ORCID

Abstract

Faced with an unprecedented mismatch between presented health needs and resources available, we must rethink both how we deliver healthcare and what care we deliver. Work has already started on the ‘how’: notably with efforts to strengthen access and integration — improved coordination of the comprehensive care needed to meet a diverse range of needs.2 It is defining ‘what’ to deliver that is proving more challenging. To address emerging problems of over- and under-treatment associated with the undue specialisation of healthcare,3 we need to strengthen delivery of generalist medical care.4 This means that we need to bolster the capacity to decide if and when medical intervention is the right approach for this individual (whole person) in their lived context.5 We need to put the intellectual interpretive expertise6 of the medical generalist back at the core of our primary healthcare systems. Our ‘United Model of Generalism’ (Figure 1) recognises the important contribution of both ‘Integrated’ and ‘Interpretive care’ in the delivery of whole person generalist medical care. Here, we describe our framework for primary care redesign and discuss the implications for subsequent actions.

DOI

10.3399/bjgp17x691589

Publication Date

2017-07-01

Publication Title

British Journal of General Practice

Volume

67

Issue

660

ISSN

0960-1643

Embargo Period

2022-01-25

Organisational Unit

Peninsula Medical School

First Page

292

Last Page

293

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