The psychology of aggression and assault: Mechanisms and principles in the medical context

What it is about

Aggression and assaults by patients towards doctors and medical staff are, unfortunately, not rare occurrences. The trend towards this is currently increasing dramatically, particularly in the German healthcare system. These behaviours can range from verbal attacks to physical assaults and pose a serious challenge for the affected staff and the entire medical team. Understanding the psychological principles and mechanisms that lead to such behaviours is crucial for interpreting and ultimately managing these situations. This article is dedicated to analysing the psychological basis of aggression and assaults in a medical context.

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German Healthcare System: The Psychological Dimension of Anamnesis Truncation by General Practitioners and Specialists

Overview

A common anamnesis practice among German general practitioners and specialists is the rapid interruption of patients just a few seconds after they begin describing their symptoms, often before they have fully conveyed their concerns. This so-called “Anamnesis Truncation” not only has negative medical implications but also carries profound psychological consequences for patients, significantly undermining the trust relationship and overall well-being.

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General practitioners and specialists in Germany: The valve function of employee surveys

What it’s all about

When GPs or specialists carry out a practice management comparison that includes an employee survey, a remarkable phenomenon is repeatedly revealed: if the practice owners are sceptical before the survey begins that there will be any responses at all and assume that staff participation will be low, exactly the opposite occurs: The workforce always participates fully and, what’s more, individual employees submit an average of five pages of suggestions for change. This behaviour reflects deep psychological mechanisms associated with frustration, anger and the feeling of not being heard. The following article explores the deep psychological underpinnings of this behaviour and the psychological profile of practice owners that foster such dynamics.

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Change Aversity: Why German GPs and specialists ignore their employees’ suggestions for change

What it’s all about

In the healthcare sector, the interaction between doctors and their staff plays a central role in the success of a practice. Nevertheless, the results of practice management comparisons show that the majority of German doctors in private practice ignore their employees’ suggestions for change or give them little commitment. This behaviour, known as “change aversion”, is deeply rooted in the psychological structures and dynamics that operate in the professional environment.

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Systemic questions: A key to effective staff communication in GP and specialist practices

What it’s all about

Internal communication between practice management and employees plays a central role in medical practices. In this context, systemic questions offer a particularly effective method for promoting a deeper understanding of interrelationships, enabling new perspectives and strengthening the personal responsibility of employees. But what exactly are systemic questions, what types of questions are there and how can they be used effectively in everyday practice?

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Key Performance Indikatoren (KPI): Die intelligenten Partner für zukunftsorientierte Praxisführung – Beispiel: Der Planning Scope KPI

➡️ Der Begriff “Planung” beschreibt die zukunftsgerichtete, systematische Ausrichtung der Praxisführung im Bereich der strategische Planung und Zielsetzung, der Organisationsentwicklung und Effizienz, der Mitarbeiterentwicklung und des Ressourcen-Managements.

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Systemische Fragen: Ein Schlüssel zur effektiven Mitarbeiter-Kommunikation in Haus- und Facharztpraxen

Worum es geht

In Arztpraxen spielt die interne Kommunikation zwischen Praxis-Leitung und den Mitarbeitenden eine zentrale Rolle. Systemische Fragen bieten in diesem Kontext eine besonders wirkungsvolle Methode, um das tiefere Verständnis von Zusammenhängen zu fördern, neue Perspektiven zu ermöglichen und die Selbstverantwortung der Mitarbeitenden zu stärken. Aber was genau sind systemische Fragen, welche Arten von Fragen gibt es und wie lassen sie sich im Praxisalltag sinnvoll einsetzen?

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The vicious circle of externalisation in German outpatient care

What it’s all about

In outpatient care in Germany, the trend has manifested itself of attributing problems that affect general practitioners and specialists in private practice monocausally to external factors such as bureaucratisation, digitalisation or a shortage of specialists. This externalisation of problem solutions, often accompanied by a monocausal argument, has numerous negative effects on the development of progress in outpatient patient care.

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Risky: 2/3 of German GPs and specialists work without practice management KPI

What it’s all about

The German healthcare system is a complex, constantly changing system that presents practice owners with a variety of challenges. In this context, key performance indicators (KPIs) for practice management provide essential guidance for managing a practice efficiently, safely, purposefully and successfully in the long term. However, the frequent neglect of these important tools in German medical practices – only a third of practices use KPIs for practice management – harbours a number of significant risks that can have a considerable impact on both practice performance and patient care.

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Staff communication in German medical practices: Phrases that drive staff up the wall

What it’s all about

Clear and respectful communication is the backbone of every successful medical practice. Choosing the right words plays a crucial role for practice owners. However, there are certain phrases that practice owners use time and time again when communicating with staff that have the exact opposite effect, leading to misunderstandings and creating frustration and a negative working environment.

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