General practitioners with a special clinical interest: a model for improving respiratory disease management

Sharon Williams, David Brendan Price, Dermot Patrick Ryan, C. Langley, M. Fletcher, P. Everden

Research output: Contribution to journalArticlepeer-review

27 Citations (Scopus)

Abstract

Health care technology is continuously moving forward with great advances in all fields of medicine The way in which health care is delivered has been stuck in a primary care/secondary care model which is failing to meet patients' needs. Existing structures are inefficient because they do not maximise use of skills. A new way of delivering services is proposed using an intermediate level specialist - a general practitioner with a special clinical interest (GPSCI), to increase access at a location close to the patient while giving support to the wider primary health community. We explore how the role of GPSCI might work using the field of respiratory medicine as an exemplar The concept is transferable to other therapeutic areas.

Original languageEnglish
Pages (from-to)838-843
Number of pages5
JournalThe British Journal of General Practice
Volume52
Publication statusPublished - 2002

Keywords

  • general practitioner with a special clinical interest
  • service model
  • primary care
  • secondary care
  • respiratory medicine
  • QUALITY-OF-LIFE
  • GUIDED SELF-MANAGEMENT
  • TRADITIONAL TREATMENT
  • COST-EFFECTIVENESS
  • PATIENT OUTCOMES
  • ASTHMA
  • CARE
  • REHABILITATION
  • FEEDBACK
  • TRIAL

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