Domains of obligation and aspiration | Obligation | Aspiration | ||
---|---|---|---|---|
 | Individual high quality patient care | Access to care | Direct socioeconomic influences | Broad and global socioeconomic influences |
Examples of actions where broad agreement exists | Ensure GP trainees exposed to work in disadvantaged communities | Ensure training includes opportunities to assess community need including local practice responses to unmet need | Include socio-economic context more prominently in the problem based curriculum Advocate for increased support for training practices in areas of disadvantage | Formation of an intercollegiate group and a group within WONCA(World Organization of National Colleges and Academies of Family Medicine) to advocate on the link between socioeconomic disadvantage and ill-health |
Examples of actions where disagreement exists | Mandating exposure to work in disadvantaged communities Develop standards on equity of reach of quality measures of clinical care within the known practice population | Advocate for practices to address financial barriers to accessing care Practices to assess unmet need in their area as a part of accreditation | Learning plans to be mandatory and linked to identified community need | Â |