Intended for healthcare professionals


Is general practice losing its way?

BMJ 2001; 322 doi: (Published 14 April 2001) Cite this as: BMJ 2001;322:930

The job needs to be split in two

  1. Paul A Fox, general practitioner (
  1. General Practice Castleford, Castleford, West Yorkshire WF7 7NU
  2. Queen Elizabeth Hospital, 3215 Rotorua, New Zealand

    EDITOR—In response to the article by Samuel I agree with many of his sentiments.1 But I think that it is general practitioners who have lost their way, and not general practice. General practice now seems to be called primary care. It has undergone huge changes over the past 10-15 years and continues to change at a rapid pace. Patient care has, however, not got any better. The reason for this is that most of the changes in general practice so far have been around structure, process, and management.

    Many of the forthcoming changes could have benefits for patient care, but general practitioners must decide which way they want to go. It is only right and proper that general practitioners should participate in …

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