Patient care and the general practitioner

• Published in: BMJ Vol. 309; no. 6962; pp. 1144 - 1147
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 29.10.1994; British Medical Association; BMJ Publishing Group LTD
• Subjects: Clinics; Communities; Cooperation; Councils; Diseases; Doctor patient relationships; Education & Debate; Equity; General practice; Health care access; Hospitals; Medical audits; Medical education; Nurses; Patient care; Practice management; Primary care; Primary health care
• ISSN: 0959-8138; 1468-5833; 1756-1833
• DOI: 10.1136/bmj.309.6962.1144

The role of general practitioners is being redefined in the light of the emphasis on more care in the community, economic factors, and patients' expectations. The strength of general practice lies in the doctor-patient relationship; this strength must not be lost sight of. Specific tasks of the general practitioner include the responsibility for the care of individuals; the role of gatekeeper; broad knowledge of curative, preventive; and rehabilitative medicine; teamwork; management; and development of population based strategies. Future work patterns include the general practitioner first and foremost as a clinician and an integrator of health services, but they also involve audit, education and training, research, management, and relations with organisations in the public, private, and voluntary sectors. It is important to make changes only when they benefit patients and to maintain the principle of equity of access to care.