{
  "abstract": "This past January, as part of an author group representing four countries, we published a BMJ Analysis titled: ‘Sacrificing patient care for prevention: distortion of the role of general practice’ (Martin, 2025). In the paper, we described how the ongoing expansion of preventative clinical recommendations in OECD-type primary care has had the unintended consequence of destabilizing this foundation of the healthcare system. To save primary care from impending collapse, we argue, the majority of clinical preventive services need to be reassigned to public health, where they will have greater success at lower cost.The facts of primary care’s deterioration are well-established and generally uncontroversial. Still, there are a range of perspectives as to how foundational primary prevention—commonly in the form of unending asymptomatic risk factor management—is to primary care’s raison d’être. The belief that it should be essential to primary care must contend with the null to modest impact of prevention in clinical practice (Korownyk, 2017).The proposed seminar will begin with the discussion point that there is too much work to do in primary care and too little time. As authors, we identified five potential solutions for primary care: prioririse prevention; reduce panel size; have less time with patients; build sufficient primary care teams; or prioritise symptoms and illness. Each option has resulting opportunity costs for us to acknowledge and address in the seminar’s full group discussion.References Martin SA, Johansson M, Heath I, Lehman R, Korownyk C. Sacrificing patient care for prevention: distortion of the role of general practice. BMJ. 2025;388:e080811. Korownyk C, McCormack J, Kolber MR, Garrison S, Allan GM. Competing demands and opportunities in primary care. Can Fam Physician. 2017;63(9):664–668. https://www.ncbi.nlm.nih.gov/pubmed/28904027",
  "authors": [
    {
      "affiliations": [
        "UMass Chan Medical School, Worcester, USA"
      ],
      "name": "Stephen Martin"
    },
    {
      "affiliations": [
        "Gothenburg University, Gothenburg, Sweden"
      ],
      "name": "Minna Johansson"
    }
  ],
  "title": "101 Care for people or for risk: general practice cannot do both",
  "uid": "8c8de81c-940e-51b9-b877-a73e70ae009c"
}