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The future of Primary Care

DOI: 10.3238/zfa.2009.0234

german translation / full article

Norbert Donner-Banzhoff

Keywords: Primary Health Care family medicine9 health manpower Managed Care Programs

Abstract: Globalisation has changed the division of labour in all economies. This does also apply to health care. Services are standardized to increase efficiency, to meet patients’ demands and to optimise delivery. General practitioners (GPs) feel their practice being eroded. In terms of the work of R. Reich, they are confined to a symbolic analyst role, with ancillary personnel taking over some of their tasks.

Integrated systems for defined populations have been suggested to lead to more rational and efficient health care. However, the place of primary care in future systems of health care still has to be defined. Possible developments and their consequences on primary care are discussed in this paper.


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