Document Detail

Primary care in England: between a rock and a hard place.
MedLine Citation:
PMID:  23448918     Owner:  NLM     Status:  In-Data-Review    
A well-established primary care sector has allowed England's National Health Service (NHS) to make efficient use of resources through the gatekeeping role that general practitioners have in controlling access to specialist services. Because of the poor economic situation in the United Kingdom, there is now considerable pressure on the NHS to use its resources more efficiently. These financial challenges are putting enormous pressure on general practices at a time when the NHS is also going through other major structural changes. Consequently, general practitioners in England increasingly find themselves having to make difficult decisions about the future of their practices.
Azeem Majeed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of ambulatory care management     Volume:  36     ISSN:  1550-3267     ISO Abbreviation:  J Ambul Care Manage     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802876     Medline TA:  J Ambul Care Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  126-8     Citation Subset:  H    
Department of Primary Care & Public Health, Imperial College London, London, England. Dr Majeed is a part-time general practitioner at the NHS General Practice of Dr Curran & Partners in Clapham, London, England (
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