60 years of the National Health Service: Review of Primary Health Care in the United Kingdom and its possible relevance to China
Author(s)
Author(s)
Jones, R.
Date Issued
2008
Publisher
The Hong Kong College of Family Physicians
Journal
The Hong Kong Practitioner
Volume
30
Issue
3
Start page
144
End page
151
Abstract
The primary-care-led National Health Service in the United Kingdom (UK) includes the key features of general practice - continuous, comprehensive personal care delivered over an extended period. General practitioners orchestrate the activities of the many individuals and agencies involved in the care of patients with chronic disease, and contribute to a more cost effective health care system. Teaching and research in general practice also need to be established to maintain knowledge and standards of practice. The development of strong primary health care with well trained general practitioners linking the achievement of clinical standards to remuneration, provision of a wider range of services for patients through strong team work, and the provision of good accessible services will help to minimise the problem of health inequality as the hospital services move towards a market system in mainland China. This review of UK primary health care and the academic development of general practice may act as useful reference for the development of community based health services in mainland China.
由基層醫療服務帶頭的英國國家衛生服務體系包括了基層醫療的重要特徵，在較長時間內提供連續性、綜合性、個體化的服務，全科醫生協調許多個人和機構共同參與慢性病患者的保健和治療，使得衛生服務系統更具成本效益。同時也需要開展全科醫學的教學與研究工作，以保持學科的知識體系和水準。發展強有力的基層醫療服務，配以訓練有素的全科醫生，並將臨床水平與薪酬相聯繫，透過有力的團隊合作為病人提供更廣泛可及的優質服務，有助減少中國大陸醫院服務轉向市場體系帶來的健康不公平問題。對英國基層醫療服務和全科醫學學術發展的回顧，可以做為中國大陸社區衛生服務的良好借鑒。
SFU Affiliated Publication
No
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