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Forward integration 

Forward integration
Chapter:
Forward integration
Author(s):

Steve Iliffe

DOI:
10.1093/med/9780199214501.003.0003
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date: 17 April 2021

Chapter 3 explores the failure of general practice to maintain its gatekeeper function for specialist services, considering its causes, reviewing solutions to it that have largely failed, and analysing three aspect of industrialization that may solve it and that are now well underway: skill mix changes, substitution of doctors by nurses, and the specialization of general practitioners (GPs) and practice or community nurses.

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