Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"[Recognition and rewards for guideline work from the perspective of those involved].","authors":"Susanne In der Smitten, Valeria Aman, Nikita Sorgatz, Christopher Traylor, Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.04.004","url":null,"abstract":"<p><strong>Background: </strong>In the specialist literature clinical practice guidelines are primarily discussed with a focus on the methodology of their development and their importance for medical care. There is a lack of research on the motivation of contributors and on forms of recognition and rewards for involvement in guideline development.</p><p><strong>Methods: </strong>Between August and December 2023, an exploratory online survey on the possibilities of recognizing engagement in guideline development was conducted among members of scientific medical societies and members of German medical faculties. The survey was funded by the German Federal Ministry of Education and Research (BMBF; funding codes 16PU17025A; 16PU17025B) and provided 375 evaluable cases.</p><p><strong>Results: </strong>Four out of five respondents (79.1%) stated that they got involved in guideline work via an enquiry from a scientific medical society. They saw the added value above all in medical care (90.3% answering '(rather) true'), but a function of network maintenance was also (rather) affirmed (77.8%). A majority of 80.5% of respondents were in favor of rewarding guideline work, in particular through reimbursement of travel expenses (73.4%) and time off work (70.5%), but also in systems of indicator-based resource allocation (52.7%), other expense allowances (48.3%), or payment of a fee (42.5%). This was specified in free-text responses. The relevance of considering engagement in guideline work in habilitation and job appointment procedures was separately identified. Those against financial remuneration emphasized non-monetary benefits of collaboration, such as network or knowledge expansion, or expressed fears of possible negative consequences, for example with regard to conflicts of interest.</p><p><strong>Conclusion: </strong>No standard yet exists for recognizing involvement with guideline development. Different forms of expense allowances, time off work and recognition in performance evaluation and resource allocation procedures should be tested and examined for possible consequences.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081316","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":"[Active participation of medical assistants in primary care research in Germany].","authors":"Susanne Kersten, Doreen Kuschick, Annett Bräsigk, Andreas Polanc, Sandra Salm","doi":"10.1016/j.zefq.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.03.012","url":null,"abstract":"<p><strong>Introduction: </strong>Since 2020, the Federal Ministry of Education and Research has been funding the establishment of six research practice networks in primary care in Germany through the Initiative DESAM-ForNet. The aim is to create a practice-based and efficient research infrastructure. The involvement of medical assistants (MAs) in these networks is of central importance, as they are able to contribute valuable perspectives and knowledge through their daily practice work and are often involved in studies.</p><p><strong>Methods: </strong>Three tabular instruments were developed to record MA participation. In each research practice network, the tables were used to document the involvement of MAs in the network structure, their qualifications and their role in research projects. The information from each network was discussed and summarized in terms of similarities and differences.</p><p><strong>Results: </strong>Reports were provided from five practice-based research networks where MAs are actively involved in various participation formats such as committees, round tables, and advisory boards. MAs are involved at different quality levels in the development of the networks and the implementation of studies. In addition, the practice-based research network offers specific qualifications to train MAs for research work. MAs receive financial incentives and/or certificates for their participation.</p><p><strong>Discussion: </strong>The results show that MAs play an important role in research practice networks, especially in a co-determining function. Overall, MA participation through research practice networks is established, but not yet as self-evident as patient participation. In order to further strengthen participation of MAs, future measures should promote their involvement in decision-making processes and enable them to obtain additional qualifications. The role of MAs in research should be further expanded at all quality levels of involvement.</p><p><strong>Conclusion: </strong>The active involvement of MAs in the development and operation of research practice networks is essential to ensure the practical relevance of research projects. Greater participation could further improve the quality of research and should therefore be specifically promoted.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021263","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":"Applying qualitative comparative analysis in a systematic review: Lessons learned.","authors":"Dorothee Bauernschmidt, Janina Wittmann, Julian Hirt, Gabriele Meyer, Anja Bieber","doi":"10.1016/j.zefq.