OBJECTIVE: Current health care reforms aim to assist general practitioners in providing @entity102 care. This study investigates GPs' models of care including their role and responsibilities and their delivery of care models. METHODS: Sixteen GPs, as key informants representing diverse backgrounds, were interviewed about their general @entity102 care and responses to case vignettes. Thematic analysis was based upon the categorizing of GP interviews. RESULTS: The key responsibility in GP models of care was to address the presenting problem and to manage disease and treatment. Models encompassed providing preventive and psychosocial care; and care coordination, but in relation to need as time permitted. Experience and education, rather than reforms and incentives shaped care models. While @entity1 -centredness was a universal theme, gender and location influenced its implementation. Care delivery was an individualized balance of @entity1 needs with other pressures over a series of consultations. DISCUSSION: General practitioners balance models of care with organisational and resource constraints in everyday consultations. Consistent common models of care are subjected to a wide range of influences and translated into varied modes of service delivery and presumably @entity1 outcomes. CONCLUSION: Reforms to improve outcomes for @entity1 with @entity102 must address GP care models and adaptive balancing of needs and resources and recognise internal and external constraints that encroach upon @entity1 centred comprehensive care. Policymakers need to research and consult in order that reforms can realistically facilitate care.

XXXX care as a balancing act. A qualitative study.

@entity1 :: ('9606', 'Species') :: ['people', 'patient'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic illness']
@entity102 :: (MESH:D002908,Disease) :: ['Chronic illness']
