[The general practitioner is amazed, the specialist is astonished - or put differently: unnecessary operations? - a...

From the sight of a General Practitioner time and again certain indications for some interventions on patients in hospitals are questionable. Enough evidence-based studies are of great importance, so that the individual evidence of the patient including the view of his General Practitioner can be put in first place when making decisions for interventions. In order to generate as much data with as little time and effort possible, structures for patient-centered care have to be created over the whole therapeutic chain (GPs, specialists, hospitals), where the necessary data can be gathered. In an interview GP Dr. med. H.U. Blunier speaks his mind, about how he is persistently pursuing his goal to develop patient paths across all institutions to finally close the therapy chain in terms of an integrated health care.