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Background <p>General practitioner (GP) care is facing growing challenges, particularly in rural areas. Regional characteristics must be taken into account and local stakeholders must be involved in sustainable further development. The study examines the care situation in the Allgäu/Bavarian Swabia region as an example and identifies organisational potential for strengthening GP care as well as approaches for integrating new forms of practice.</p> Methods <p>A&#xa0;semi-structured online survey with open and semi-open questions was conducted to analyse the GP care situation; 52&#xa0;people took part in the survey. The qualitative evaluation of the free text responses was carried out using qualitative content analysis, the quantitative analysis was descriptive.</p> Results <p>The region has a&#xa0;rather small-scale practice structure with already established delegation of medical tasks to qualified nonmedical staff. Challenges include a&#xa0;high bureaucratic burden, staff shortages and deficits in the digital infrastructure. The care of chronically ill patients places increasing demands on interdisciplinary cooperation and practice management. GP-centred care has positive effects, but also offers potential for optimisation. Extended delegation of medical tasks is welcomed, but restricted by a&#xa0;lack of resources and legal uncertainties.</p> Conclusion <p>In order to meet future care requirements, regional care management is required, optionally supplemented by integrated case management. For this coordinated patient care, process adjustments, clear delegation structures and improved interface management are required at the organisational level.</p>

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Hausärztliche Versorgung im Wandel

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月11日

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  • Tanja Wiedemann

摘要

Background

General practitioner (GP) care is facing growing challenges, particularly in rural areas. Regional characteristics must be taken into account and local stakeholders must be involved in sustainable further development. The study examines the care situation in the Allgäu/Bavarian Swabia region as an example and identifies organisational potential for strengthening GP care as well as approaches for integrating new forms of practice.

Methods

A semi-structured online survey with open and semi-open questions was conducted to analyse the GP care situation; 52 people took part in the survey. The qualitative evaluation of the free text responses was carried out using qualitative content analysis, the quantitative analysis was descriptive.

Results

The region has a rather small-scale practice structure with already established delegation of medical tasks to qualified nonmedical staff. Challenges include a high bureaucratic burden, staff shortages and deficits in the digital infrastructure. The care of chronically ill patients places increasing demands on interdisciplinary cooperation and practice management. GP-centred care has positive effects, but also offers potential for optimisation. Extended delegation of medical tasks is welcomed, but restricted by a lack of resources and legal uncertainties.

Conclusion

In order to meet future care requirements, regional care management is required, optionally supplemented by integrated case management. For this coordinated patient care, process adjustments, clear delegation structures and improved interface management are required at the organisational level.