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Highly commended in the Primary Health Care Category of the BMA Book Awards 2009
Highly Commended in the Specialist Readership category of the MJA Open Book Awards 2008
Joint winner of the first prize on the New Non-Clinical Medical Book category - Royal Society of Medicine and Society of Authors Medical Book Awards 2008
From General Practice to Primary Care
The industrialization of family medicine
Steve Iliffe
248 pages
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5 line illustrations
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216x138mm
978-0-19-921450-1
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Paperback
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14 February 2008
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- A controversial book that offers a critique of some decisions in the health service
- Contains a historical perspective on recent changes to the UK NHS
- Draws on sociological, economic, political and psychological sources to tell its story
- Although focused around changes in the UK NHS, the themes have relevance for countries with a similar gatekeeper role, and where primary care is under threat
Anxiety about medicine becoming impersonal and mechanised permeates the NHS. In addition, the popular media is full of stories about the health service and its unhappy staff, focusing on the belief that professionals and patients are being turned into assembly-line workers and objects. This is particularly prevalent in general practice, as plans for massive policlinics are revealed and payment systems shift seemingly inexorably towards incentives and targets. The ethos of family medicine, which places so much stress on continuity of care, psychosocial
understanding of illness, and the careful management of doubt, is challenged by guidelines, governance, quality frameworks, and patient satisfaction surveys. General practice is being industrialized into primary care, or so it can seem.
This book explores the many dimensions of industrialization as it has occurred to others in the past, and analyses the origins of the current wave of reform in general practice. It analyses why industrialization is being pursued as a government strategy, and explores its benefits and dangers. It concludes that the medical profession has reasons for being perturbed by industrialization, but that it has advantages as well as disadvantages for the NHS and the public. Its conclusions may not please either policy makers or practitioners,
but they offer ways for professionals working in the community to customise current changes in potentially beneficial ways.Readership: This book will appeal to trainees and qualified professionals in both general practice and public health, to understand the changes that are underway in the NHS. Practice nurses and anyone involved in health policy/NHS management, health and social care, and health promotion will also relate to the themes in this book. It will also be invaluable to those teaching in any of these areas.
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Steve Iliffe, Professor of Primary Care for Older People, University College London, UK
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"An excellent interpretation of where we have come from, where we might end up...and what we can do to achieve a degree of self determination in the face of recent reforms." - Primary Care Research Network, Greater London, Issue 8 "Interesting, topical, and clear. The arguments are presented logically and in balanced way. An important - original - book." - Medical Book Awards "Dr Iliffe convincingly describes the process of industrialisation of family medicine through a highly researched book littered with interesting quotes and references. I recommend this book to both new and experienced members of primary care who wish to understand more about this process of industrialisation and how we can best
optimise the changes that it brings." - Primary Health Care Research and Development "Professor Illife has presented a view of what is happening to general practice that is both immensely simple and profoundly complex. The changes that have afflicted general practice in the UK in the last 20 years are all part of a single process: industrialisation...he pursues his case in compelling historical and theoretical detail...this makes the book a challenging read...a thorough, impressive, and persuasive book." - London Journal of Primary Care
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1: Industrialization
2: Management
3: Forward integration
4: Mass production
5: Evidence based medicine
6: Clinical governance
7: Consumerism and producerism
8: What are the alternatives?
Bibliography
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Conductor's score and parts on hire
Available on Hire
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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