{"@context":"http://iiif.io/api/presentation/2/context.json","@type":"sc:Manifest","@id":"https://archive.kingsfund.org.uk/concern/published_works/000009905/manifest","label":"Hospitals and primary care : breaking the boundaries","metadata":[{"label":"Title","value":["Hospitals and primary care : breaking the boundaries"]},{"label":"Creator","value":["Hughes, Jane","Gordon, Pat","King's Fund Centre for Health Services Development (King Edward's Hospital Fund for London)"]},{"label":"Date published","value":["1993"]},{"label":"Abstract","value":["This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes on to examine the prospects for similar developments being introduced on a wider scale in London. Chapter 2 in this working paper gives a brief description of what is meant by primary care and provides summary of recent policy developments which put primary care in context. Chapter 3 concentrates on the interface between primary and secondary care and looks at how the interface might be managed more effectively so that it does not become a barrier to care. The issue of inappropriate use is also explored. In chapter 4 developments that span the traditional inappropriate use of services are described. These give an indication how primary and secondary care may change in the future. Chapter 5 explores whether similar developments could happen on a wider scale in London. 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