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 language | English |
|---|---|
| Publisher | Intellect Ltd. |
| Number of pages | 258 |
| ISBN (Electronic) | 9781789388404 |
| ISBN (Print) | 9781789388398 |
| Publication status | Published - 15 Jan 2024 |
Keywords
- Doctor/patient relationship
- Medical ethics & professional conduct
ASJC Scopus subject areas
- General Medicine
- General Social Sciences
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Dive into the research topics of 'Fighting for the soul of general practice: The algorithm will see you now'. Together they form a unique fingerprint.Student theses
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Looking Through the Hermeneutic Window: Meaning Making in General Practice
Shah, R. (Author), McConville, K. (Supervisor) & Somerville, S. (Supervisor), 2026Student thesis: Doctoral Thesis › Doctor of Philosophy
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