BMJ 2002;324:677 ( 16 March )

Letters

Combining high quality clinical and interpersonal care

The first 150 words of the full text of this article appear below.

EDITOR---We are five general practitioners sharing the same premises, practice nurses, receptionists, and practice manager, and we read with interest the paper on high quality care in general practice by Campbell et al.1 They found that smaller practices scored more highly for access but that diabetes care was inferior to that of larger practices, and they say that there may be a trade off between high quality clinical care and interpersonal care.

We believe that these elements are not mutually exclusive and that the advantages of personal care associated with smaller practices may be combined with the higher quality clinical care of larger practices if small practices adopt a model of health care delivery similar to our own. The corollary is that large practices should operate a system of personal lists. Teamwork is increasingly important for high standards of care, and small practices can achieve this by combining . . . [Full text of this article]
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Relevant Article

Identifying predictors of high quality care in English general practice: observational study
S M Campbell, M Hann, J Hacker, C Burns, D Oliver, A Thapar, N Mead, D Gelb Safran, and M O Roland
BMJ 2001 323: 784. [Abstract] [Full Text] [PDF]

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