[Importance and possibilities of general guidelines in family practice strategies--do we need 'basic guidelines' in general practice?].
General practice is distinguished particularly by complex patient problems and generic competencies to act and counsel as a family practitioner. Guidelines which are only centered on clinical topics like diagnoses, treatments etc. are not sufficient to support action and decision in general practice. The article proposes the concept of generic guidelines (basic guidelines) for family medicine. A need for basic guidelines in general practice is established in three areas: 1) cross sectional patient problems (e.g. care for immigrants, common strain and distress, counselling of screening procedures), 2) basic skills and strategies in family practice (e.g. problem-oriented consultation, home visits, patient information and informed consent), and 3) practice management and documentation. The development of generic guidelines seems to be difficult as the efforts to evidence-based professional practice are only recently started, but this is matched by the high importance of guidance for general practice, and certain concepts of family medicine support it. It is concluded that the development of basic guidelines in general practice will have a considerable impact on structuring the framework and fostering the quality improvement of general practice.
Fischer
G C
GC
Abteilung Allgemeinmedizin, Medizinische Hochschule Hannover. allgemeinmedizin@mh-hannover.de
Beyer
M
M
Gerlach
F M
FM
Rohde-Kampmann
R
R
D003376:Counseling; D004282:Documentation / Q000592:standards; D004641:Emigration and Immigration; D005194:Family Practice / Q000592:standards*; D005858:Germany; D006801:Humans; D007258:Informed Consent; D008403:Mass Screening; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care