Many general practitioners still blame the 1990 contract for the problems in general practice, claiming it has reduced morale to levels of the 1950s and 1960s.
The contact was introduced to improve the quality of care and to provide some measures of standards, but the government failed to convince general practitioners that the contract waswhat the profession needed.
Further change seems inevitable.
Ideally a contract should improve efficiency, enable rationale planning, and ensure public accountability.
This articles gives the history of the 1990 contract and discusses changes which could be made towards reaching this ideal.
Mots-clés Pascal : Homme, Article synthèse, Médecine générale, Qualité, Soin, Pratique professionnelle, Contrat, Royaume Uni, Organisation santé, Europe
Mots-clés Pascal anglais : Human, Review, Internal medicine, Quality, Care, Professional practice, Contract, United Kingdom, Public health organization, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0238142
Code Inist : 002B30A05. Création : 199406.