oxford University Press Inc. Indexed. 233 pp, £2. 9 paperback. ISBN: 978-0-19-921450-1. In the following chapter, Dr Iliffe gives a balanced description of how bureaucracy is now a part of everyday general practice and how man-agement can be seen as a threat to autonomy but is likely required in preserving a cost-effective gatekeeper role. He goes on to describe the roles of practice-based commissioning including pros and cons as well as the alternatives and their potential place in general practice.

Bibliographic Citation. Journal of Public Health Policy 2002; 23(1): 33-43. Related Items in Google Scholar.

February 2002 · Journal of Public Health Policy. Health services are multi-unit enterprises providing multi-component services, and organisationally are equivalent to very large, diversified companies. The Department of Family and Community Medicine at the University of Arizona has operated a travelers' clinic since 1983, staffed primarily by faculty and residents from the sections of preventive medicine, occupational medicine, and family medicine. We describe the clinic experience in providing preventive medical services to international travelers.

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 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 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.
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