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. 2023 Sep 20:16:1929-1939.
doi: 10.2147/RMHP.S416934. eCollection 2023.

GPs in UK: From Health Gatekeepers in Primary Care to Health Agents in Primary Health Care

Ying-Nan Bi  1 , Yu-An Liu  1
Affiliations

GPs in UK: From Health Gatekeepers in Primary Care to Health Agents in Primary Health Care

Ying-Nan Bi et al. Risk Manag Healthc Policy. .

Abstract

After 75 years of reformed practice, general practitioners (GPs) in the UK have transformed from health gatekeepers who simply provide medical decision-making such as diagnostic and treatment services and referral services, to health agents who proactively provide more relevant health services such as immunizations, health monitoring and health management, etc. In order to discuss this transformation of the role of the general practitioner and the conditions for the evolution of the role, this study chose the documentary analysis method to provide a comprehensive overview of the legal and normative documents related to the general practitioner. Furthermore, this study uses a comparative analysis method to conclude the definition and role characteristics of GPs as health agents. This study summarises the general pattern of evolution of GPs into health agents. The transformation into a health agent relies on the interpersonal trust and rigorous institutional of society on the general practitioner system. The expansion of GPs' clientele and range of services, together with the motivation to proactively provide services, have combined to push for a "qualitative change" in the GP's role as health agent. The transformation of the role of the general practitioner to a health agent is a historical necessity. It responds to the evolution of society's understanding of health and the need for higher levels of health. Therefore, recognizing the role of GPs as health agents is important for optimizing the use of health care resources and improving the health of society by taking advantage of this role.

Keywords: general practitioner; health agent; health gatekeeper.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Janssen M, CRMG Fluit, Sagasser MH, Kusters LHJ, Haan ND Scherpbier-de, de Graaf J. Competencies for collaboration between general practitioners and medical specialists: a qualitative study of the patient perspective. BMJ Open. 2020;10(7):e037043. doi:10.1136/bmjopen-2020-037043 - DOI - PMC - PubMed
    1. Grosios K, Gahan PB, Burbidge J. Overview of Healthcare in the UK. EPMA J. 2010;1(4):529–534. doi:10.1007/s13167-010-0050-1 - DOI - PMC - PubMed
    1. Peckham S, Hann A, Kendall S, Gillam S. Health promotion and disease prevention in general practice and primary care: a scoping study. Prim Health Care Res Dev. 2017;18(6):529–540. doi:10.1017/S1463423617000494 - DOI - PubMed
    1. Blakeman T, Macdonald W, Bower P, Gately C, Chew-Graham C. A qualitative study of GPs’ attitudes to self-management of chronic disease. Br J Gen Pract. 2006;56(527):407–414. - PMC - PubMed
    1. Peckham S, Hann A, Boyce T. Health promotion and ill-health prevention: the role of general practice. Qual Prim Care. 2011;19(5):317–23. - PubMed