![]() We contend that many definitions confuse the setting with the role and the person. Although rewarding for the doctor, this is a difficult role, with high personal and social costs for doctors in a modern society. They are rooted in a model of long term, full time, year round service in a stable community. Not only that, but they may hamper change and promote failure. We question whether these dimensions in themselves distinguish between those doctors who are general practitioners and those who are not. 6 Early definitions and descriptions of general practice gave prominence to systems, settings, and methods creating opportunities for good general practice. ![]() ![]() Hence most textbooks describe the particulars of the general practitioner in terms of working methods such as continuity, comprehensiveness, work in a society (or even in patients' homes), a family approach, and good communication. It is the synthesis of these functions which is unique.” 5 Other definitions also focus on the patient as an individual in a family and cultural context, continuity of care, and the sustained relationship with patients. 1 – 5 One of the most frequently quoted is the Leeuwenhorst definition from 1974: “The general practitioner is a licensed medical graduate who gives personal, primary and continuing care to individuals, families and a practice population irrespective of age, sex and illness. Many definitions of primary care and general practice have been proposed.
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