一线全科医生现在感到了压力:患者对服务的要求更高了,全科医生达成服务目标变得更难了,同时服务收入有下降的趋势。另外,(英国)政府要求全科医生执行一项关于痴呆的新任务,这项任务包含4项要求:早期诊断;远程医疗;记录病情;对高危患者进行管理。这些要求将进一步增加工作量,尽管最终效果尚不明确。与此同时,大部分全科医学精英工作在临床一线,有效地控制了住院费用,但在需要对疾病危险因素进行有效管理的全科医学社区服务领域影响力不够。 First-line GPs are now under pressure: patients are demanding more services, GPs have become harder to meet their service targets, and service revenues have been declining. In addition, the (UK) government requires GPs to implement a new mission for dementia that includes four requirements: early diagnosis; telemedicine; recording of illness; and management of high-risk patients. These requirements will further increase the workload, although the final result is not yet clear. In the meantime, most general practitioners work on the clinical front line, effectively controlling hospitalization costs, but not enough in the area of ​​general medical community services that require effective management of disease risk factors.