ArticleRisk management and healthcare policy2023
GPs in UK: From Health Gatekeepers in Primary Care to Health Agents in Primary Health Care.
Article in Risk management and healthcare policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- How primary care addresses vaping in the youth: a systematic literature review.BMC primary care · 2026Pooled it
- Defining a theoretical framework for a quality referral at the primary-secondary care interface: a systematic scoping review with qualitative content analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Redesigning the model for providing primary healthcare in Iran: a grounded theory study in rural settings.Primary health care research & development · 2026Article
- Accessibility to Primary Care Services for Immigrants Experiencing Homelessness in England: A Qualitative Exploratory Study.International journal of environmental research and public health · 2026Article
- How Different Medical Practices Are Associated with Types of Patient Complaints in Russian Clinics.Healthcare (Basel, Switzerland) · 2026Article
- Barriers and facilitators to hepatitis C patient engagement: Interview study with general practitioner champions in England.PloS one · 2026Article
- Trends and inequalities in advice and guidance versus direct referral in NHS primary care, 2015-23: population based study.BMJ medicine · 2026Article
- Bridging care hierarchies through regional global budget payment: evidence from county medical communities in Zhejiang Province, China.Health policy and planning · 2025Article
- Mapping the interactions of critical factors in China's first-contact healthcare systems using causal loop diagrams.BMC public health · 2025Article
- Construction and Evaluation of the Bidirectional Referral System in Internet Hospital: Case Study of Children's Hospital in Western China.Journal of medical Internet research · 2025Article
- Utilization of usual source of care and health literacy among older adults with hypertension: a retrospective study.Innovation in aging · 2025Article
- A hole in the bucket? exploring England's retention rates of recently qualified GPs.Human resources for health · 2025Article
- Barriers and facilitators of healthcare access for long COVID-19 patients in a universal healthcare system: qualitative evidence from Austria.International journal for equity in health · 2024Article
- Article
- Strategies for General Practitioners to Enhance Cancer Care: Insights from a Patient-Centered Questionnaire Survey in Southern China.Journal of multidisciplinary healthcare · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
After 75 years of reformed practice, general practitioners (GPs) in the UK have transformed from health gatekeepers who simply provide medical decision-making such as diagnostic and treatment services and referral services, to health agents who proactively provide more relevant health services such as immunizations, health monitoring and health management, etc. In order to discuss this transformation of the role of the general practitioner and the conditions for the evolution of the role, this study chose the documentary analysis method to provide a comprehensive overview of the legal and normative documents related to the general practitioner. Furthermore, this study uses a comparative analysis method to conclude the definition and role characteristics of GPs as health agents. This study summarises the general pattern of evolution of GPs into health agents. The transformation into a health agent relies on the interpersonal trust and rigorous institutional of society on the general practitioner system. The expansion of GPs' clientele and range of services, together with the motivation to proactively provide services, have combined to push for a "qualitative change" in the GP's role as health agent. The transformation of the role of the general practitioner to a health agent is a historical necessity. It responds to the evolution of society's understanding of health and the need for higher levels of health. Therefore, recognizing the role of GPs as health agents is important for optimizing the use of health care resources and improving the health of society by taking advantage of this role.
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