Perceptions of the impact of primary care organizations on GP prescribing

摘要: Purpose – This qualitative study aims to examine key stakeholders' perspectives of primary care group/trust prescribing strategies. Within the context general practice prescribing, paper also debates wider issue whether GPs' autonomy is under threat from managerial expansion following recent organisational changes in care.Design/methodology/approach Data were obtained focus groups and a series individual semi‐structured interviews with GPs organisation stakeholders.Findings The data underlie tension between objective cost‐restraint commitment quality improvement clinical patient management. In presenting both medical narratives, two divergent often conflicting discourses emerge, which leads speculation that attempts constrain will achieve only limited success. contention discourse features as challenge ...