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From: James Kennedy[SMTP:[log in to unmask]]
Sent: 07 January 1998 15:39
To: 'Family-L List'
Subject: FP, HMO's and Telephone Triage in the US
Dear Colleagues
I will be visiting Charleston, South Carolina in the first 6 days of February to attend the AAFP Advanced Life Support in Obstetrics Meeting.
While in the area I have a few days of free time on my hands and would be very interested in meeting US colleagues involved / interested in three main areas of health care
1) Nurse based telephone triage. I am a founder member of a large Out-Of-Hours Cooperative in North East London that provides the out-of-office-hours cover for 450+ GPS (approx 1 million pts). Over 50% of our contacts are dealt with by nurses supported and guided by diagnoses and management guidelines based on a computer database called TAS...a clinical decision support package developed in the UK NHS.
2) HMOs. The new Labour governments White Paper on Health proposes setting up a primary care led NHS based on "consortia" of GPs and other primary care providers who would be responsible for the prescribing, secondary care and community care budgets of populations of about 100,000 patients per unit. Obvious lessons for the UK to learn from US experience before we re-invent the square wheel
I would be delighted to correspond with, and if possible meet, US colleagues involved in similar areas of interest.
3) Academic Family Medicine. I am a GP based in Hayes, in Middlesex, in the North East Suburbs of London England. I also hold the post of Senior Lecturer in General Practice at the Dept of Primary Care and General Practice Imperial College, London (The new organization formed by the amalgamation of St Marys Medical School, Charing Cross & Westminster Medical School and Imperial College of Science and Technology.
Very best wishes for 1998
James Kennedy
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