Green J M
Department of General Practice, United Medical School, Guy's Hospital, London.
BMJ. 1993 Sep 4;307(6904):607-10. doi: 10.1136/bmj.307.6904.607.
To examine the concerns of singlehanded general practitioners working in an inner London area and to compare the views of general practitioners in partnerships.
Qualitative analysis of semistructured interviews with a random sample of singlehanded general practitioners and a sample of general practitioners from partnerships matched for age and sex.
The area covered by Lambeth, Southwark, and Lewisham Family Health Services Authority.
The singlehanded general practitioners were more likely to be older, male, and first qualified abroad than general practitioners in partnerships. Their major concerns were inadequate premises, maintaining their singlehanded status, and coping with recent changes to their contract. Most were very satisfied with their solo status and did not see the provision of 24 hour care as stressful.
Singlehanded general practitioners saw themselves as providing a unique service for patients, and their status as an alternative for general practitioners who were unhappy in partnerships. Such practices are unlikely to wither away as a pattern of provision. Any comprehensive development of primary care must take their needs into account.
调查在伦敦市中心区工作的个体全科医生所关心的问题，并比较合伙经营的全科医生的观点。
对随机抽取的个体全科医生以及按年龄和性别匹配的合伙经营全科医生样本进行半结构化访谈的定性分析。
兰贝斯、南华克和刘易舍姆家庭健康服务管理局所覆盖的区域。
与合伙经营的全科医生相比，个体全科医生更可能年龄较大、为男性且首次取得资格是在国外。他们主要关心的问题是诊疗场所不足、维持个体身份以及应对合同近期的变化。大多数人对其个体身份非常满意，并且不认为提供24小时护理有压力。
个体全科医生认为自己为患者提供了独特的服务，并且其身份是对在合伙经营中不满意的全科医生的一种选择。作为一种服务提供模式，此类诊疗方式不太可能消失。初级保健的任何全面发展都必须考虑到他们的需求。
