Litchfield Ian, Gale Nicola Kay, Greenfield Sheila, Shukla David, Burrows Micheal
Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, United Kingdom.
Health Services Management Centre, College of Social Sciences, University of Birmingham, Birmingham, United Kingdom.
Front Health Serv. 2025 Jan 27;4:1499847. doi: 10.3389/frhs.2024.1499847. eCollection 2024.
Access to UK general practice is complicated by the need to provide equitable and universal care within a system adapting to workforce challenges, digital innovation, and unprecedented demand. Despite the importance of accessing primary care in meeting the overall aim of delivering equitable care, this is the first time the direct and indirect influence of policies intended to facilitate access have been systematically explored. Further consideration by policymakers is needed to accommodate the difference between what patients need and what patients want when accessing primary care, and the differences in their ability to utilise digital options. The designation of care was hindered by long-standing issues of reliable data and variations in the interpretation of local and national protocols and guidelines.
在一个正应对劳动力挑战、数字创新和前所未有的需求的体系中，要提供公平和普及的医疗服务，获得英国全科医疗服务变得复杂起来。尽管获得初级医疗服务对于实现公平医疗服务的总体目标至关重要，但这是首次系统地探讨旨在促进就医机会的政策的直接和间接影响。政策制定者需要进一步考虑，以适应患者在获得初级医疗服务时的需求与愿望之间的差异，以及他们使用数字选项的能力差异。护理的指定受到长期存在的可靠数据问题以及对地方和国家协议及指南解释差异的阻碍。
