This brief review does not ...

In this brief review does not make sense to consider the merits and advantages of both systems, since this is another problem. Much more important to analyze why the family doctor remained in the west (and even then not in all countries), for some deep reasons he may or may not, conform to Russian problems. Family (general practitioner) is a continuation of the ideas Zemsky Russian doctor in the historical conditions of low availability and accessibility of health care. In fact - it brings services to the consumer. Before the local doctor was not the practice of free or affordable price compulsory service patients in the community. Exit to the people demanded the universality, which had a district doctor. The level of knowledge at that time (the information security profession) appropriate for the learning and retention of the necessary information a professional, and the possible effects (of treatment) were also quite modest. The physician was limited to primary care. Similar variations in the same era emerged in other Western countries. It was a very effective form of organization of medical affairs with plenty of features, but still she could not provide services to the entire population. She was not able to organize mass actions. Overseas payment of organizational and conceptual flaws in general practice was carried out by the country's wealth and investment of additional costs in episodic events, the development of subsidiary tool and paraclinical laboratory techniques, and finally, the strict regulation of completing the studies, the establishment of various schemes of diagnosis, given the number of available parameters who have been assigned to the category of diagnosis verification, etc. We see that the correction is carried out, mostly using linear statistical regularities. Despite all these improvements to achieve the desired mass coverage, access to health care, including skilled, failed. Of course, there are many other moments, but, adhering to the rules of allocation of "order parameters", we will not lose the mainstream discussion. Given the large amount of time in excess of average time intervals for the development processes of this level, we can predict that the institution of the family doctor is close to the bifurcation point. Parameters of the system does not match the level of age and needs of consumers. No matter how we have improved the coach, it is impossible to give the dynamics and possibilities of a modern car. The main task of general practice is to collect information and use it across several, fundamentally different specialties, each of which even within the medical profession requires specific knowledge and skills significantly different from the profession of physician and little to integrate with it. These include basic medical specialty, evolutionarily isolated on the principle of self-organizing systems, rather than voluntarist principle of fragmentation is optional.