Shortage of General Practitioners as a Topic in the Media—A Systematic Content-Related Analytical Study on Depiction Patterns (Frames) in News Media Coverage in the Federal Republic of Germany

Abstract

The shortage of general practitioners (GPs) and the fact that country doctors’ practices are vanishing—a situation that is currently taking a turn for the worse in some regions of Germany—are issues that have been dealt with in the media as a topic of specific discussion for some time now. In the process, news coverage is dominated by certain depiction patterns, referred to as frames, which are shaped in terms of textual and visual impact. The present explorative study addresses the questions of which media depiction and interpretation patterns (frames) are encountered on the shortage of general practitioners in news coverage in the Federal Republic of Germany and how general practitioners, the circumstances, and the benefits of their care are presented in this context. In the course of a search via the Lexis Nexis database, a total of 655 news items were found or selected that mainly deal with the shortage of general practitioners (period from 1 January 2017 to 31 December 2022). Furthermore, the media libraries of the two public television broadcasters ARD and ZDF were specifically searched for documentaries on the shortage of general practitioners for the said period. A qualitative content analysis was subsequently performed, in which characteristic reporting patterns on the topic under consideration were identified based on frame-defining categories. Five frames could be identified that outline the shortage of general practitioners in different ways. The first three frames present the dominant image of GPs as highly stressed, aged, or frustrated primary care providers who attempt to keep their practice going for as long as possible despite their increasing stress levels. The other frames portray the phenomenon of the shortage of GPs, in particular, as a side effect of demographic and structural changes, discuss the (diminishing) appeal of the profession of a general practitioner, or discuss the issue of remote areas that no longer have access to a GP practice and now receive ‘alternative solutions’. The frames identified reflect societal views and anxieties regarding the consequences of a progressive shortage of GPs, which have been spurred on by the media. They reflect the significance of the GP as a trustworthy and competent primary care provider who is not readily replaceable, neither in his/her role as a guide in the healthcare system nor with regard to his social function.

Keywords

• shortage of general practitioners
• country doctor
• country doctors’ practice
• primary care