Lovett John, Curry Adrienne
Greater Glasgow NHS Trust, Glasgow, Scotland, UK.
Health Serv Manage Res. 2007 May;20(2):121-33. doi: 10.1258/095148407780744633.
The introduction of the new general practitioner (GP) contract has been a significant development in the management of primary care and requires a number of changes to be made to the way things are done. This paper provides an initial evaluation of the impacts of the new contract from the perspective of practising GPs in the Greater Glasgow area of Scotland. Its impact is assessed using Ovretveit's three dimensions of quality: professional, client and managerial quality. Some of the changes have proved so far to have positive effects and some may prove to be increasingly negative if appropriate amendments to the contract are not realized. There are some noteworthy implications for policy here.
新全科医生合同的引入是初级医疗管理中的一项重大进展，需要在工作方式上做出一些改变。本文从苏格兰大格拉斯哥地区执业全科医生的角度，对新合同的影响进行了初步评估。使用奥夫雷特维特的质量三个维度：专业质量、客户质量和管理质量来评估其影响。到目前为止，一些变化已证明具有积极影响，如果不对合同进行适当修订，一些变化可能会越来越消极。这里有一些值得注意的政策含义。
