Hart J T
J R Coll Gen Pract. 1980 Apr;30(213):216-9.
Ideas about general practitioner specialism may have been hampered in the past because of the three models of general practitioner specialism - in the hospital service, the fee-earning specialoid or the general practitioner obstetrician - none of which is satisfactory.However, general practitioner specialism can be justified in guaranteeing standards by concentrating groups of patients, accepting responsibility, and planning care. Medico-political changes may be needed to achieve improvement in clinical standards.
过去,全科医生专业化的理念可能受到了阻碍,因为存在三种全科医生专业化模式——在医院服务中、收费的专科样医生或全科医生产科医生——但没有一种模式是令人满意的。然而,通过集中患者群体、承担责任和规划护理来保证标准,全科医生专业化是合理的。可能需要医疗政治变革来提高临床标准。