Ws-008 Dealing As An Individual With Individuals – The Doctor’S Personal Way Of Practice

Litschgi L. (Basel), Schlumpf A. (Basel), Handschin M. (Gelterkinden)
Objective: The goals of primary care are universally accepted.
However, achieving these goals is strongly dependent upon the individual GP’s way of practice. We develop our methods according to our special capabilities, our own biography, as well as our personal concept of medicine. Patients choose a general practitioner because they can identify with his personal manner of conducting his consultation. How does this approach manifest itself. In group discussions we have the opportunity to get to know about our own approach.
The study: We analysed twelve patient’s visits at twelve general practitioners each. We used quantitative and qualitative methods to analyse different parameters of communication – among others the allocation of speech, the layout of medical subject matters (coded according to ICPC 2), as well as handling of narrative elements, i.e. the stories that patients tell without expecting therapeutic interventions. Comparing the twelve physicians we find common ground, typical for our institutional behaviour. We also find great differences as empirical evidence for the personal approach of each individual physician.
Conclusions: The many-sided situations during a patient’s consultation require an act of composition and decision making at our own discretion in which no rule can assist. The manner in which we compose a patient’s consultation and make these decisions is an expression of our personal way of practice. Our patients chose this approach when they select us as their general practitioner. Thanks to the development of this personal approach we are also better able to conciliate our medical work with ourselves. This individual design of patient’s consultations should be given at least as much attention as standardized thematic communication.
Dealing as an individual with individuals – the doctor’s personal way of practice