Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

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[Work-related participation restrictions of Long COVID rehabilitants over time - Findings of a qualitative study]. [长期COVID康复者的工作参与限制-定性研究的结果]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-10-16 DOI: 10.1016/j.zefq.2025.09.004
Mercedes Rutsch, Ruth Deck
{"title":"[Work-related participation restrictions of Long COVID rehabilitants over time - Findings of a qualitative study].","authors":"Mercedes Rutsch, Ruth Deck","doi":"10.1016/j.zefq.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.09.004","url":null,"abstract":"<p><strong>Background: </strong>People who are affected by long COVID (LC) and have limitations in their ability to work can apply for a multi-professional rehabilitation programme. This qualitative study analysed the development of occupational participation, health limitations at work and factors supporting occupational participation in LC rehabilitants.</p><p><strong>Methods: </strong>Guided telephone interviews were conducted with LC rehabilitants aged 18-65 years, who were undergoing pneumological rehabilitation, at three time points (shortly after the end of rehabilitation, and six and twelve months after rehabilitation). Data were analysed using qualitative content analysis according to Mayring.</p><p><strong>Results: </strong>Between 04/2021 and 07/2022, a total of 30 interviews were conducted with 11 rehabilitants (N = 7 women; average age: 50 years). Three health-related stress dimensions were identified: cognitive (e. g., word-finding difficulties, concentration problems), psychosocial (e. g., anxiety, worry), and physical (e. g., physical exhaustion, shortness of breath) limitations. The reintegration prepared by social services, the general conditions at the workplace (e. g., flexible working hours, empathy in the workplace) and personality traits, such as acceptance of personal limitations, were described as conducive to occupational participation. Respondents used compensatory techniques (e. g., creating mnemonics) and pacing to cope with the demands of work despite existing limitations.</p><p><strong>Conclusion: </strong>The results of the study show that \"returning to work\" is not the same as \"regaining the ability to work\". In both rehabilitation and aftercare, the restoration of physical, psychosocial, and cognitive work ability should play an essential role in counteracting the manifestation of participation restrictions.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Dissatisfaction with the DMP for CHD: An explorative survey among general practitioners on the disease management programs (DMPs) for type 2 diabetes mellitus and coronary heart disease]. [对冠心病DMP的不满:全科医生对2型糖尿病和冠心病疾病管理方案(DMP)的探索性调查]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-10-13 DOI: 10.1016/j.zefq.2025.05.008
Larisa Pilic, Lisa Sommer, Marcus Redaèlli, Kira Molkentin, Beate Sigrid Müller, Stephanie Stock, Stefan Wilm
{"title":"[Dissatisfaction with the DMP for CHD: An explorative survey among general practitioners on the disease management programs (DMPs) for type 2 diabetes mellitus and coronary heart disease].","authors":"Larisa Pilic, Lisa Sommer, Marcus Redaèlli, Kira Molkentin, Beate Sigrid Müller, Stephanie Stock, Stefan Wilm","doi":"10.1016/j.zefq.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.05.008","url":null,"abstract":"<p><strong>Background: </strong>Disease management programs (DMPs) were implemented in 2002 to improve the care for a growing number of chronically ill people in Germany. However, the current state of research on the effectiveness and acceptance of DMPs does not allow valid comparisons between them. The aim of the survey was to compare general practitioners' (GPs') experiences with DMPs for type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). The survey complements the results of a qualitative study conducted in 2020.</p><p><strong>Methods: </strong>Cross-sectional exploratory study using an online survey among GPs in the area of the North Rhine Association of Statutory Health Insurance Physicians in 2023. In addition to general questions on DMPs, the DMPs for T2DM and CHD were compared in regard to three main topics: (1) perceived effectiveness of DMPs, (2) satisfaction with DMPs, and (3) perceived self-management of patients in the DMPs. A total of 42 items were used.</p><p><strong>Results: </strong>The survey was completed by 186 GPs, resulting in a response rate of 10.4%. 96% were practice owners, all of whom had experience in implementing these DMPs. Significant differences were observed in the perceived effectiveness of the two DMPs, e.g. in reducing complications and hospitalizations, with consistently lower ratings for the DMP for CHD. This was also evident in the thematic blocks on satisfaction with DMPs, with regard to enrolment patterns and documentation, as well as patients' self-management in terms of health behaviour and personal responsibility.</p><p><strong>Conclusion: </strong>Future studies should examine DMPs in GP care separately, given the significant differences in how they are evaluated by GPs. In addition, DMPs should be analysed in more detail regarding effectiveness, feasibility, and acceptance, especially the DMP for CHD.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of a brief didactics training for peer teachers of medical history taking. 对同辈医学史教师简短教学训练的评价。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-10-08 DOI: 10.1016/j.zefq.2025.09.002
