Staying single in the 1990s : Single-handed practitioners in the new National Health Service.
The U.K. health care system is organised around independent medical practitioners who work in community settings and act as gatekeepers for acute health interventions.
Recent developments in U.K. health policy have revolutionised the environment within which all general medical practitioners (GPs) operate.
The last five years in the U.K. have seen the most fundamental health service reforms since the inception of the National Health Service (NHS) in 1946 : namely, the development of the internal market, an increasing emphasis on primary health care, and changes to the GP Contract in 1990.
Single-handed GPs (practitioners not in partnership with other GPs) traditionally work in the most deprived areas with the greatest health and social problems.
The current restructuring and the subsequent organisational and policy initiatives present particular problems for single-handed practitioners.
How single-handed practitioners respond to the reforms raises particularly important debates that are significant both for themselves and for the populations they serve.
Drawing upon a range of sources, this paper discusses three central issues that emerge. (...)
Mots-clés Pascal : Système santé, Soin santé primaire, Médecin généraliste, Personnel sanitaire, Homme, Royaume Uni, Europe, Coopération, Travail équipe, Relation professionnelle, Réforme
Mots-clés Pascal anglais : Health system, Primary health care, General practitioner, Health staff, Human, United Kingdom, Europe, Cooperation, Team work, Professional relation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0391269
Code Inist : 002B30A01B. Création : 12/09/1997.