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LETTER TO EDITOR
Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 172-173  

More reasons for more primary care


BMJ Learning, BMJ, BMA, United Kingdom

Date of Web Publication29-Jul-2014

Correspondence Address:
Kieran Walsh
BMJ Learning, BMA House, Tavistock Square, London WC1H 9JR
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.137673

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How to cite this article:
Walsh K. More reasons for more primary care. J Family Med Prim Care 2014;3:172-3

How to cite this URL:
Walsh K. More reasons for more primary care. J Family Med Prim Care [serial online] 2014 [cited 2019 Jul 23];3:172-3. Available from: http://www.jfmpc.com/text.asp?2014/3/2/172/137673

Sir,

Kumar is correct to champion the cause of primary care within India. [1] The reasons for promoting primary care outlined in the paper are sound - however these reasons are not all, there are others. First of all, along with primary care will come more accessible care. Adequate access for patients in both rural and urban areas is vital. Second as the population of India ages, an older population will inevitably have more co-morbid diseases. Older people with multiple co-morbidities cannot attend multiple tertiary care specialists. They must have primary care physicians who will be able to provide generalist care for all their needs and who will also be able to co-ordinate their care. Third care provided by secondary and tertiary care specialists will become prohibitively expensive. It will be too expensive regardless of who the payer is - be it the individual, their family, or the government. For reasons of cost alone, all countries in the world notwithstanding the state of their economy need more primary care. Fourthly more primary care will mean not just more primary care doctors. More doctors alone will not be enough. Patients and the health service will need more primary care nurses, pharmacists and allied health care professionals.

The challenge for the health service will be to provide high quality education to produce these much needed physicians. Postgraduate training curricula will need to be developed; means of delivering these curricula will have to be established; postgraduate assessments will need to be put in place; and lastly all of these will need to be rigorously evaluated and subject to continuous quality improvement. The challenges are many yet the potential reward is clear: adequate numbers of high quality health care professionals of the kind that the population needs.

 
  References Top

1.Kumar R. Why family medicine is a good career choice for Indian medical graduates? J Family Med Prim Care 2014;3:1-2.  Back to cited text no. 1
    




 

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