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

303 Pages·2018·17.054 MB·\303

by  Graham Watt (Editor)

The Exceptional Potential of
General Practice

The Exceptional Potential
of General Practice

Making a Difference in Primary Care

Edited by
Graham C. M. Watt
CRC Press
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Dedication
This book is dedicated to Julian Tudor Hart and Mary Hart, who blazed a trail
for general practice at Glyncorrwg in South Wales and lit the way for others to
follow.

If a man were permitted to make all the ballads, he need not care who should
make the laws of a nation.
Andrew Fletcher of Saltoun (1653–1716), as inscribed
on the wall of the Scottish Parliament.
The author was awarded the Saltire Society Fletcher
of Saltoun Award for Science in 2018.

Contents
Acknowledgements xv
Contributors xvii
Introduction xxiii
1 The exceptional potential of general practice 1
References 3
2 Three horizons of general practice 5
Andrew Lyon
References 7
3 Traditional strengths 9
3.1 Gatekeeping 9
3.2 Tolerating uncertainty 10
3.3 Knowing the patient 11
3.4 Consultations 12
Stewart W. Mercer
3.5 Caring 15
3.6 Continuity 17
3.7 Coordination 20
3.8 Coverage 20
3.9 Clinical generalism in Scotland 22
John Gillies
3.10 39 Years in practice 24
James D. M. Douglas
3.10.1 Practice reflections 24
3.10.2 Personal reflections 26
References 27
4 Pioneers 31
4.1 Pioneers in research 31
4.1.1 Edward Jenner (1749–1823) 31
4.1.2 Sir James Mackenzie (1853–1925) 32
ix