Jonas Nagel, Christine Zelenak, Stella Fangauf, Corinna Seemann, Lena Bläsing, Holger Kappe, Iris Demmer, Christoph Herrmann-Lingen
{"title":"Evaluation of a brief didactics training for peer teachers of medical history taking.","authors":"Jonas Nagel, Christine Zelenak, Stella Fangauf, Corinna Seemann, Lena Bläsing, Holger Kappe, Iris Demmer, Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.09.002","url":null,"abstract":"<p><strong>Objectives: </strong>The practical training of communicative competences in medical education is staff-intensive. We evaluate a brief didactics training for peer teachers (advanced students instructing fellow students from lower course levels) intended to efficiently enhance their teaching skills.</p><p><strong>Methods: </strong>In a 9-hour didactics training, N = 139 peer teachers were prepared for instructing practical medical history taking exercises in small groups of undergraduate medical students. We assessed the participants' satisfaction with the training, their subjective increase in didactic skills, and their evaluation of the peer teachers (compared to how the same students evaluated experienced lecturers).</p><p><strong>Results: </strong>Participants evaluated the training positively and reported an increase in key didactic skills immediately after the training (0.17 ≤ r ≤ 0.20) and after their first term of teaching (0.12 ≤ r ≤ 0.20). Before the introduction of the training, students had rated their peer teachers less favorably than their faculty lecturers, but this gap disappeared after the introduction of the training (contribution to learning success: d = -0.84; quality of feedback: d = -0.43). Peer teachers were also perceived to be more activating in teaching compared to faculty lecturers (d = 0.34).</p><p><strong>Conclusions: </strong>With a brief didactics training, peer teachers can become effective instructors for practical exercises of medical history taking interviews.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Implementing the right to withdraw consent to the processing of health data in research projects]. [落实撤回对研究项目中健康数据处理的同意的权利]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-10-06 DOI: 10.1016/j.zefq.2025.09.003
Christoph Gerst, Florian Gottschalk, Eva Hummers, Falk Schlegelmilch
{"title":"[Implementing the right to withdraw consent to the processing of health data in research projects].","authors":"Christoph Gerst, Florian Gottschalk, Eva Hummers, Falk Schlegelmilch","doi":"10.1016/j.zefq.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.09.003","url":null,"abstract":"<p><strong>Background: </strong>Processing data in health services research requires informed patient consent. When this consent is withdrawn, researchers face the challenge of correctly implementing legal requirements regarding data protection. This article aims to identify and analyze the tasks research institutions must undertake when processing a withdrawal of consent for data processing.</p><p><strong>Methods: </strong>Using a withdrawal case from the RADARplus research project, we conducted a legal analysis of requirements under the General Data Protection Regulation (GDPR) and other relevant legal frameworks. Based on this analysis, we discuss implementation approaches.</p><p><strong>Results: </strong>The analysis reveals the complexity of implementing a withdrawal of consent procedure: Data may exist in various systems (research databases, backup systems, paper records) and must be identified accordingly. Different retention requirements apply depending on the type of data and legal basis. We outline responsibilities and practical approaches to restricting data processing, such as technical access limitations and blocking notices.</p><p><strong>Discussion: </strong>The practical implementation of the right to withdraw consent presents complex challenges for research institutions. Open questions remain, particularly regarding pseudonymized data, long-term data storage, and collaboration with multiple research partners. While the suggested guidance provides a structured approach for legally compliant processing of withdrawals, it does not eliminate the need for data protection assessment and proper documentation.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Gesundheitsökonomische Evaluation komplexer Interventionen – Zeit den Horizont zu erweitern. 编辑:复杂干预措施的卫生经济评估:是时候扩大视野了。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-25 DOI: 10.1016/j.zefq.2025.09.001
Juliane Köberlein-Neu, Andrea Icks
{"title":"Editorial: Gesundheitsökonomische Evaluation komplexer Interventionen – Zeit den Horizont zu erweitern.","authors":"Juliane Köberlein-Neu, Andrea Icks","doi":"10.1016/j.zefq.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.09.001","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
["Accessing lucid data that is specific to the region": Implementation and evaluation of an online platform for research data in the Rhineland metropolitan region using the example of health care research in the last year of life]. [“获取特定区域的清晰数据”:莱茵兰大都市区研究数据在线平台的实施和评估,以生命最后一年的医疗保健研究为例]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-17 DOI: 10.1016/j.zefq.2025.08.002
Kathleen Boström, Katja Blaschke, Thomas Dojan, Ingo Meyer, Kerstin Kremeike
