The Individual in Focus? – Searching for Balance Between Physicians’ Expertise and Evidence-based Guidelines
DOI: 10.3238/zfa.2017.0445–0449german translation / full article
Summary: The following text will show the conceptional proximity as well as the contradictions between family medicine on one hand and evidence-based medicine (EBM) and the concept of guidelines on the other hand. If EBM is to be applied in individualized care of a patient, it has to be extrapolated to fit this person’s condition. For such an approach, good medical knowledge, solid familiarity concerning the respective person and a trustful doctor-patient relationship are necessary. Both can only be developed in a health care system allowing for a wide responsibility (gate-keeping) and personal continuity of care. This fundamental condition, however, seems to be successively endangered by the new generation of family doctors who might wish to be less involved in caring, as well by the German health care system which lacks proper gate-keeping.