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From General Practice to Primary Care Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)

From General Practice to Primary Care von Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)

From General Practice to Primary Care Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)

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Zusammenfassung

Do the many targets, guidelines and governance inherent in modern general practice mean the specialty is becoming increasingly impersonal and mechanised? Is this an advantage or a disadvantage? This book explores this idea, looking at implications for both staff and members of the public.

From General Practice to Primary Care Zusammenfassung

From General Practice to Primary Care: The industrialization of family medicine Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)

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 others 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.

From General Practice to Primary Care Bewertungen

An excellent interpretation of where we have come from, where we might end up...and what we can do to achieve a degree of self determination in the face of recent reforms. * Primary Care Research Network, Greater London, Issue 8 *
Interesting, topical, and clear. The arguments are presented logically and in balanced way. An important - original - book. * Medical Book Awards *
Dr Iliffe convincingly describes the process of industrialisation of family medicine through a highly researched book littered with interesting quotes and references. I recommend this book to both new and experienced members of primary care who wish to understand more about this process of industrialisation and how we can best optimise the changes that it brings. * Primary Health Care Research and Development *
Professor Illife has presented a view of what is happening to general practice that is both immensely simple and profoundly complex. The changes that have afflicted general practice in the UK in the last 20 years are all part of a single process: industrialisation...he pursues his case in compelling historical and theoretical detail...this makes the book a challenging read...a thorough, impressive, and persuasive book. * London Journal of Primary Care *

Über Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)

From 1978 to 2007 Steve Iliffe worked in an inner-city general practice, helping build a large multi-disciplinary team of doctors, nurses, psychologists and counsellors that achieved Beacon status for patient services. He leads a research team that works on service development and evaluation, innovative approaches to professional education and the provision of services. His research interests are in health promotion in later life, the recognition of and response to dementia syndromes, hospital at home services, and exercise as therapy for older people, and he is on the editorial board for numerous journals on these subjects. He is an Associate Director of the national co-ordinating centre for Dementias and Neurodegenerative Diseases networks (DeNDRoN) with a responsibility for primary care and patient and public involvement, and was a member of the NICE/SCIE dementia guidelines development group. In 2006 he won the inaugural William Farr medal for contribution to health care for older people.

Inhaltsverzeichnis

1. Industrialization ; 2. Management ; 3. Forward integration ; 4. Mass production ; 5. Evidence based medicine ; 6. Clinical governance ; 7. Consumerism and producerism ; 8. What are the alternatives? ; Bibliography

Zusätzliche Informationen

GOR012332884
9780199214501
0199214506
From General Practice to Primary Care: The industrialization of family medicine Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)
Steve Iliffe (Professor of Primary Care for Older People, University College London, UK)
Gebraucht - Sehr Gut
Broschiert
Oxford University Press
20080214
248
Winner of Highly Commended in the Specialist Readership category of the MJA Open Book Awards 2008 Joint winner of the first prize on the New Non-Clinical Medical Book category - Royal Society of Medicine and Society of Authors Medical Book Awards 2008.
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