We studied primary care in 6 rich countries – it’s under unprecedented strain everywhere

Thu, 26 Feb 2026 03:36:17 +1100

Andrew Pam <xanni [at] glasswings.com.au>

Andrew Pam
<https://theconversation.com/we-studied-primary-care-in-6-rich-countries-its-under-unprecedented-strain-everywhere-276617>

"Primary care – the kind delivered by general practice (GP) clinics – is the
backbone of every health system. When it works, we barely notice it.

It keeps people healthy, detects problems early, coordinates care and keeps
people out of hospital.

But across many high-income countries, despite very different health systems,
primary care is under unprecedented strain.

Our recently published paper presents case studies from the United Kingdom, the
Netherlands, Canada, the United States, Australia and New Zealand.

All show governments are leaning on primary care to solve increasingly complex
health needs. At the same time, bureaucracies are demanding more documentation,
compliance, performance metrics and administrative work.

However, very little new investment is going into the four parts of primary
care that matter most:

* continuity: seeing the same health provider over time, rather than pinballing
from one specialist to another

* comprehensiveness: getting the whole family’s physical, mental and social
health care from one place

* coordination: ensuring all the different people and services involved in a
patient’s care work together smoothly, information is shared and roles are
clear, so patients don’t fall through the cracks

* first-contact care: being able to get an appointment with a doctor or nurse
you know, when you need it."

Cheers,
       *** Xanni ***
--
mailto:xanni@xanadu.net               Andrew Pam
http://xanadu.com.au/                 Chief Scientist, Xanadu
https://glasswings.com.au/            Partner, Glass Wings
https://sericyb.com.au/               Manager, Serious Cybernetics

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