An argument for attentive and personal care within the bureaucracy of health care systems.In
Fighting for the Soul of General Practice, two practicing doctors share their experiences of working within the underfunded and highly bureaucratic health system in the United Kingdom. Drawing on years of experience treating a wide range of patients from all backgrounds, they show what is lost when regulation overrules relationships, standard practice eliminates discretion, and algorithms displace personal attention. While acknowledging that bureaucracy is inevitable and important, they argue for an approach to medicine that is about creating meaning for doctor and patient and that privileges connection, attention, and care within each encounter.
Rupal Shahis a doctor in London and associate dean for Health Education England.
Jens Foellis a doctor and academic.
List of Figures
Acknowledgements
Prologue
Introduction: Standardising General Practice
1. Weaponized Bureaucracy: Bureaucracy as a Source of Injustice
2. Pigeonholes: Medical Categories
3. Guidelines, Tramlines, Mindlines: Interpreting the Evidence
4. Waiting to Connect: Algorithms That Dictate Access
5. Taking Liberties: Regulating the Mental Health Act
6. Passports for Passing: The Bureaucracy of Death
7. A Labour of Love: Why It Is That General Practice Is Still a Good Place to Work
8. Final Reflection – Image Reviewing
Conclusion
Bibliography
Index
A Labour of Love -a few stories to end, of healthcare enacted with love
"Drs. Shah and Foell lay out a diagnosis of what is wrong in the contemporary practice of medicine: excessive protocols, productivity measures, digitalization, and restrictive algorithms that come between the humanity of the physician and the humanity of the patient. When doctors become "street-level bureaucrats" l
![The Fighting for the Soul of General Practice: The Algorithm Will See You Now [Paperback]](/itemImage/2/1/0/3/2_6894704.jpg "The Fighting for the Soul of General Practice: The Algorithm Will See You Now [Paperback]")