{"title":"[\"Accessing lucid data that is specific to the region\": Implementation and evaluation of an online platform for research data in the Rhineland metropolitan region using the example of health care research in the last year of life].","authors":"Kathleen Boström, Katja Blaschke, Thomas Dojan, Ingo Meyer, Kerstin Kremeike","doi":"10.1016/j.zefq.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.08.002","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare research results often do not find their way into practice due to missing or under-utilized communication channels. Consequently, these results fail to impact the healthcare system. To bridge this \"translation gap,\" solutions tailored to the needs and habits of users are required.</p><p><strong>Methods: </strong>We conceptualized and implemented an online platform to communicate the results of two completed healthcare research projects to both professionals and the public in Cologne. This was achieved using a co-design approach with end users. The platform was evaluated for user satisfaction, efficiency, effectiveness, conformity with expectations, and usage through participant observation, an online survey, and web statistics analysis. A final redesign was conducted based on the evaluation.</p><p><strong>Results: </strong>The platform was implemented according to the co-design concept. Most online survey participants found the site easy to use and engaging in terms of content. However, criticisms included the lack of multimedia and interactive content, the large amount of text used, and the absence of specific expected information.</p><p><strong>Discussion: </strong>After the redesign, the platform met part of the requirements emerging from the evaluation. Nonetheless, improvements are needed in multimedia and interactive content presentation, as identified in the evaluation. The lack of specific expected content highlights unanswered research questions of the underlying projects.</p><p><strong>Conclusion: </strong>The developed platform has been online since the end of the development phase and continues to be used. The study demonstrated that a co-design approach can yield usable results in the field of science.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Health services research as a job market: A document analysis of job advertisements]. [作为就业市场的医疗服务研究:招聘广告的文献分析]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-04 DOI: 10.1016/j.zefq.2025.07.002
Annika Queder, Lea Gölz, Michel Wensing, Charlotte Ullrich
{"title":"[Health services research as a job market: A document analysis of job advertisements].","authors":"Annika Queder, Lea Gölz, Michel Wensing, Charlotte Ullrich","doi":"10.1016/j.zefq.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.07.002","url":null,"abstract":"<p><strong>Introduction: </strong>Since the mid-2010s, health services research (HSR) in Germany has been increasingly institutionalized. However, little is known about actual career paths within the field. The aim of this study was to describe the HSR job market in Germany, both in general terms and specifically for graduates of health services research master degree programs.</p><p><strong>Methods: </strong>Over a period of three months in spring 2022, four employment websites and the websites of the German Network for HSR were searched for job advertisements containing the term \"health services research\". Using document analysis, the job advertisements identified were analyzed with regard to a) employer characteristics, b) job characteristics, and c) significance of HSR.</p><p><strong>Results: </strong>Of the 1,474 job advertisements identified, 360 were included in the analysis. These were mainly from hospitals (31.94 %, n = 115), companies (29.44 %, n = 106), and universities (23.33 %, n = 84). The majority of the positions offered required a Master's degree or a higher qualification (57.22 %, n = 206), and for 76 positions (36.89 %) there was the additional requirement of a completed vocational training and/or main occupation in patient care. Most of the 91 job offers for graduates of a HSR master's program were temporary (65.93 %, n = 60) and in the field of science and research (89.01 %, n = 81). About half were full-time positions (46.15 %, n = 42).</p><p><strong>Discussion: </strong>The study shows an increasing number of job advertisements including the search term \"health services research\", a broad understanding of the term and associated heterogeneous qualification requirements and job characteristics.</p><p><strong>Conclusion: </strong>Our findings contribute to a better understanding of HSR as a professional field in Germany. The results provide guidance for students, graduates, and teachers in HSR.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pflegeforschung in der SARS-CoV-2-Pandemie in Deutschland: ein Scoping-Review [德国SARS-CoV-2大流行中的护理研究:范围回顾]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-01 DOI: 10.1016/j.zefq.2025.05.006
Dorothee Bauernschmidt , Martin N. Dichter , Annegret Horbach , Gabriele Meyer , Martin Müller , Anne Christin Rahn , Ralph Möhler
