Problems of Participation of the Family Physician in Medical Group Practice

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Abstract
Organization of a group-practice clinic, comprising specialists and general practitioners, is described. This clinic is located in a semi-rural coal mining area of eastern Ohio. General practitioners share their time equally between the central diagnostic clinic and one of several small, relatively isolated, out-post offices in mining communities. Emphasis is placed upon close integration of the general practitioner as family physician with his specialist colleagues in a central diagnostic facility as a means of overcoming the classical isolation of general practice which has rendered it unattractive and, further, as a means of improving the quality of medical care. Broader implications of the future of general practice as a discipline in medicine are discussed on the basis of the medical care experience related.

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