title: Survival of family medicine in a corporate health care environment: lessons from the United Kingdom.
abstract: 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.
authors.affiliation: Tetbury, Gloucestershire, UK.
authors.forename: D M
authors.initials: DM
authors.lastname: Lewsey
authors.forename: S R
authors.initials: SR
authors.lastname: Smith
mesh_terms: 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