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Fighting for the Soul of General Practice - Rupal Shah, Jens Foell

Fighting for the Soul of General Practice

The Algorithm Will See You Now

, (Autoren)

Buch | Softcover
258 Seiten
2024
Intellect Books (Verlag)
978-1-78938-839-8 (ISBN)
CHF 34,80 inkl. MwSt
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.

Rupal Shah is a GP in Inner City London and works as an Associate Dean for NHS England. As well as her many academic publications, she is a co-author of 'Our Mothers Ourselves', a memoir of mothering. Jens Foell is a practising GP and Academic, who is deliberately choosing to work in undifferentiated primary care rather than a specialist service. He has an interest in mental health, chronic pain and health policy and was also trained in rehabilitation and social medicine.

List of Figures

Acknowledgements

Prologue



Introduction: Standardising General Practice



1. Weaponized Bureaucracy: Bureaucracy as a Source of Injustice



2. Pigeonholes: Medical Categories



3. Guidelines, Tramlines, Mindlines: Interpreting the Evidence



4. Waiting to Connect: Algorithms That Dictate Access



5. Taking Liberties: Regulating the Mental Health Act



6. Passports for Passing: The Bureaucracy of Death



7. A Labour of Love: Why It Is That General Practice Is Still a Good Place to Work



8. Final Reflection – Image Reviewing



Conclusion

Bibliography

Index



 

Erscheinungsdatum
Reihe/Serie Global Health Humanities
Zusatzinfo 15 Illustrations, black and white
Sprache englisch
Maße 148 x 210 mm
Themenwelt Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Medizinische Fachgebiete Medizinethik
Studium Querschnittsbereiche Geschichte / Ethik der Medizin
ISBN-10 1-78938-839-2 / 1789388392
ISBN-13 978-1-78938-839-8 / 9781789388398
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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