Are 'polysystems' for doctors or patients?

摘要

Polysystems are an extension of the London polyclinics transformed into GP-: led health centres. Various studies debate the differences between models consisting of single large buildings and 'hub-and-spoke' models. Hutt ef al ask the question: 'How is primary care best configured?'The King's Fund quotes international examples from countries such as Russia and Cuba, arguing that it is more important to develop new ways of working than to construct buildings, and that new configurations are unlikely to be cheaper than existing systems.2 In addition, a report from Australia concludes that in the UK, existing medical practices are responsive and are able to meet community needs.