A groundhog century? Collings and the crisis in general practice

[摘要] In the years immediately following the Second World War, Australian GP Joseph Silver Collings (1865—1955) observed 55 non-randomly selected English practices. He had prior experience of the Canadian, US, and New Zealand healthcare systems, but viewed English general practice with fresh eyes. The NHS had been established just short of 6 months prior to the start of his observational data collection. His damning and seismic report was published in the Lancet in 1950.1One must only catch a glimpse of the news to realise that GPs are clearly still working within a system that is not fit for purpose. Blame is often targeted at the system rather than individuals working within the NHS.2 Though society has changed and, as such, so too have the specific challenges, this firefighting approach is clearly not new.

[学科分类] 卫生学