Læknablaðið - 01.08.1972, Page 63

LÆKNABLAÐIÐ
93
with the specialist in his normal working environment. No
doubt however there will in addition be increasing opportunities
in future for general practitioners to work part-time in specialist
units. A recent report on hospital staffing structure (Report of
a Sub-Committee on Hospital Staffing Structure appointed by
the Joint Consultants Committee, published as a supplement to
the British Medical Journal—22 February 1969) and the re-
port on the Responsibilities of the Consultant Grade (Report
of a Working Party appointed by the Minister of Health and
the Secretary of State for Scotland — published in 1969 by
HMSO) have both strongly recommended such arrangements
and the creation of an appropriate grade for the purpose. We
warmly support developments along these lines but emphasise
that they are in no way an alternative to the provision of beds
in which general practitioners care for their own patients.
There seems to us to be no reason why a general practitioner
should not both work in the specialist team and also admit and
care for his own patients while continuing domiciliary and
health centre practice in the community.
4.(77) There are several reasons for trying to increase the
opportunities for general practitioners to work in specialist
teams. Most importantly, such a development will result in a
better service to patients. The arrangement provides the special-
ist service with the continuing support of general practitioners
who work in and are familiar with the district. For general
practitioners it allows them to make a contribution in a special-
ty in which they have a special interest and aptitude. There
seems to us to be no reason why a doctor should be committed
to spend all his time in general practice and indeed many of
the best practitioners have always had special interests, some-
times in hospital and sometimes outside, for example in oc-
cupational medicine.
Eitt er það atriði, sem lítið hefur verið rætt enn þá, en það er
starfsgæðaeftirlit, sem framkvæmt verður af læknum, er ekki stunda
almenn læknisstörf, sbr. og grein 10, 1 í nýja frumvarpinu. Slíkt
gæðaeftirlit verður aldrei virkt, nema læknasamtökin taki málið að
sér, og brýn þörf er að ræða þetta sem fyrst. Slíkt eftirlit og uppgjör
er einnig forsenda þess, að unnt verði að gera þær breytingar á þjón-
ustunni, sem breyttir tímar kalla stöðugt á.
STARFSAÐSTAÐA
a) áhöld og tæki.
Stjórn L.í. hefur skipað nefnd, sem vinnur að því að taka saman
lista yfir áhöld og tæki, er teljast nauðsynleg í einmenningshéraði, og
er gert ráð fyrir, að listinn fullbúinn verði sendur heilbrigðis- og
tryggingaráðuneytinu sem lágmarkskrafa Læknafélags Islands um
þessi atriði.