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Thorax 1999;54:538-539 ( June )

Review series

Issues at the interface between primary and secondary care in the management of common respiratory disease

Introduction

W F Holmesa, John Macfarlaneb

a Sherrington Park Medical Practice, Mansfield Road, Nottingham NG5 2EJ, UK, b Respiratory Infection Unit, Nottingham City Hospital, Nottingham NG5 1PB, UK

Correspondence to: Dr W F Holmes.

The first 150 words of the full text of this article appear below.

    Article

This commentary introduces a new series for Thorax which, over the next six issues, will consider some of the common ground between respiratory physicians and primary care physicians (general practitioners (GPs) in the United Kingdom). Respiratory illnesses are among the most common reason for consultations in general practice and for acute hospital admissions, and much of the follow up of important respiratory disease is provided by general practitioners.

General practitioners often complain, and not without some justification, that partnership with secondary care may be a euphemism for inappropriate, poorly communicated, and inadequately resourced transfer of responsibility at hospital discharge, or a means of using them to collect research data for their hospital colleagues. Respiratory physicians, however, can be proud of their record of collaboration with general practitioners. In the management of asthma in particular, primary care has been actively involved in a new understanding of the pathogenesis of asthma and, . . . [Full text of this article]




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