Key I
Br Med J (Clin Res Ed). 1985 Aug 17;291(6493):451-5. doi: 10.1136/bmj.291.6493.451.
New principals in general practice who were appointed from 1981 to 1983 by two family practitioner committees, one in an inner city and one in a combination of an inner city and suburban area, were surveyed to find out if they were making improvements to primary medical care in their new practices. Most were not. The highly trained, motivated, young doctors on the whole had joined group practices and practices in health centres, where facilities tended to be good. Older doctors, who may not be as concerned with change, had joined smaller practices, in which it was difficult to make changes owing to, for example, the type of premises and costs.
1981年至1983年期间，由两个家庭医生委员会任命的普通科新负责人接受了调查，这两个委员会一个位于市中心，另一个位于市中心和郊区的结合地带，目的是了解他们是否在新的工作中对初级医疗保健做出了改进。大多数人没有。总体而言，训练有素、积极性高的年轻医生加入了团体诊所和健康中心的诊所，那里的设施往往较好。年纪较大的医生可能对变革不太关心，他们加入了规模较小的诊所，由于诸如场所类型和成本等原因，在这些诊所很难做出改变。
