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SPECIAL ARTICLE Primary Care in the United Kingdom and the United States Are There Lessons to Learn From Each Other? Zohreh Ajdari, MA, MPA; Oliver Fein, MD resent health care system reforms, such as the rapid growth of managed care in the United States and the introduction of general practitioner (GP) fundholding in the United King- dom, have some striking similarities. These similarities are particularly evident in pri- P mary care. Yet, the health care delivery systems in the United States and the United King- dom are so different that some policymakers claim that comparisons between the 2 systems are almost impossible to make. DIFFERENCES BETWEEN mary care: 5 described the health care THE UNITED KINGDOM AND system and 6, the characteristics of THE UNITED STATES practice most relevant to primary care. The system characteristics included Health care systems in the United States (1) the type of system; (2) the type of and the United Kingdom differ from each physician who provides primary care; other in the following respects: (3) the financial access to health ser- • Under the National Health Service in the vices; (4) the percentage of active phy- United Kingdom, coverage is univer- sicians who are
Archives of Family Medicine – American Medical Association
Published: Jul 1, 1998
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