Letters
Service is abused because it is perceived as being free
EDITOR,--I agree with many of the points that Per Fugelli and Iona Heath make about the nature of general practice.1 I believe that general practice should lead the shift from an authoritarian to a democratic model of decision making. This model, however, must emphasise the joint responsibility of the doctor and patient in the careful and judicious use of scarce resources.I prioritise the future in a different way from that of Fugelli and Heath. The problem with being the humanist of the NHS and practising in a holistic fashion is the amount of time it takes. General practitioners' time is already superscarce. The article speaks of ideals. I believe that we must define the current nature of general practice accurately before we can move on.
Firstly, our terms of service are so undefined that they make us the dumping ground for any work--medical, social, or administrative--that no one else
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- The nature of general practice
- Per Fugelli and Iona Heath
BMJ 1996 312: 456-457.[Extract] [Full Text]
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