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P-41 Doctor´s advice for writing advanced directive and health care proxy – a written survey among family doctors in north rhine westphalia
  1. R Schnakenberg1,
  2. B Weltermann2,
  3. D Becka3,
  4. A Althaus4,
  5. F Frank5,
  6. A Sönnichsen6,
  7. S Wilm7,
  8. R Jendik8,
  9. D Mauer1 and
  10. M Bleckwenn1
  1. 1Department of General Practice and Family Medicine, University of Bonn, Germany
  2. 2Institute of General Practice, University of Essen, Germany
  3. 3Department of General Practice, Ruhr-University Bochum, Germany
  4. 4Center of General Practice, University of Cologne, Germany
  5. 5Teaching Division of General Practice, University Hospital Aachen, Germany
  6. 6Institute of General and Family Practice Witten-Herdecke, Germany
  7. 7Institute of General Practice, Medical Faculty, Heinrich Heine University of Düsseldorf, Germany
  8. 8Division of General Practice, University of Münster, Germany


Background Since 2009 a new law obliges German doctors to treat their patients by their alleged will. As a result we observe an increasing demand of patient’s provisions. Beside notaries, general practitioners are the preferred contact person to compose this important document. To date this advisory service is not being paid by the statutory health insurance. Therefor no reliable data are available concerning doctor’s advice for writing an advanced directive or health care proxy.

Aim The questionnaire measures frequency, length and occasion of doctor’s advice to write a proxy.

Methods 800 general practitioners in North Rhine-Westphalia will be surveyed with a two-sided questionnaire. The frequency of this doctor’s advice will be measured by means of a five-step-scale from “five times per annum” to “ > 20 times per annum”. Duration of a counselling interview will be recorded in minutes. It will be differentiated between consultations that were initiated by doctor and those which were initiated by the patient. The questionnaires will be digitalized and anonymously evaluated in SPSS. There will be a pretest with general practitioners before the finalised questionnaires will be sent out.

Results The outcome will be available in summer 2015. They will give an insight into the important topic of patient’s provisions and how they are composed in the setting of a GP’s office.

Discussion The results will be discussed with regard to the current literature.

Conclusion The survey is meant to be a foundation for the improvement of patients’ support to compose their individual health care proxy.

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