Primary care : quo vadis?

Abstract

“Across the globe doctors are miserable because they feel like hamsters on a treadmill. They must run faster just to stand still. In Britain they must see ever more patients, fill in more forms, and sit on more committees just to keep the NHS afloat. In the government sponsored, single payer system in Canada, the mandatory insurance systems in Japan or continental Europe, or the managed care systems in the United States, doctors feel that they have to see more patients to maintain their incomes. But systems that depend on everybody running faster are not sustainable. The answer must be to redesign health care.”