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- W1008475398 abstract "These are exciting times in which to live, but then it has probably ever seemed so to men alert to the changes going on all around. Habits alter with almost breathtaking rapidity. What is accepted as au fait today is outmoded tomorrow; what is 'U' this week is 'non U ' next week. Medicine is being transformed. Paediatricians, deprived of their young patients with pneumonia and acute rheumatism, turn their attention to intra-uterine paediatrics; the sanatoria empty of tuberculous patients are available for new uses; the infectious diseases hospitals cleared of diphtheria (and soon, we hope, of poliomyelitis patients) stand half empty. General practice too is searching for a new modus vivendi. Family doctors cannot continue in the established traditional methods, and this for three reasons. The introduction of antibiotics, insulin, heparin and other potent remedies has done much to increase the doctor's ability to cure radically or control some of the greatest scourges of humanity. It has been said that a patient might have his life saved by a doctor whose name he could not catch, and it is no longer necessary for the doctor to spend so much time with his patient, offering moral support through the medical crises of life. There is resulting harm to the doctor patient relationship, and if the general practitioner is to continue as friend and confidant to his patients he must reinforce this relationship by extending his horizons of medico-social care. The advent of the National Health Service made medical care available to the whole population. While recognizing that the 1946 Act was only one in a series designed to extend medical care, nevertheless, prior to 1948 there were many, especially in the great urban areas, who were denied attention for want of the ability to pay. This may be regarded as heresy, but from my own short experience in general practice before 1948 I believe it to be true. That is not to say that doctors deliberately withheld treatment as a result of inability to pay fees-but consider, for example, how many patients languished at home whilst awaiting sanatoria beds, whilst if they could pay they were admitted immediately to private accommodation. In effect, therefore, many more patients may come to the doctor than in former times, so that he has less time to devote to each. Increasing specialization continually makes inroads into the general practitioner's domain, so that many doctors feel themselves" @default.
- W1008475398 created "2016-06-24" @default.
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- W1008475398 date "1959-11-01" @default.
- W1008475398 modified "2023-09-23" @default.
- W1008475398 title "The Failure of Health Centres." @default.
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