{"title":"Pflegeforschung in der SARS-CoV-2-Pandemie in Deutschland: ein Scoping-Review","authors":"Dorothee Bauernschmidt ,&nbsp;Martin N. Dichter ,&nbsp;Annegret Horbach ,&nbsp;Gabriele Meyer ,&nbsp;Martin Müller ,&nbsp;Anne Christin Rahn ,&nbsp;Ralph Möhler","doi":"10.1016/j.zefq.2025.05.006","DOIUrl":"10.1016/j.zefq.2025.05.006","url":null,"abstract":"<div><h3>Background</h3><div>The SARS-CoV-2 pandemic had a major impact on nursing and healthcare as well as on research. The aim of this study was to analyse the characteristics of nursing- and SARS-CoV-2-related research in Germany.</div></div><div><h3>Methods</h3><div>A scoping review was conducted. We systematically searched (06/2023) Medline, CINAHL, the German Register of Clinical Trials, abstract books of conferences and conducted a manual literature search. We included empirical studies addressing aspects of nursing and the pandemic and involving German researchers. Study selection and data extraction were conducted independently by two reviewers. Results were analysed descriptively.</div></div><div><h3>Results</h3><div>We included 131 publications (85 quantitative, 27 qualitative, 6 mixed-/multi-methods studies, 12 systematic reviews, 1 discussion paper); 49 % of the studies were published in 2021. First authors were mostly from medicine, psychology and nursing science, last authors from medicine. Most studies were explorative. Most of the quantitative studies used observational designs, only four were experimental. Nurses and other healthcare professionals were the most common target group; people with care needs or relatives were rarely addressed. The most common topics included health, perceived burden, working conditions, and characteristics of care during the pandemic. A quarter of the studies were not externally funded, 32 % did not provide information on funding. The Federal Ministry of Education and Research (21 %) was the most common funding body.</div></div><div><h3>Conclusion</h3><div>Pandemic-related nursing research was published to a limited extent by nursing scientists; clinical nursing research was particularly underrepresented. Dependable funding and the development of a research infrastructure for nursing research are necessary to ensure evidence-based nursing in times of crisis and to generate findings that are relevant to clinical practice and health policy decision-makers.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 79-88"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Talking about sexual health in primary care: Results of a cross-sectional study among general practitioners in Germany 谈论初级保健中的性健康:德国全科医生横断面研究的结果。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-01 DOI: 10.1016/j.zefq.2025.06.002
Josephine Solbach, Christine Kersting, Achim Mortsiefer
{"title":"Talking about sexual health in primary care: Results of a cross-sectional study among general practitioners in Germany","authors":"Josephine Solbach,&nbsp;Christine Kersting,&nbsp;Achim Mortsiefer","doi":"10.1016/j.zefq.2025.06.002","DOIUrl":"10.1016/j.zefq.2025.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical and psychological problems related to sexual health are a highly relevant health topic. Although general practitioners (GPs) are usually the first point of contact for patients, studies show that they rarely talk about sexual health. This study explored whether German GPs consider sexual health an important health issue and feel a responsibilty to address patient concerns in this regard, how often they discuss sexual health topics with their patients, and what hampers or facilitates conversations about sexual health.</div></div><div><h3>Methods</h3><div>A quantitative, cross-sectional online survey was conducted among German GPs (11/2021–06/2022). Data were analyzed in SPSS using descriptive statistics and binary logistic regression.</div></div><div><h3>Results</h3><div>Most of the 249 participating GPs consider sexual health an important topic (68.8 %, n = 159) and feel responsible for their patients’ sexual health (74.5 %, n = 176). Nearly one-half of respondents (48.1 %, n = 112) report that they address sexual issues less often than medically indicated. The main barriers include lack of time, language barriers, and the presence of relatives; the patients’ own initiative and a good and/or long-term doctor-patient relationship have the effect of facilitating conversation. In-depth analysis revealed that the perception of hampering and supportive factors as well as the frequency with which sexual health topics are addressed is influenced by the following GP characteristics: higher age group, male gender, longer duration of practice, non-heterosexual orientation, specialization, and positive experiences with talking about this sensitive topic.</div></div><div><h3>Discussion</h3><div>Although sexual health is an important issue in primary care, it is discussed less often than medically indicated.</div></div><div><h3>Conclusion</h3><div>Structured communication and a high competence regarding sexual health issues can contribute to improving patient care and should therefore be more strongly represented in medical school curricula and GP training courses.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 47-54"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation der Digitalisierung der medizinischen Dokumentation in Sammelunterkünften für Geflüchtete in Deutschland: eine qualitative Studie [评价德国难民集体收容中心医疗文件的数字化:一项定性研究]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-09-01 DOI: 10.1016/j.zefq.2025.06.005
Fabian Walter , Andreas W. Gold , Rosa Jahn , Stefan Noest , Eva Grünberger , Susanne Pruskil , Kayvan Bozorgmehr , Regina Poß-Doering
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