From General Practice to Primary Care: The Industrialization of Family Medicine / Edition 7

From General Practice to Primary Care: The Industrialization of Family Medicine / Edition 7

by Steve Iliffe
     
 

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

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Overview

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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Product Details

ISBN-13:
9780199214501
Publisher:
Oxford University Press, USA
Publication date:
04/23/2008
Pages:
184
Product dimensions:
8.40(w) x 5.40(h) x 0.60(d)

Table of Contents


Preface     vii
Introduction     01
The political economy of family medicine     17
General practice, management, and bureaucracy     49
Forward integration     73
Mass production     105
Evidence-based medicine and the codification of knowledge     123
The arrival of clinical governance     139
What about the patients? Consumerism and producerism in the industrialization process     163
What are the alternatives?     189
Bibliography     205
Index     225

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