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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. 1974 October; 24(147): 703–709.
PMCID: PMC2157312

The relationship between the family doctor and the hospital

Abstract

From this paper based on the opinions of hospital patients, a representative group of Dutch family doctors and of specialists, as well as on the results of an investigation in three practices of the Nijmegen University Department of General Practice, two conclusions can be drawn.

(1) The family doctor can fulfil an important role for his patients in hospital. This role arises from his function as a doctor to the family and is complementary to the technical specialist's work in hospital. The family doctor can therefore bridge the gap between hospital and home and between the patient and his family.

(2) A strict referral and hospital admission policy by the family doctor has important consequences and gives him a key position in health care. He can promote the shift from hospital-centred care to domiciliary-centred care which is now generally considered to be necessary.

It seems likely that such a strict referral system means a better quality of medical care for patients.

This is a priority of the first order, greater than that of perfecting hospital medical care, which will require an ever-increasing effort and cost for a decreasing group of patients.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Evans EO. The future rôle of the general practitioner in the hospital. J R Coll Gen Pract. 1971 Apr;21(105):187–198. [PMC free article] [PubMed]
  • KAEBLE-ELLIOTT RA, TUDOR J, WILLIAMS JT. THE GENERAL PRACTITIONER AS MEDICAL REGISTRAR. Lancet. 1964 Nov 7;2(7367):1005–1005. [PubMed]
  • LIGHTWOOD R. Co-operation between the GP and the hospital. Med World. 1963 Jan;98:61–62. [PubMed]
  • Loudon IS. The contribution of general practitioner hospitals. J R Coll Gen Pract. 1972 Apr;22(117):220–226. [PMC free article] [PubMed]
  • ODDIE JA. GENERAL PRACTITIONERS AND HOSPITAL STAFFING. AN EXPERIMENT IN COOPERATION BETWEEN THE HOSPITAL AND GENERAL-PRACTITIONER SERVICES. Lancet. 1963 Dec 7;2(7319):1219–1220. [PubMed]
  • Torrance N, Lawson JA, Hogg B, Knox JD. Acute admissions to medical beds. J R Coll Gen Pract. 1972 Apr;22(117):211–219. [PMC free article] [PubMed]

Articles from The Journal of the Royal College of General Practitioners are provided here courtesy of Royal College of General Practitioners