Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Digitale Unterstützung in der Dysphagieversorgung: Versorgungsbedarfe, Alltagshürden und Anforderungen an eine nutzerzentrierte Anwendung – Eine qualitative Studie mit Logopäd:innen","authors":"Maike Hawighorst,&nbsp;Hlynur Andri Elsuson,&nbsp;Jenny-Victoria Steindorff,&nbsp;Frank Just,&nbsp;Lukas Kretschmer,&nbsp;Patrick Jahn,&nbsp;Denny Paulicke","doi":"10.1016/j.zefq.2026.06.004","DOIUrl":"10.1016/j.zefq.2026.06.004","url":null,"abstract":"<div><h3>Background</h3><div>Dysphagia poses a major challenge due to its clinical, psychosocial and care-related implications. Older adults with underlying neurogenic conditions are particularly vulnerable. However, despite the availability of effective therapeutic approaches, outpatient dysphagia care is often characterized by structural shortcomings such as long therapy waiting times, insufficient frequency of therapy sessions, or a lack of diagnostic equipment due to specialist staff shortages. Digital health applications may offer potential support, yet their use in dysphagia management remains limited. Therefore, this study aimed to explore the perspective of speech and language therapists on the use of digital applications in the care of individuals with neurogenic dysphagia and to identify key requirements, opportunities, and barriers for the development of a practice-oriented, user-centered digital dysphagia application.</div></div><div><h3>Methods</h3><div>This study is part of the user-centered research and development project “Dys-Phappgy” funded by the German Federal Ministry of Research, Technology and Space and follows a design-based research approach. A qualitative needs assessment was conducted using semi-structured interviews with 15 speech and language therapists. Data were analyzed using the structured qualitative content analysis according to Kuckartz and Rädiker (2022), combining deductive category development based on the research questions with inductive refinement from the data.</div></div><div><h3>Results</h3><div>The perceived need for digital support tools is primarily driven by structural challenges, including fragmented information across care sectors, limited access to apparatus-based diagnostic procedures, resource constraints, and insufficient continuity of care. Digital applications are perceived as complementary tools supporting information management, patient education, therapy adherence, and interprofessional collaboration. Nevertheless, acceptance and sustained use largely depend on low implementation costs, clear practical benefits, and seamless integration into existing workflows.</div></div><div><h3>Conclusions</h3><div>Digital dysphagia applications can meaningfully support outpatient care if they are developed through participatory processes and aligned with the complex realities of everyday therapeutic practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 80-93"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(26)00212-6","DOIUrl":"10.1016/S1865-9217(26)00212-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Page OBC"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(26)00207-2","DOIUrl":"10.1016/S1865-9217(26)00207-2","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Page ii"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Die Prävalenz von Medikationsfehlern in der stationären Rehabilitation: Eine Beobachtungsstudie","authors":"Sabrina Kathriner,&nbsp;Raffael Bisig","doi":"10.1016/j.zefq.2026.05.007","DOIUrl":"10.1016/j.zefq.2026.05.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Medication errors are among the most frequent preventable risks in healthcare. Data on error rates in inpatient rehabilitation settings have so far been limited.</div></div><div><h3>Methods</h3><div>A disguised direct observational study was conducted in a rehabilitation clinic, complemented by retrospective prescription analysis. Three medication process steps were observed: prescribing, preparation, and administration. Errors were classified according to NCC MERP severity categories.</div></div><div><h3>Results</h3><div>A total of 466 opportunities of error (OE) were examined. The error rate was 26.8 % (95 % CI: 20.2–32.6), with 148 errors recorded. Most errors occurred with prescribing (56 %), followed by preparation (24 %), and administration (20 %). Category C errors were most frequent (41.2 %), followed by B (29.7 %) and E (26.4 %). No severe errors (categories F–I) were observed. Factors such as ward, medication timing, and nursing experience showed no significant effect.</div></div><div><h3>Discussion</h3><div>The error rate corresponds to approximately one error per four medication doses and is comparable to international findings. The high proportion of prescribing errors indicates structural weaknesses in the medication process.</div></div><div><h3>Conclusion</h3><div>The findings highlight the urgent need to improve medication safety in inpatient rehabilitation. Implementing a closed-loop medication process with electronic prescribing, unit-dose packaging, and barcode scanning is recommended.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 4-11"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309920","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}

