By John Fry
Medicine is information. there's consistent public curiosity in future health and illness; in clinical miracles and in breakthroughs; in scientific mess ups, disasters and malpraxis ; in deficiencies and defects ofhealth prone; and within the emerging charges ofhealth care. drugs is 'big business'. Physicians co me out close to the pinnacle funds earners in so much treatment structures. within the Uni ted country the nationwide overall healthiness carrier (NHS) now expenditures over [6000 million a yr ($ ro 800 million), a loose provider that bills each British guy, lady and baby [120 a 12 months ($216) in direct and oblique taxes. yet this can be under the [500 ($900) a yr that therapy bills all people in united states and West Germany. In constructed nations overall healthiness care bills are imminent ro% ofthe gross nationwide product (GNP). it truly is tremendous company additionally in that during Britain the NHS is without doubt one of the greatest employers; approximately I million Britons paintings as staff of the NHS, taking care of the opposite fifty four thousands and within the united states the numbers are five million taking good care of 2. five hundreds of thousands. the supply of healthiness providers is filled with difficulties and dilemmas. those difficulties and dilemmas pass all' nationwide obstacles. All nations proportion an identical difficulties and dilemmas. difficulties of goals, of criteria, of effectiveness and potency, and difficulties of family among the scientific career, the general public and govern ment. treatment nonetheless is filled with mystique.
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Extra resources for A New Approach to Medicine: Principles and Priorities in Health Care
45 A NEW APPROACH TO MEDICINE FUTURE OPPORTUNITIES The primary care physician and his team are in a key position to control the use of services. They can prevent over-use and misuse by control and education, but even more important they should accept the opportunities to extend their care, involvement and interests into the community. Many of the reasons for seeking medical care are associated with social and medical situations that may be preventable, providing that they are discovered and medical and social measures used to remedy them.
A diagnosis is the outcome of the consultation and this must be WORK: QUANTITY AND QUALITY-MANPOWER POLIeIES followed by a plan of management or treatment. The steps in the consultative process have to be followed in primary clinical care as elsewhere but with the conditions and situations encountered the process does not often require to be lengthy or elaborate. This does not mean that the methods of primary ca re are inferior to those of hospital specialist practice, rather that they have to be adapted to needs and requirements.
Australia Frorn Australia on General Practice in Victoria Scotton and Grounds (1969) report that the general practitioners averaged 186 doctorpatient contacts in a week of which 28 were horne visits. 54 WORK: QUANTITY AND QUALITY-MANPOWER POLICIES New Zealand From N ew Zealand on The Content 01 General Practice, Lough (1967) reports a higher work pattern of 209 doctor-patient contacts per week of which 67 were horne visits. A PROFILE OF A WEEK'S WORK OF A PRIMARY PHYSICIAN These reports also quoted the time spent by physicians in their work.