Scott M G
J R Coll Gen Pract. 1989 Feb;39(319):73-5.
In anticipation of the government's review of the National Health Service an inner city doctor considers some of the issues raised by a contract which will challenge the general practitioner to manage a budget for both primary and secondary care and will require standards of care to be audited. There will be difficult clinical, management and ethical problems ahead, but these are capable of being solved. Such a contract holds out the prospect of enhanced health care for patients and a more fulfilled professional life for general practitioners.
鉴于政府对国民医疗服务体系的审查，一位市中心的医生思考了一份合同引发的一些问题。这份合同将要求全科医生管理初级和二级医疗的预算，并对医疗标准进行审计。未来会有棘手的临床、管理和伦理问题，但这些问题是能够解决的。这样一份合同为患者带来了改善医疗服务的前景，也为全科医生带来了更充实的职业生活。
