Gillies John C M, Mercer Stewart W, Lyon Andrew, Scott Mairi, Watt Graham C M
Selkirk Health Centre, Selkirk.
Br J Gen Pract. 2009 May;59(562):e167-76. doi: 10.3399/bjgp09X420626.
Over the past 5 years, general practice in the UK has undergone major change. Starting with the introduction of the new GMS contract in 2004, it has continued apace with the establishment of Postgraduate Medical Education Training Board, a GP training curriculum, and nMRCGP. The NHS is developing very differently in the four countries of the UK. Regulation of the profession is under review, and a system of relicensing, recertification, and revalidation is being introduced. The Essence project, initiated by RCGP Scotland in conjunction with International Futures Forum 4 years ago is a constructive response to these changes. It has included learning journeys, a discussion day for GPs, and commissioned short pieces of 100 words from GPs and patients. From an analysis of these, some characteristics of the essence of general practice have been defined. These include key roles and core personal qualities for GPs. It is argued that general practice has important and unique advantages - trust, coordination, continuity, flexibility, universal coverage, and leadership - which mean that it should continue to be central to the development of primary care throughout the UK.
在过去五年中，英国的全科医疗发生了重大变革。始于2004年新的全科医疗服务合同的引入，随着研究生医学教育培训委员会的成立、全科医生培训课程以及国家全科医生注册考试的推行，变革一直在快速推进。英国四个地区的国民医疗服务体系（NHS）发展情况差异很大。该行业的监管正在接受审查，并且正在引入一种重新许可、重新认证和重新验证的体系。四年前由苏格兰皇家全科医师学会（RCGP）与国际未来论坛联合发起的“本质”项目，是对这些变化的建设性回应。它包括学习之旅、全科医生讨论日，以及委托全科医生和患者撰写的100字短文。通过对这些内容的分析，确定了全科医疗本质的一些特征。这些包括全科医生的关键角色和核心个人品质。有人认为，全科医疗具有重要且独特的优势——信任、协调、连续性、灵活性、全面覆盖和领导力——这意味着它应该继续在英国初级医疗保健的发展中处于核心地位。
