The Nordic Countries launched seven Core Values and Principles for General Practice/Family Medicine in 2020, followed by WONCA Europe in 2022. General Practice/Family Medicine may be practiced in different contexts according to the characteristics of each health system, country or community. However, its foundation is based on the core values listed below.

Person-centered care
General Practitioners/Family Doctors (GPs/FDs) always take the impact of biological, psychosocial and cultural determinants on individuals’ health into consideration.

Equity of care
GPs/FDs prioritize those whose needs for healthcare are greatest.
GPs/FDs provide equitable health care. Equity is an essential dimension of the quality of health care.
GPs/FDs perceive it their duty to speak out publicly about societal factors impacting accessibility to health care and inequalities in health outcomes.
GPs/FDs are especially aware of the health challenges facing certain groups in relation to age, gender, sexual orientation, ethnicity, socio-economic status and religious orientation.

Continuity of care
GPs/FDs promote continuity of doctor-patient relationships as a central organizing principle.
The doctor-patient relationship is based on personal involvement and confidentiality. Continuity of care helps build mutual trust and enable high-quality, person-centered care.

Science oriented care
GPs/FDs provide care based on the best available evidence, respecting patients’ values and preferences. They provide timely diagnosis and avoid unnecessary tests and overtreatment.
Overexamination, overdiagnosis, and overtreatment can harm patients, consume resources

Professionalism in care
GPs/FDs remain committed to education, research, and quality development, and translating medical knowledge to their patients and their communities.
To safeguard their long-term resilience as caregivers, GPs/FDs attend to their own well-being.

Cooperation in care
GPs/FDs collaborate across professions and disciplines while also taking care not to blur the lines of responsibility.

Community Oriented Care
GPs/FDs engage in political and social aspects impacting health outcomes in community-oriented advocacy.

• Core Values of General Practice/Family Medicine represent the essence of high quality and sustainable health care
• Core Values help us navigate under complex, demanding and conflicting circumstances.
• Contexts and standards may vary and evolve, but our Core Values will endure

Coupled with evidence-based guidelines and well-designed algorithms, real-world data (RWD) from health information systems (HIS) can support personalised medicine and continuity of care through the linkage of information from multiple health facilities in primary and secondary care. The key challenges to data-driven innovation are interoperability and quality of digital data and tools. Interoperability standards and data quality benchmarks exist but the quality and fidelity of compliance to them remain significant unknowns. Many studies, however, suggest compliance is low and that RWD from general practice HIS are not fit for purpose.
MedicineInsight is a national repository of RWD from 600+ Australian general practices (GP). The RWD was mapped to a widely-used Common Data Model (CDM) and assessed for compliance to interoperability standards and quality benchmarks through 4 scenarios: opioid use for cancer & non-cancer pain, cardiovacular risk assessment and heart failure, surveillance of infectious disease and vaccine use, and youth mental health. Shared open-source data analytics & quality assessment tools were used in a secure digital health research environment at UNSW Sydney.
This interactive forum will include (1) brief scene-setting presentations; (2) critique by collaborators from data networks in UK (RCGP Research & Surveillance Network), Canada (UTOPIAN) and USA (PEDSNet); (3) interactive session and summation. Presenters will discuss the technical work required to address database architecture design, operating procedures, security and governance challenges. Scenario findings will be discussed for fitness-for-purpose of GP RWD for clinical decision-support and evidence-based decision-making, integrated primary care and population health. International collaborators will discuss the methodology, data quality and interoperability, and solutions to identify and manage data errors across the GP data production and curation lifecycle. A GP CDM, using the International Classification of Disease Version11 as the reference terminology, can address quality and interoperability within GP data networks to support care of individuals and populations.

At the conclusion of the forum, attendees will be able to:
1. describe the GP data production and curation lifecycle
2. assess and manage the data quality at various points in the lifecycle
3. accurately code clinical practice for data entry in to GP HIS, using a standardised reference terminology
4. discuss the pros and cons for a common data model for GP data networks

My submission title:
A descriptive study of the spectrum of diseases/conditions attended to by General Practitioners on an Indian tele-medicine platform

Introduction:
General Practitioners (GPs) are the gatekeepers of India’s healthcare system and the first point of contact between the patients and healthcare system for most ailments. According to Global Burden of Diseases Data, as of 2019 , around 18% of loss of global disability-adjusted life years (all cause) occurs in India. Accessibility to healthcare services is limited because of skewed doctor-patient ratio, cost etc. GPs play a vital role in providing holistic and affordable health care to people, especially through tele-medicine services . Tele-medicine capitalises on technological advancement to bridge the significant urban-rural gap in India.

Objective:
To identify the spectrum of diseases /conditions attended to by GPs on a tele-medicine platform.

Methodology:
All tele-consultations done by GPs on a tele-medicine platform between the month of July 2022 and December 2022 were included.. The data were checked for duplicates, cleaned and descriptive statistics were computed.

Results:
The GPs were found to address a broad range of health issues, either through direct care or through appropriate timely referral to other specialities. Majority of the cases attended were General Medicine consults of which 55% accounted for upper respiratory tract issues. Diabetology(2.24%), Paediatric (1.7%),Ophthalmology(0.4%) and Gastroenterology(0.4%) followed hence. Though 72% of the total consultations were from tier 1 cities we saw 28% usage from the non tier 1 cities. About 73% of the GPs got a patient satisfaction score of more than 4.5 out of 5.

Conclusion:
Tele-medicine was found to deliver effective healthcare services irrespective of the geographical barrier.Our study concluded that GPs can attend to a spectrum of conditions through a tele-medicine platform with high level of patient satisfaction ,to meet their immediate needs.

At the conclusion of my presentation attendees will take away
1. Impact and importance of GPs
2. Impact and importance of Telemedicine
3. Effective addressal of the problem of healthcare accessibility with use of telemedicine by GPs