India's family doctors face decline as patients turn to specialists and digital care

The role of the family doctor in India is changing, especially in cities. More patients now prefer specialists or digital healthcare platforms over traditional primary care. This shift has raised concerns among medical experts about the future of patient-centred treatment. Urban areas have seen a steady decline in family physicians as corporate hospitals, health insurance, and online appointment platforms grow. Patients increasingly seek out specialists for specific issues rather than relying on a single trusted doctor. This change has led to fragmented care, repeated tests, and higher medical costs.

Dr Samir Garde warns that without a family physician, patients may end up seeing multiple doctors. This can result in unnecessary investigations and increased expenses. Dr Sundar Krishnan agrees, emphasising that a primary care doctor is key to early problem detection and treatment coordination.

Dr Rajiv Kovil highlights the importance of continuity in care and timely diagnoses. Dr Rajshree Dayanand Katke notes that this decline is mostly an urban issue, with rural areas still depending on family doctors as their first point of contact. Experts also suggest that technology could help strengthen primary care rather than replace it. Despite the changes, family physicians remain vital for preventive healthcare and managing chronic conditions. Their role in providing holistic and coordinated care is still widely recognised. Experts hope technology will support rather than weaken their position in the system.