Ws-010 How “Soft Facts” Shape Family Medicine: Reflecting On The Blurred Field Of Complexity

Abraham A. (Bern), Kissling B. (Bern), Neuenschwander S. (Bern), Hartmann H. (Bern)
Aims and purpose: The term “complexity” represents an empty bubble which is often stated but hardly ever explained in practice related ways. In order to become an established and acknowledged discourse in family medicine and related fields, «complexity» needs to be enriched with practice related content, messages, and concepts.
Thus, the purpose of this workshop is to collect and examine aspects of family medicine that constitute complexity, and to present methodologies which can grasp and analyse complexity scientifically.
The Swiss quality circle Elfenau/Bern is working for over 4 years with a social anthropologist, building a bridge between practical experiences with complexity issues and research on complexity.
Design and Methods: The workshop consists of four parts: (I) “Narrating complexity”: Presentation of narratives as expressions of complexity written by GPs of the Swiss quality circle Elfenau/Bern which provide insight into the manifold ways GPs’ decision making works. (II) “Complexity is…”: Group discussion on the aspects of family medicine that constitute complexity. (III) “Researching complexity”:
Presentation of methodological possibilities to scientifically analyse the different layers, functions and mechanisms of complexity. (IV) Final discussion.
Result: In this workshop the attendants will learn and critically reflect the mechanisms through which complexity shapes family medicine. They will get insights into practical as well as scientific levels of complexity issues.
Conclusions: The impact of this workshop for daily practice is an increased awareness that so called “soft facts” do have a crucial impact on decision-making and patient-centred care. With the provided information GPs learn that these daily aspects can be objectified through systematic qualitative methodological procedures. With the assistance of such approaches, GPs’ daily experiences are to be reintegrated instead of being dismissed in current biomedical, EBM dominated discourses.
How “soft facts” shape family medicine: reflecting on the blurred field of complexity