The purpose of this dissertation is the evaluation of changes in the physician-patientrelationship in Germany in the last years from the perspective of the general practitioner. Therefore a total of 200 general practitioners and 500 patients were interviewed. Distinct changes in the scope of duties of the general practitioner have become evident, for example the increasingly demanding task of "life-counselling" for the patients. Patients nowadays, who are more informed about diagnostic and therapeutic options and strategies, have a higher demand for information and higher expectations with regards to medical attendance. However, the general practitioners time for each individual patient is usually very limited. Hence, to meet personal, societal and economical demands on the practioners role becomes a balancing act for an increasing number of colleagues. Patients perceive the economic preassure on the practitioners offices but have only very limited knowledge about the general economic framework of the health-care system. The above mentioned changes are a result of the health-care policy of the last decade and especially a result of the extensive economies to ease financial deficits of the compulsory health insurance. These tendencies in combination with the age distribution of the general practitioners (mean 52,4 years) could compromise ambulatory health-care structures in a foreseeable future.