{"title":"Brief health information leaflets in general practice: A cross-sectional survey on usage, common topics and sources in Austria","authors":"Laura Plotho,&nbsp;Nicole Posch,&nbsp;Christina Radl-Karimi,&nbsp;Ulrike Spary-Kainz,&nbsp;Klaus Jeitler,&nbsp;Andrea Siebenhofer","doi":"10.1016/j.zefq.2026.05.010","DOIUrl":"10.1016/j.zefq.2026.05.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Health information materials are widely available, yet their reliability is often uncertain. General practitioners remain a trusted source of information for patients, and written materials such as leaflets are common in general practice. The topics that are potentially relevant for general practitioners have not yet been sufficiently researched. This study examined the use of brief health information leaflets in Austrian general practice, focusing on their topics, sources, and preferred formats.</div></div><div><h3>Methods</h3><div>An online survey was distributed to Austrian general practitioners between November 2023 and January 2024. Data were analysed descriptively, and chi-square tests were applied to assess associations.</div></div><div><h3>Results</h3><div>Of 4,053 invited general practitioners 891 responded (22.0%) and 501 completed the survey (12.4%). Among respondents, 41.3% reported using health information leaflets. Of the 272 respondents who provided more detailed information, 35.7% used only self-produced materials. External materials most often came from providers of pharmaceuticals and other medical products. In general, 54.1% prefer paper-only formats, while 29.2% prefer a mix of paper and digital formats. Health information on endocrine and metabolic diseases, nutrition, and infectious diseases proved to be particularly relevant – both in terms of current use and demand.</div></div><div><h3>Discussion</h3><div>Health information leaflets are widely used, with self-produced materials playing a greater role than previously reported. At the same time, there is a clear need for additional materials. It is interesting to note that the demand for health information focuses on the same topics as the materials that are already most frequently used.</div></div><div><h3>Conclusion</h3><div>The results indicate a high demand for health information materials. The reasons for this demand remain unclear and warrant further research. Understanding these factors and the topics sought by GPs can help improve the development of short, evidence-based materials that are more frequently used in primary care.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 24-29"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entlassmanagement in Deutschland: Ein Scoping Review","authors":"Anne Petereit,&nbsp;Chiara Kleinschmidt,&nbsp;Jann Niklas Vogel,&nbsp;Stefan Schmidt,&nbsp;Ivonne Honekamp,&nbsp;Katja Matthias","doi":"10.1016/j.zefq.2026.05.005","DOIUrl":"10.1016/j.zefq.2026.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Transitional care after a hospital stay remains a challenge in Germany. Despite the legal obligation for structured discharge management that has been in place since 2017, seamless transition to post-acute care is still not consistently available. This scoping review aims to compile available studies on discharge management in Germany, identify key challenges for patients and stakeholders, and present measures that have already been implemented.</div></div><div><h3>Methods</h3><div>This scoping review followed the methodology of the Joanna Briggs Institute and the PRISMA-ScR guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A systematic search was conducted in four bibliographic databases (CareLit, Cochrane Library, MEDLINE via PubMed, Web of Science Core Collection), supplemented by reference screening and hand searching. Using predefined criteria, German-and English-language primary and secondary studies, as well as gray literature from 2015 onwards, were included, focusing on hospitalized patients in Germany and those involved in discharge management.</div></div><div><h3>Results</h3><div>Thirty studies were included. Interventional studies demonstrated limited effectiveness, particularly in preventing hospital readmissions. Non-interventional research identified barriers such as inconsistent implementation, absence of standardized procedures, shortages of resources, and poor communication between care sectors. Structured assessments, standardized discharge summaries, and case managers showed potential to strengthen the continuity of care and improve patient outcomes.</div></div><div><h3>Conclusions</h3><div>Cross-sectoral care in Germany requires stronger interprofessional collaboration, binding standards, and flexible models adaptable to local conditions. Despite useful insights, further research is urgently needed to evaluate, implement, and compare existing strategies and pilot programs.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 38-50"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antwort auf Leserbrief zu „Fehlende Replikation von Studienergebnissen in der Evidenzbewertung mit GRADE“ (ZEFQ 203 (2026) 1–5) von K. Rudolf et al.","authors":"Kevin Rudolf,&nbsp;Corinna Kiefer,&nbsp;Alexandra Korzeczek-Opitz,&nbsp;André Wilmer,&nbsp;Sarah Thys","doi":"10.1016/j.zefq.2026.07.005","DOIUrl":"10.1016/j.zefq.2026.07.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 116-117"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799378","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}

