Survival of family medicine in a corporate health care environment: lessons from the United Kingdom.
The preservation of small, independent family practices within a changed health care delivery environment is a goal worth pursuing. Properly organized, such practices would maintain the special fiduciary relationship between physicians and patients. Fundholding practices, which are a growing organizational form of general practice in the United Kingdom, are described as a model that could serve as the basis for an American alternative to corporate medicine.
Lewsey
D M
DM
Tetbury, Gloucestershire, UK.
Smith
S R
SR
D004992:Ethics, Medical; D005194:Family Practice / Q000191:economics / Q000458:organization & administration*; D006123:Group Practice / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D013222:State Medicine / Q000191:economics / Q000458:organization & administration*; D006113:United Kingdom; D014481:United States