Doctor Becomes Patient

2021 ◽  
pp. 5-16
Author(s):  
David Beaumont
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Heart Attack ◽  
Personal Perspective ◽  
Patient Relationship ◽  
Specialist Training ◽  
Health Seeking ◽  
Medical School Training ◽  
School Training

The author’s heart attack in his early 40s, when working as a rural general practitioner (GP) in the National Health Service (NHS). The author’s career journey: from his medical school training, working as a rural GP for the NHS, his transition to specialist training, and work as an occupational physician. The experience of doctors as patients: first from the author’s personal perspective, but also the tricky matter of treating a fellow doctor. The implications of doctors as patients. The problem of middle-aged men as patients: poor health-seeking behaviour and poor compliance. Sudden death in a patient. The author’s new focus on health and prevention, not disease and treatment. Paternalism in the doctor–patient relationship. Patients or clients? The autocratic doctor, and the concept of patient-centred care. What do patients want from their doctors? The concept of working in partnership with patients.

Child Health Services in England and Wales: An Overview

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1032-1036
Author(s):  
Shirley Goodwin
Keyword(s):  
Health Policy ◽  
General Practitioner ◽  
National Health Service ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Social Security ◽  
Child Health Services ◽  
England And Wales ◽  
The Impact

Child health services in England and Wales are rendered largely through the National Health Service and Social Security. The activities of local authorities are also important to child health. The structure and scope of services offered children by each of these is presented and discussed, with special attention to changes anticipated during the next 2 years. The care of children is integrated into the system serving all ages, so that services are difficult to evaluate and resources are shared with other groups. Health policy for children is fragmentary, although encouraging trends are visible in the evolution of existing policy. The impact of impending changes in hospital, community, and general practitioner services on the care of children is unclear at this time.

scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

scholarly journals Psychiatric training in Italy

1998 ◽  
Vol 22 (12) ◽  
pp. 762-763 ◽  
Author(s):  
Lucia Whitney ◽  
Janet Bruce
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Service Management ◽  
Psychiatric Training ◽  
Specialist Training ◽  
Learning Network ◽  
Management Learning ◽  
Health Service Management ◽  
Psychiatric Specialist

We visited Italy in 1995 as part of a National Health Service management learning network. We visited Florence, Prato and Arezzo in Tuscany; before moving on to Rome and Milan. L.W. had completed psychiatric specialist training in Italy, prior to doing so in England.

The National Health Service in England

2018 ◽  
pp. 118-135
Author(s):  
Richard M. Titmuss
Keyword(s):  
United States ◽  
General Practice ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
Present State ◽  
Historical Context ◽  
The United States ◽  
Historical Evolution ◽  
Patient Relationship

This concluding chapter reviews how, during the past decade, there has been an increasing volume of studies and reports on general practice in Britain, the United States, and other countries. No doubt much of this interest has been provoked by the growing impact of scientific developments on medicine over the same period. These have raised many questions about the present state of general practice, its historical evolution, and its future place in medical care. The chapter discusses the association of these developments with the changing character of demand for medical care and its effects on the doctor–patient relationship. It also looks at the questions of science and specialism in a broader historical context.

1974 and after: A General Practitioner's Views of the Reorganization of the British National Health Service

1975 ◽  
Vol 5 (3) ◽  
pp. 425-427 ◽  
Author(s):  
John Fry
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Working Through ◽  
British National Health

Living and working through the period since the British National Health Service began in 1947, the author describes his experiences as a family and general practitioner and in particular notes the effects and non-effects of the reorganization that took place in the National Health Service in 1974.

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