Comprehensive primary health care and social determinants as top priorities
Author: Mark R Nelson
Published online: 3 February 2014
To the Editor: I agree with Baum on the objective evidence of the good health of Australians and that there still is room for improvement in our primary health care system, but I think it is simplistic of her to characterise “fee-for-service general practice” as providing “episodic care”.1 The Royal Australian College of General Practitioners description of “person centred, continuing, comprehensive and coordinated wholeperson health care to individuals and families in their communities” seems to better represent what general practice does.2 While general practice does and needs to deal with acute episodes, more than half of problems managed in GP–patient encounters are chronic, and a significant amount of activity is preventive.3
Competing interests
References
- Baum FE. Comprehensive primary health care and social determinants as top priorities. Med J Aust 2013; 199: 233. 0_CACGCAHH
- Royal Australian College of General Practitioners. Becoming a GP in Australia. What is general practice? http://www.racgp.org.au/becomingagp/what-is-a-gp/what-is-general-practice (accessed Aug 2013).
- Britt H, Miller G, Henderson J, et al. General practice activity in Australia 2011-12. Sydney: Sydney University Press, 2012. (General Practice Series no. 31.) http://ses.library.usyd.edu.au/handle/2123/8675 (accessed Nov 2013).
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