Community Medicine and the World of the Well: MEDICINE AND SYSTEMS THEORY HOLISM AND FAMILY THERAPY COMMUNITY CARE THE PECKHAM EXPERIMENT GLYNCORRWG COMMUNITY PRACTICE MARYLEBONE HEALTH CENTRE REVIEW AND REFORM OF THE U.K. NATIONAL HEALTH SERVICE,1990 IMPLICATIONS FOR PROFESSIONALISM REFERENCES

This article explores the systemic roots of the concept of community care as developed by Geoffrey Vickers in the 1960s and tits subsequent elaboration in theory and in practice. It analyzes the radical 1990 reforms in the UK National Health Service in terms of an attempted shift to automatic market regulators to carry the gross burdens of choice that colliding expectations and relatively fixed resources are generating in health care, and it explores the changing role and possible changing training of practitioners in health and social care delivery.