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Fighting for the soul of general practice: The algorithm will see you now

Research output: Book/ReportBook

Abstract

This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren't suggesting a return to a 'better' time. We don't object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.

Original languageEnglish
PublisherIntellect Ltd.
Number of pages258
ISBN (Electronic)9781789388404
ISBN (Print)9781789388398
Publication statusPublished - 15 Jan 2024

Keywords

  • Doctor/patient relationship
  • Medical ethics & professional conduct

ASJC Scopus subject areas

  • General Medicine
  • General Social Sciences

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