Lee, AlbertAlbertLeeWong, W.Wong, S.Tsang, K. K.2025-12-112025-12-112004https://repository.sfu.edu.hk/handle/sfu/5274EDITOR-Straus et al highlighted the impact of severe acute respiratory syndrome (SARS) on professionalism and gave several examples of strained professional behaviour. 1 Research in Hong Kong showed anxiety among general practitioners who, despite worries, demonstrated willingness to do their duty as was expected from a highly professional workforce. 2 Altogether 82.3% of general practitioners in the study wanted more involvement in the management of SARS: 74.6% as educators and 68.4% as gatekeepers. 3 However, the primary care system in Hong Kong is less well developed and most general practitioners work in the private sector, whereas most hospital care is given in the public sector, with little interfacing and collaboration. 4 Primary care is the gatekeeper to hospital care.enInterfacing between primary and secondary care is neededjournal article10.1136/bmj.329.7462.403-b