title: [The image of general practitioners from the perspective of patients with and without a Turkish migration background - a qualitative study].
abstract: OBJECTIVE
  In order to improve the medical care of people with migration background, the existing specialties in medical understanding must be taken into account. The aim of this study was to explore the image of general practitioners from the viewpoint of patients and to evaluate possible differences in the perception of patients with and without a Turkish migration background.
  
  
  METHODS
  5 focus groups with participants with and without migration background were assessed in German language. In addition to a predefined interview guideline, the collage technique was used in order to explore the image of the practitioners through pictures. The content analysis was conducted according to Mayring using the software program ATLAS.ti.
  
  
  RESULTS
  The patients revealed a highly positive image about the general practitioners. By means of the collage technique some negative aspects could be identified which were not discussed in the focus groups. Only minimal differences in the opinions of participants with and without Turkish migration background could be observed. These were a strongly negative attribution to the general practitioners with regard to financial aspects by the participants without migration background on the one hand and a rather paternalistic viewpoint by the participants with Turkish migration background on the other hand. Asked about an image change of general practitioners, the overall opinion has changed over the years from doctors being considered to be "powerful" and "unapproachable" to a "normal" level. Major reasons for this image change were attributed to the fact that patients are becoming increasingly informed about medical issues through the internet and the high work pressure of general practitioners. The image of general practitioners in Turkey was perceived more negative as compared to Germany.
  
  
  CONCLUSIONS
  The image of general practitioners from the perspective of patients is predominantly positive. Altogether, only minor differences in the perception of German speaking patients with and without Turkish migration background could be identified. Therefore, specific ways of proceeding or qualification measures for general practitioners do not seem necessary in this context.
authors.affiliation: Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg.
authors.forename: S
authors.initials: S
authors.lastname: Uslu
authors.affiliation: Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg.
authors.forename: I
authors.initials: I
authors.lastname: Natanzon
authors.affiliation: Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg.
authors.forename: S
authors.initials: S
authors.lastname: Joos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001290:Attitude; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D058005:General Practitioners / Q000145:classification*; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000208:ethnology* / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D014171:Transients and Migrants / Q000523:psychology*; D014421:Turkey / Q000208:ethnology; D055815:Young Adult