1124 (Op) Prevention In Gp: Identification And Ongoing Communication

Conference: 
Author(s): 
J. Hauswaldt, U. Walter Department of General / Family Medicine, Hannover Medical School, Germany
Text: 
One of the best places for behavioural change of risky or harmful life style factors is the general practice: more than 70% of all adults between 18 and 70 years are seen by a GP at least once a year (Ulbricht S, 2004). Though generally not intended from the beginning in primary care setting, several aspects in the meeting of experts, patient and doctor, make this encounter especially appropriate for preventive assessment and intervention: Lifelong and continuous up-building of confidence and mutual understanding, anamnesis through experience including the family, social and occupational background, the right / vulnerable / susceptible moment for intervention (the kairos; the good opportunity as singularity) Aiming in preventive measures at a change from an incidental and arbitrary effort to a continuous and systematic approach according to the patient's needs and capability, some theoretical background (.The five A.s., Goldstein ME et al, 2004) from present discussion and several practical tools (PROCAM-Score, self-developed HATARI, and others) for behavioural change intervention in primary care setting are presented. The need for identification of the single patient's individual set of multiple risk factors and for resulting urge of appropriate intervention through ongoing communication is concluded.
Literature: 
1124 (OP) PREVENTION IN GP: IDENTIFICATION AND ONGOING COMMUNICATION