Moral distress: for primary care doctors, ‘doing the right thing’ can feel impossible

Tue, 4 Aug 2026 05:55:31 +1000

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

Andrew Pam
<https://theconversation.com/moral-distress-for-primary-care-doctors-doing-the-right-thing-can-feel-impossible-287962>

"Modern healthcare systems ask much of primary care doctors. They are expected
to diagnose, reassure, coordinate care, manage chronic illness and increasingly
fill the gaps when other parts of the system come under strain.

In New Zealand, general practitioners (GPs) deal with around 90% of all medical
problems. Research consistently shows that strong relationships with a GP
improve patient health outcomes while saving money, with every $1 invested in
primary care returning up to $13 elsewhere in the health system.

Yet primary care is facing a mounting workforce crisis. New Zealand is already
short by almost 500 full-time GPs, with that deficit expected to grow in the
coming years.

Our newly published research sheds new light on a psychological factor adding
to this pressure – and one that tells us much about the taxing environment
doctors work in today."

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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