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(26)00208-4","DOIUrl":"10.1016/S1865-9217(26)00208-4","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages iii-iv"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zwischen Nähe und Not: Determinanten längerer Wege zur Notaufnahme – Eine Subauswertung der Inanspruchnahmebefragung in bayerischen Notaufnahmen","authors":"Kalina Witt,&nbsp;Johannes Hagelskamp,&nbsp;Sarah Oslislo,&nbsp;Christian Pfeiffer,&nbsp;Gökhan Katipoglu,&nbsp;Dominik von Stillfried,&nbsp;Thomas Händl,&nbsp;Harald Dormann,&nbsp;Steffen Herdtle","doi":"10.1016/j.zefq.2026.05.006","DOIUrl":"10.1016/j.zefq.2026.05.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency care in Germany is under strain due to increasing patient numbers, limited resources, and a high proportion of non-urgent consultations. Against the backdrop of the hospital reform, which stipulates that patients should be able to reach a basic care hospital within 30 minutes (min), this sub-analysis examines patients who deliberately accept longer travel times (&gt;30 min). The aim was to identify predictors and motives of this group.</div></div><div><h3>Methods</h3><div>In the Bavarian Emergency Department (ED) Utilisation Survey (n = 7,527), 1,128 patients with travel times exceeding 30 min were analysed. Travel times were calculated using postal code coordinates. Descriptive analyses and multivariate logistic regression were performed.</div></div><div><h3>Results</h3><div>Fifteen percent of respondents reported travel times of more than 30 min (mean: 44 min); 79.5% accepted travel times of at least 10 minutes more than to the nearest emergency department. High perceived urgency (31% very urgent; 18% emergency), severe pain (51% of respondents with pain), and prior attempts to contact outpatient physicians (49%) were frequently reported. Contact attempts were successful in 87% of cases for general practitioners and in 82% for specialists. Gynaecological, ophthalmological, and otorhinolaryngological complaints showed the strongest associations with longer travel distances.</div></div><div><h3>Discussion and conclusion</h3><div>Longer travel times may not only reflect a perceived need for greater expertise and safety but also indicate actual gaps in service provision, particularly in specialties that are only available at larger emergency departments. Policy and management measures should therefore consider geographic accessibility along with the regional availability of specialized services, awareness of consultation services, and transparent communication about hospital service profiles.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 51-60"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kernkompetenzen von Physiotherapeut*innen für den Direktzugang von Patient*innen mit muskuloskelettalen Erkrankungen im deutschen Gesundheitssystem – Eine Delphi-Befragung","authors":"Pia Herz,&nbsp;Jan Paul Iske,&nbsp;Anne Jarck,&nbsp;Kerstin Lüdtke,&nbsp;Phillip Thies,&nbsp;Annika Schwarz","doi":"10.1016/j.zefq.2026.05.008","DOIUrl":"10.1016/j.zefq.2026.05.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Musculoskeletal disorders (MSKDs) are among the most common global health issues. They are major contributors to functional limitations and reduced health-related quality of life. Direct access to physiotherapy, which has already been established in many countries, is now being increasingly discussed in Germany as a potential solution for demand-oriented care. This study aimed to develop a consensus-based competence framework for physiotherapists in direct access for MSKDs.</div></div><div><h3>Method</h3><div>Based on an existing scoping review (ScR) framework, a Delphi survey with experts from research, teaching, and practice was conducted. Competencies were rated on a four-point Likert scale; revisions and additions were made via free text fields. These were analyzed using the AQUA method. The questionnaire was adjusted iteratively after each round.</div></div><div><h3>Results</h3><div>The Delphi survey involved experts from research, teaching, and practice (n = 22). During three rounds, 69 competency elements were consented. The experts contributed 18 new competency elements, and 24 revisions were proposed. After round three, all reached the consensus criterion (≥75% agreement). The final core framework includes 33 competencies. The response rate exceeded 86% in all rounds.</div></div><div><h3>Discussion and conclusion</h3><div>The results refine and expand the competence framework of the underlying ScR and distinguish between generic physiotherapy competencies and direct access-specific requirements. They align well with international standards while integrating context-specific regulatory and structural conditions of the German healthcare system. The framework developed provides a solid basis for further professional alignment and developmental processes, as well as for curricular development and the qualification of direct-access physiotherapists for MSKDs. The findings suggest that existing competencies in direct access are applied within an expanded framework of responsibility and decision-making.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 12-23"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}