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Who needs a general physician?

¹County Hospital, Hereford.

Journal of the Royal College of Physicians of London

|January 9, 1999

Summary

This summary is machine-generated.

General practitioners (GPs) see a vital role for generalists in outpatient care, despite increasing specialization. When ill, most GPs prefer generalist care, while specialists lean towards specialist admission.

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Area of Science:

Medical Practice
Physician Education

Background:

The role of generalists in healthcare is debated, particularly concerning emergency workloads.
Increasing medical specialization raises concerns about physicians practicing as 'partialists'.

Purpose of the Study:

To ascertain general practitioners' (GPs) views on essential elements of general medical services.
To investigate whether doctors, when ill, prefer treatment by a generalist or a specialist.

Main Methods:

Two distinct questionnaires were administered to assess physician opinions.
The first questionnaire targeted 100 general practitioners.
The second questionnaire surveyed 144 general and hospital-based physicians.

Main Results:

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General practitioners identified a significant need for generalists in outpatient settings.
Physicians acknowledged the necessity of specialization but worried about 'partialism' among some doctors.
Consultants showed a slight preference for specialist care when ill, contrasting with GPs' preference for generalist care.

Conclusions:

Findings impact training for junior physicians and continuing education for consultants.
The study highlights a perceived tension between generalism and increasing specialization in medicine.
Physician preference for care type when ill differs between general practitioners and specialists.