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The Exceptional Potential of General Practice : Making a Difference in Primary Care.

Author: Graham Watt
Publisher: Milton : Chapman and Hall/CRC, 2018.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
This innovative and timely book draws on pioneering precedents, basic principles, current examples and international experience to capture the narratives, examples and ideas that underlie and demonstrate the exceptional potential of general practice: "If health care is not at is best where it is needed most, health inequalities will widen." "The unworried unwell are not hard to reach but they are easy to ignore and  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Print version:
Watt, Graham.
Exceptional Potential of General Practice : Making a Difference in Primary Care.
Milton : Chapman and Hall/CRC, ©2018
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Graham Watt
ISBN: 9780429764608 042976460X
OCLC Number: 1078572430
Notes: 8.4 Experience as a GP Lead
Description: 1 online resource (303 pages)
Contents: Cover; Half Title; Title Page; Copyright Page; Dedication; Table of Contents; Acknowledgements; Contributors; Introduction; 1: The exceptional potential of general practice; References; 2: Three horizons of general practice; References; 3: Traditional strengths; 3.1 Gatekeeping; 3.2 Tolerating uncertainty; 3.3 Knowing the patient; 3.4 Consultations Stewart; 3.5 Caring; 3.6 Continuity; 3.7 Coordination; 3.8 Coverage; 3.9 Clinical generalism in Scotland; 3.10 39 Years in practice; 3.10.1 Practice reflections; 3.10.2 Personal reflections; References; 4: Pioneers; 4.1 Pioneers in research 4.1.1 Edward Jenner (1749-1823)4.1.2 Sir James Mackenzie (1853-1925); 4.1.3 William Pickles (1885-1969); 4.1.4 Seizing opportunities; 4.1.5 University-based research; 4.2 Population medicine; 4.2.1 Career advice for medical students; 4.2.2 The example of Julian Tudor Hart; 4.3 Advocacy; 4.3.1 Dr Lachlan Grant (1871-1945) James D.M. Douglas; 4.3.2 Direct action for public health; 4.3.3 Advocating for a National Health Service; 4.3.4 Welfare reform; 4.3.5 Alcohol in general practice; References; 5: Challenges; 5.1 Confusing terminology; 5.2 Multimorbidity Stewart W. Mercer 5.3 The challenges of multimorbidity5.3.1 Defining multimorbidity; 5.3.2 Listen to the patient; 5.3.3 Patient experience; 5.3.4 Machines that do the work of two people; 5.3.5 The worried doctor; 5.3.6 Leadership; 5.3.7 Information; 5.3.8 Conclusion; 5.4 Assessing the quality of generalist clinical care Ken McLean; 5.5 Competing for power and resource; 5.6 Maintaining sufficient numbers of clinical generalists; 5.7 The Inverse Care Law; 5.8 GP views on health inequalities Breannon Babbel; References; 6: Practices working together in the Deep End; 6.1 General Practitioners at the Deep End 6.1.1 The Deep End6.1.2 The challenge; 6.1.3 The practices; 6.1.4 The meeting; 6.1.5 What next?; 6.1.6 The Deep End logo; 6.1.6.1 Brief history of the Deep End Project; 6.1.7 Link worker programme; 6.1.8 Govan SHIP (Social and Health Integration Partnership); 6.1.9 Deep End GP Pioneer Scheme; 6.1.10 Parkhead financial advisor project; 6.1.11 Attached alcohol nurses; 6.2 Deep End Ireland; 6.3 General practice at the Deep End in Yorkshire and Humber; 6.4 Deep End Greater Manchester; References; 7: Addressing the Inverse Care Law; 7.1 The Govan SHIP project; 7.1.1 Monitoring progress 7.1.2 Overall GP demand and comparison with other practices7.1.3 Project activity and social care; 7.1.4 GP recruitment and retention; 7.1.5 Conclusion; 7.1.6 GP use of protected time --
1; 7.1.7 GP use of protected time --
2; 7.1.8 GP use of protected time --
3; 7.2 The Deep End GP Pioneer Scheme Petra Sambale; 7.2.1 GP use of protected time --
4; 7.2.2 GP use of protected time --
5; 7.2.3 GP use of protected time --
6; References; 8: Link workers in general practice; 8.1 Best arrangements for link workers; 8.2 Experience as a programme director; 8.3 Experience as a host practice

Abstract:

This innovative and timely book draws on pioneering precedents, basic principles, current examples and international experience to capture the narratives, examples and ideas that underlie and demonstrate the exceptional potential of general practice: "If health care is not at is best where it is needed most, health inequalities will widen." "The unworried unwell are not hard to reach but they are easy to ignore and are often ignored." "With patient contact, population coverage, continuity, coordination, flexibility, long term relationships and trust, general practices are the natural hubs of local health systems." "... practitioners ... are not only scientists but also responsible citizens and if they did not raise their voice who else should?" Written for family doctors looking to strengthen local collaboration, it brings together the traditional strengths of consultations, caring, continuity, coordination and coverage with the current and future challenges of building capacity, community, creativity, consistency, collegiality and campaigning. It highlights the critical importance of working with patients, maximising the use of serial encounters, integrating care, joint working between practices, social prescribing, community development and advocacy based on patient and practitioner experience. Drawing on the highly-regarded work of Deep End GPs serving the poorest communities in Scotland ̶ www.gla.ac.uk/deepend ̶ the book is an invaluable handbook for all primary care doctors, irrespective of health care system or country, seeking to provide unconditional continuity of personalised care for all patients, whatever problem or combination of problems a patient may have.

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