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Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
J R Coll Gen Pract. 1987 January; 37(294): 31–33.
PMCID: PMC1710596

Primary medical care in Sri Lanka: hospital or general practice?


A study was undertaken to compare aspects of patient care in private general practice and in a hospital emergency care clinic in Sri Lanka. General practitioners were found to spend more time with each patient, were more likely to write some kind of patient record and were more likely to carry out immunizations and investigations. They prescribed less and referred to specialists less than their colleagues in hospital primary care. In concluding that general practitioners in Sri Lanka provide an important part of primary care the 'orthodox' view that developing countries cannot afford this type of system is challenged.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mahler H. Partnership for health for all. Address to the WHO Regional Committee for South-East Asia. WHO Chron. 1981;35(6):203–207. [PubMed]
  • Wilkin D, Metcalfe DH. List size and patient contact in general medical practice. Br Med J (Clin Res Ed) 1984 Dec 1;289(6457):1501–1505. [PMC free article] [PubMed]
  • Feldman S. The use of private health care providers in rural Bangladesh: a response to Claquin. Soc Sci Med. 1983;17(23):1887–1896. [PubMed]
  • Glynn JR, Heymann TD. Factors that influence patients in Sri Lanka in their choice between Ayurvedic and Western medicine. Br Med J (Clin Res Ed) 1985 Aug 17;291(6493):470–472. [PMC free article] [PubMed]

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