[Discrepancies between physicians and patients with long-term functional somatoform   disorders as a central treatment problem. How the quality of assistance can be improved].
In a qualitative sociological investigation analyses of the process of disease, care and treatment of patients with long-term somatoform disorders were carried out. In connection with this discrepancies between physicians and patients are seen as the central treatment problem. Different views of patients and physicians concerning the way the disorders should be understood and successfully treated lead to crisis in the treatment process and may have serious consequences for the patients. It is shown how the questioned practising family doctors deal with discrepancies in a professional way and how the quality of help increases. Practice-theoretical reflection for the described action and aspects of quality assurance are presented.
Ortmann
K
K
Fachbereich Humanmedizin, Institut für Soziale Medizin, Freie Universität Berlin. ortmannk@zedat.fu-berlin.de
D005194:Family Practice / Q000592:standards; D005858:Germany; D006801:Humans; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care; D013001:Somatoform Disorders / Q000523:psychology / Q000628:therapy*