title: [The image of general practitioners' profession in a changing society].
abstract: OBJECTIVE
  Due to a--depending on the region--already existent or predicted lack of general practitioners, the German health care is confronted with a serious problem. Besides the political general conditions and problems regarding the vocational training, social changes can influence the attractiveness of general practitioners' profession, thereby possibly also effecting a lack of young general practitioners. The aim of this study was to explore, which image exists of general practitioners' profession from their viewpoint and which social developments influence their image.
  
  
  METHODS
  A qualitative study was undertaken by interviewing 16 general practitioners in their practices or in the Department of General Practice and Health Service Research, University Hospital of Heidelberg, Germany.
  
  
  RESULTS
  From the general practitioners' point of view, the image they have is positive in people from rural districts and the elder generation, but negative in younger people and urbanites. The image is influenced by the following social changes: declining social competencies, obligation and responsibility, an increasing distance to illness and sick persons as well as an increasing flexibility.
  
  
  CONCLUSIONS
  Since particularly younger people have a negative opinion of general practitioners and young physicians belong to that target group, the subject general medicine might be less attractive to trainees. That is why the general practitioner is not perceived as a professional future perspective. Social changes influencing the choice of career should increasingly be considered as a starting point for the development of approaches directed against the lack of trainees in general medicine.
authors.affiliation: Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Vossstrasse 2, Geb. 37, 69115 Heidelberg, Germany. iris.natanzon@med.uni-heidelberg.de
authors.forename: Iris
authors.initials: I
authors.lastname: Natanzon
authors.forename: Joachim
authors.initials: J
authors.lastname: Szecsenyi
authors.forename: Katja
authors.initials: K
authors.lastname: Götz
authors.forename: Stefanie
authors.initials: S
authors.lastname: Joos
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D002321:Career Choice; D004645:Empathy; D005194:Family Practice; D005260:Female; D005544:Forecasting; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D010817:Physician-Patient Relations; D011057:Politics; D010818:Practice Patterns, Physicians' / Q000639:trends; D011787:Quality of Health Care / Q000639:trends; D012922:Social Change; D000078329:Workforce; D016526:Workload
references.citation: Rural Remote Health. 2008 Jul-Sep;8(3):928
references.pmid: 18778169
references.citation: Med Educ. 2002 Jun;36(6):568-74
references.pmid: 12047673
references.citation: J Gen Intern Med. 2006 May;21(5):524-30
references.pmid: 16704404
references.citation: BMJ. 2001 May 5;322(7294):1073-4
references.pmid: 11337419
references.citation: Gesundheitswesen. 2006 Oct;68(10):593-9
references.pmid: 17099819
references.citation: BMJ. 2001 May 5;322(7294):1115-7
references.pmid: 11337448