Majeed Azeem
Department of Primary Care & Public Health, Imperial College London, London, United Kingdom.
J Ambul Care Manage. 2015 Jan-Mar;38(1):2-4. doi: 10.1097/JAC.0000000000000071.
The last few years have been a time of considerable change for general practitioners in England. In 2004, general practitioners negotiated a new contract with the United Kingdom's National Health Service. In came a new pay for performance scheme, along with the option of opting out of after-hours primary care. General practitioners' pay increased and job satisfaction improved. However, rather than then entering a period of stability, general practitioners subsequently found themselves facing even more changes in their working practices. Workload has increased, new responsibilities for commissioning health services have been given to general practitioners, and their income has fallen.
在过去几年里，英国的全科医生经历了相当大的变化。2004年，全科医生与英国国家医疗服务体系协商达成了一项新合同。新的绩效薪酬计划出台，同时还可以选择不参与非工作时间的初级医疗服务。全科医生的薪酬增加了，工作满意度也提高了。然而，全科医生随后并没有进入一个稳定期，而是发现自己在工作方式上面临着更多变化。工作量增加了，全科医生被赋予了新的健康服务委托责任，而他们的收入却下降了。
