1. Are patients with chronic diseases a new challenge to general practice? Chairs Associate professor, PhD Dorte Ejg Jarbøl Professor, GP, PhD Jens Søndergaard Research Unit of General Practice, Institute of Public Health, University of Southern Denmark 1

2. Are patients with chronic diseases a new challenge to general practice? Jens Søndergaard2

3. Are patients with chronic diseases a new challenge to general practice? Population 5 427 459 Fam. Phys. 4.760.941 Hospital 666.990 Gatekeeper Directly to hospital The Danish population and health care attendance during 1 year Municipality pop. oriented prev. care and home nurse - care 88% 19% 2% ?% Hosp. out pat.care 892.670 Specialist pract. 826.489 14% 17% ?% 78% 38% 45% Sundhedsstyrelsen 2007 and Peter Vedsted

4. Are patients with chronic diseases a new challenge to general practice? Jens Søndergaard4 Increasing prevalence of chronic diseases Increasing amount of treatment possibilities General practice is supposed to take on the role as coordinator of prevention, treatment and rehabilitation

5. Are patients with chronic diseases a new challenge to general practice? Jens Søndergaard5 We cannot identify all persons with chronic diseases! We are small wheels in a big machine – we have no or only minor influence on what happens to the patients! Our role as coordinators of care is not well defined! It is very difficult to reorganise my practice!

6. Are patients with chronic diseases a new challenge to general practice? Jens Søndergaard6 Presenters 1.PhD student, MD Luise Mølenberg Begtrup. Patients with irritable bowel syndrome in general practice 2.PhD student, MD Karen Kjær Larsen. Cardiac Rehabilitation in General Practice 3.PhD student, MD, GP Jesper Lykkegaard. Why do patients with severe chronic obstructive pulmonary disease need 6-monthly check-ups at their general practitioner? 4.PhD student, RN Loni Ledderer. Why do clinics not follow the same code of practice? 5.Associate professor, MD, PhD Dorte Ejg Jarbøl. Final aspect. Where are we heading?

7. Are patients with chronic diseases a new challenge to general practice? Jens Søndergaard7 Questions and comments are welcome!