Strategies that enable access to Primary Health Care services in the United Kingdom
DOI:
https://doi.org/10.5712/rbmfc14(41)1945Keywords:
Family Practice, Primary Health Care, Family Health Strategy, Universal Access to Health Care Services, Patient Access to RecordsAbstract
This article presents some organizational and operational characteristics of UK Primary Health Care (PHC). The objective is to show relevant points in the functioning of PHC clinics that facilitate the dynamic balance between same-day appointments and programmatic health actions. It derives from empirical material of an ethnographic study, conducted in the United Kingdom in the period of 2013/14, which analyzed the pay-for-performance model in the country. The issues covered include: (a) composition of English PHC teams; (b) PHC clinic functional organogram; (c) 10 minute consultation of family physician and clinic opening hours; (d) reception; (e) nursing team; and (f) information technology system. The supporting references allow to simultaneously explore websites and tutorials to better understand some aspects of the English PHC dynamics. The UK has professionalized patients’ access to PHC. This has entailed larger number of administrative personnel, a smaller population/family physician ratio, greater autonomy of the nursing team and a robust information technology system. In Brazil, the Family Health Strategy (FHS) needs to follow a similar path in order to improve the primary healthcare quality in the country.
Downloads
Metrics
References
Tesser CD, Norman AH. Repensando o acesso ao cuidado na Estratégia Saúde da Família. Saúde Soc. 2014;23(3):869-83. https://doi.org/10.1590/S0104-12902014000300011 DOI: https://doi.org/10.1590/S0104-12902014000300011
Norman AH, Tesser CD. Acesso ao cuidado na Estratégia Saúde da Família: equilíbrio entre demanda espontânea e prevenção/promoção da saúde. Saúde Soc. 2015;24(1):165-79. https://doi.org/10.1590/S0104-12902015000100013 DOI: https://doi.org/10.1590/S0104-12902015000100013
Norman AH, Russell AJ, Merli C. The Quality and Outcomes Framework: Body commodification in UK general practice. Soc Sci Med. 2016;170:77-86. https://doi.org/10.1016/j.socscimed.2016.10.009 DOI: https://doi.org/10.1016/j.socscimed.2016.10.009
McCarthy M. Health system report ranks UK first, US last. BMJ. 2014;348:g4080. https://doi.org/10.1136/bmj.g4080 DOI: https://doi.org/10.1136/bmj.g4080
The NHS: A Difficult Beginning. [YouTube]. [acesso 2018 Dez 16]. Disponível em: https://www.youtube.com/watch?v=-ywP8wjfOx4&t=177s
Gray DJ. General practitioners and the independent contractor status. J R Coll Gen Pract. 1977;27(185):746-52.
Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502. https://doi.org/10.1111/j.1468-0009.2005.00409.x DOI: https://doi.org/10.1111/j.1468-0009.2005.00409.x
Light DW. Universal health care: lessons from the British experience. Am J Public Health. 2003;93(1):25-30. https://doi.org/10.2105/AJPH.93.1.25 DOI: https://doi.org/10.2105/AJPH.93.1.25
The Birth of the National Health Service: Your Very Good Health - 1948 - CharlieDeanArchives [YouTube]. [acesso 2018 Dez 25]. Disponível em: https://www.youtube.com/watch?v=VFhEB3gG8HA
Choose Your Doctor - Trailer (1948). [YouTube]. [acesso 2018 Dez 16]. Disponível em: https://www.youtube.com/watch?v=y_FXAsDVStY
Maynard A, Dixon M. Should the NHS abolish the purchaser-provider split? BMJ. 2016;354:i3825. https://doi.org/10.1136/bmj.i3825 DOI: https://doi.org/10.1136/bmj.i3825
Filippon J, Giovanella L, Konder M, Pollock AM. “Liberalizing” the English National Health Service: background and risks to healthcare entitlement. Cad Saúde Pública. 2016;32(8):e00034716. https://doi.org/10.1590/0102-311X00034716 DOI: https://doi.org/10.1590/0102-311X00034716
Jones R. Dismantling general practice. Br J Gen Pract. 2007;57(544):860-1. https://doi.org/10.3399/096016407782317874 DOI: https://doi.org/10.3399/096016407782317874
Linthorpe Surgery. [acesso 2018 Dez 23]. Disponível em: https://www.linthorpesurgery.com/earnings.aspx
Morais HMM, Albuquerque MSV, Oliveira RS, Cazuzu AKI, Silva NAF. Organizações Sociais da Saúde: uma expressão fenomênica da privatização da saúde no Brasil. Cad Saúde Pública. 2018; 34(1): e00194916. https://doi.org/10.1590/0102-311x00194916 DOI: https://doi.org/10.1590/0102-311x00194916
Gorsky M. The British National Health Service 1948-2008: A Review of the Historiography. Soc Hist Med. 2008;21(3):437-60. https://doi.org/10.1093/shm/hkn064 DOI: https://doi.org/10.1093/shm/hkn064
An alternative guide to the new NHS in England. [YouTube]. [acesso 2018 Dez 16]. Disponível em: https://www.youtube.com/watch?v=te4kNFmPkhQ
Norman AH, Tesser CD. Obstetrizes e enfermeiras obstetras no Sistema Único de Saúde e na Atenção Primária à Saúde: por uma incorporação sistêmica e progressiva. Rev Bras Med Fam Comunidade. 2015;10(34):1-7. https://doi.org/10.5712/rbmfc10(34)1106 DOI: https://doi.org/10.5712/rbmfc10(34)1106
Macmillan Cancer Support. [acesso 2018 Dez 24]. Disponível em: https://www.macmillan.org.uk/
Rethink Mental Illness: the mental health charity. [acesso 2018 Dez 24]. Disponível em: https://www.rethink.org/about-us
DESMOND: What is the DESMOND Programme? [acesso 2018 Dez 24]. Disponível em: https://www.desmond-project.org.uk/about/
Meade JG, Brown JS. Improving access for patients - a practice manager questionnaire. BMC Fam Pract. 2006;7:37. https://doi.org/10.1186/1471-2296-7-37 DOI: https://doi.org/10.1186/1471-2296-7-37
Norman AH, Russell AJ, Macnaughton J. The payment for performance model and its infuence on british general practitioners’ principles and practice. Cad Saúde Pública. 2014;30(1):55-67. https://doi.org/10.1590/0102-311X00149912 DOI: https://doi.org/10.1590/0102-311X00149912
Marsh House: Medical Practice Billingham. [acesso 2018 Dez 22]. Disponível em: http://www.marshhousemedicalpractice.co.uk/index.php
Salisbury C. Multimorbidity: redesigning health care for people who use it. Lancet. 2012;380(9836):7-9. https://doi.org/10.1016/S0140-6736(12)60482-6 DOI: https://doi.org/10.1016/S0140-6736(12)60482-6
Patient Access Support Portal: Book appointment. [acesso 2018 Dez 22]. Disponível em: https://support.patientaccess.com/videos/book-appointment
Patient Access Support Portal: Request repeat medication. [acesso 2018 Dez 22]. Disponível em: https://support.patientaccess.com/videos/request-repeat-medication
Patient Access Support Portal: Share your medical record. [acesso 2018 Dez 22]. Disponível em: https://support.patientaccess.com/videos/share-your-medical-record
Downloads
Published
How to Cite
Issue
Section
License
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.