131 A Particular Aspect Of Gp's Burn-Out Syndrome: The Intolerable Bureaucratic Pressure Felt As An Institutional Mobbing.

Author(s): 
Ferdinando Petrazzuoli (1,2,5), Francesco Carelli (1,2,3,6) ; Alex Lieto (1,2,6); Jean Karl Soler(1,2,7); Christos Lionis (1;4,8)
(1) EGPRN , (2) EURACT, (3) EURACT Council, ( 4) WONCA Executive
(5)SNAMID Caserta (Italy); (6)Italian College of General Practitioners (Italy);
(7) Maltese College of Family Physicians (Malta); (8) Clinic of Social and Family Medicine, University of Crete (Greece)
Text: 
Introduction:
A recent study of the EGPRN team has confirmed that burn-out syndrome among GPs is becoming an international and widespread problem. Apart from high workload and lack of a portfolio career, one of the most important reasons is the high (and intolerable) pressure from the governments, mainly in terms of budget rationing. Furthermore, the emergence of groups in the public who are more demanding and less deferential and the feeling that media has become much more hostile towards the medical class add to the problems.
The public has begun to have higher (and sometimes unrealistic) expectations of public services. Politicians have responded by opening up a debate about the size of public spending but very often they appear to be too hasty in blaming the medical class when things go wrong.
The growing use of guidelines, protocols, regulations and inspections are perceived by many doctors as eroding their control over their own professional lives.
Goals: to share experiences with other European Countries and find out more about the extent of this particular aspect of the problem.
Method: A mixture of (4) brief presentations by the workshop promoters followed by open discussion and a question and answer session.
Set Up: The presentations and the open debate will be moderated by Prof Paul Wallace (Royal Free and University College Medical School -London (UK) and Prof Christos Lionis.
Time Frame:
40 minutes for 4 presentations and 30 minutes for the open debate and the question and answer session.
Literature: 
131 A PARTICULAR ASPECT OF GP's BURN-OUT SYNDROME: THE INTOLERABLE BUREAUCRATIC PRESSURE FELT AS AN INSTITUTIONAL MOBBING.