Part I. General practitioner-specialist relationship.
This article is the first of a two-part series that seeks to explore the relationship and interaction between general practitioners (GPs) and medical specialists. A historical account of the medical profession is given, beginning from the tripartite division (i.e. the physicians, surgeons or barbers and the apothecaries), the Apothecaries Act of 1815, and the Medical Act of 1858. An account is also given of factors that exacerbated the division and friction between GPs and specialists, and how general practice developed in Australia. The role of the GP is stated as the provision of primary care, preventive care, patient-centred care, continuing care, comprehensive care, and community-based care to individuals and their families. The role of the specialists on the other hand is that of a consultant to advise GPs who carry on the management after the patient leaves the specialist. The dynamics of the GP-specialist relationship are discussed in relation to power, interdependence, morale, public image, education and training, and support from the Colleges, and we conclude by discussing the importance of collaboration between professions.
Piterman
L
L
Department of General Practice, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia. leon.piterman@med.monash.edu.au
Koritsas
S
S
D001315:Australia; D005194:Family Practice; D006801:Humans; D010819:Physician's Role; D010818:Practice Patterns, Physicians' / Q000592:standards*