Primary care redesign for person-centred care: delivering an international generalist revolution
Joanne Reeve
+ Author Affiliations
- Author Affiliations
Academy of Primary Care, Hull York Medical School, University of Hull, Allam Medical Building, Cottingham Road, Hull, HU6 7RX, UK. Email: joanne.reeve@hyms.ac.uk
Australian Journal of Primary Health 24(4) 330-336 https://doi.org/10.1071/PY18019
Submitted: 30 January 2018 Accepted: 31 May 2018 Published: 13 August 2018
Abstract
Person-centred primary care is a priority for patients, healthcare practitioners and health policy. Despite this, data suggest person-centred care is still not consistently achieved – and indeed, that in some areas, care may be worsening. Whole-person care is the expertise of the medical generalist – an area of clinical practice that has been neglected by health policy for some time. It is internationally recognised that there is a need to rebalance specialist and generalist primary care. Drawing on 15 years of scholarship within the science of medical generalism (the expertise of whole-person medical care), this discussion paper outlines a three-tiered approach to primary care redesign; describing changes needed at the level of the consultation, practice set up and strategic planning. The changing needs of patients living with complex chronic illness has already started a revolution in our understanding of healthcare systems. This paper outlines work to support that paradigm shift from disease-focused to person-focused primary healthcare.
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