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Darwinian evolution and general practice

Martin B Van Der Weyden
Med J Aust 2009; 191 (2): . || doi: 10.5694/j.1326-5377.2009.tb02685.x
Published online: 20 July 2009

General practice needs resolute and united medical leadership to ensure its fitness for survival

Two-hundred years after the birth of Charles Darwin and 150 years after the publication of On the origin of species, we elected to pursue a Darwinian theme in the 2009 MJA annual General Practice issue. “Survival of the fittest” relates to the ability to adapt to the immediate environment, which, for medicine and health care, has certainly undergone some changes! Indeed, the Lancet recently redefined health as the ability to adapt.1 We wanted to explore just how medicine, and general practice in particular, has adapted to changing societal, commercial and political environments.


  • The Medical Journal of Australia, Sydney, NSW.


Correspondence: medjaust@ampco.com.au

  • 1. What is health? The ability to adapt [editorial]. Lancet 2009; 373: 781.
  • 2. World Health Organization. The World Health Report 2000. Health systems: improving performance. Statistical annex table 5: health attainment, level and distribution in all member states, estimates for 1997 and 1999. Geneva: WHO, 2000. http://www.who.int/whr/2000/en/whr00_annex_en.pdf (accessed Jun 2009).
  • 3. Whitlam EG. The alternative national health programme. Med J Aust 2000; 173: 3-4.
  • 4. Lilford RJ, Howie F, Scott I, Warren R. Medical practice: where next? J R Soc Med 2001; 94: 559-562.
  • 5. Winch S, Henderson AJ. Making cars and making health care: a critical review. Med J Aust 2009; 191: 28-29. <MJA full text>
  • 6. Van Der Weyden MB. Doctor displacement: a political agenda or a health care imperative [editorial]? Med J Aust 2008; 189: 608-609. <MJA full text>
  • 7. Schattner PL, Coman GJ. The stress of metropolitan general practice. Med J Aust 1998; 169: 133-137. <MJA full text>
  • 8. Coote W. General practice reforms, 1989–2009. Med J Aust 2009; 191: 58-61.
  • 9. Australian Government Department of Health and Ageing. Financing general practice, health services and expenditure in Australia. In: General practice in Australia: 2004. Canberra: Commonwealth of Australia, 2005: 33-93.
  • 10. Smith R. British medicine’s desperate need for leadership [editorial]. J R Soc Med 2007; 100: 486-487.
  • 11. Mara PR. Red sand and stingers — reforming general practice. Med J Aust 2009; 191: 62-63.

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