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.03.013","url":null,"abstract":"<p><strong>Background: </strong>Evidence synthesis of primary studies assessing complex interventions poses challenges due to the heterogeneity of study populations, interventions, outcomes, or study designs. Qualitative comparative analysis (QCA) aims to identify conditions or combinations of conditions that lead to a specific outcome and may be an appropriate instrument to deal with heterogeneity and complexity.</p><p><strong>Objective: </strong>We aimed to describe the lessons learned when applying QCA in a systematic review on technology-based counselling interventions in dementia.</p><p><strong>Methods: </strong>The lessons learned were generated through research team reflection and discussion of the challenges and problems encountered in the process of applying the initial steps of the QCA. As the QCA remained incomplete, a brief account of aspects to be considered when using QCA methodology for data synthesis within a systematic review is presented.</p><p><strong>Results: </strong>The lessons learned comprise the importance of clear eligibility criteria representing the core elements of interventions and the need for a consistent dataset based on sufficient reporting and suitable publication types. We also recommend adoption of a multi-perspective view by integrating theoretical and practical knowledge.</p><p><strong>Conclusion: </strong>QCA may increase knowledge gain in systematic reviews by capturing the complexity of interventions and contexts. An adequate dataset is needed to enable systematic comparison. To achieve this, adherence to frameworks guiding the development, implementation, and evaluation of complex interventions as well as to reporting guidelines is essential.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030075","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":"Cannabisprävention: Legal, aber … lost?! Wie Plakate mehr verwirren als angemessen aufklären.","authors":"Jessica Ruck, Anne Simmenroth","doi":"10.1016/j.zefq.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.03.009","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064979","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":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(25)00108-4","DOIUrl":"10.1016/S1865-9217(25)00108-4","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Page OBC"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838800","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":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(25)00104-7","DOIUrl":"10.1016/S1865-9217(25)00104-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Page ii"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838791","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(25)00105-9","DOIUrl":"10.1016/S1865-9217(25)00105-9","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages iii-iv"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838792","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":"Plädoyer für ein nachhaltigeres Gesundheitssystem – die Rolle der Technologiebewertung","authors":"Matthias Perleth ,&nbsp;Barbara Buchberger ,&nbsp;Peter Kolominsky-Rabas","doi":"10.1016/j.zefq.2025.03.003","DOIUrl":"10.1016/j.zefq.2025.03.003","url":null,"abstract":"<div><div>Health Technology Assessment (HTA) is established as a tool for evidence-based decision support in the health care sector. HTA aims to determine the value of a health technology at different points in its life cycle and to promote an equitable, efficient and high-quality health care system.</div><div>The health care sector is estimated to be responsible for 5% of greenhouse gas emissions and raw material consumption. Buildings, anesthetic gases, metered dose inhalers, pharmaceuticals and medical devices are important drivers of these emissions.</div><div>So far, sustainability as (according to Brundtland) a development that meets the needs of the present without compromising the ability of future generations to meet their own needs, has not played a role as a decision-making criterion in the introduction and provision of health care technologies. The concept of sustainability could extend HTA to the entire life cycle (the ‘first’ and the ‘last’ mile) and thus establish the ecological footprint as a further dimension in the assessment process. Despite international efforts to achieve climate neutrality in the health care sector, there are as yet no concrete strategies for implementation in Germany and Europe, with the exception of the UK. The political mood is even moving in the direction of climate policy regression.</div><div>A sustainability strategy could draw on a large number of national and European regulations outside the health care sector and integrate them into existing methodological approaches, such as the incremental carbon footprint effectiveness ratio. At the practical level, these findings could be incorporated into climate-sensitive health counseling. The future federal government, professional associations and health care professionals should take urgent action.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 17-20"},"PeriodicalIF":1.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732317","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":"Physiotherapeutische Forschungsaktivitäten an den deutschen Universitätskliniken: eine Online-Umfrage unter den Leitungen der physiotherapeutischen Abteilungen","authors":"Erik J. Ehlers ,&nbsp;Franziska Feldmann ,&nbsp;Judith Gartmann ,&nbsp;Carolin Kraushaar ,&nbsp;Annalena Paus ,&nbsp;Isabelle Stickdorn ,&nbsp;Susanne G.R. Klotz","doi":"10.1016/j.zefq.2025.02.006","DOIUrl":"10.1016/j.zefq.2025.02.006","url":null,"abstract":"<div><h3>Introduction</h3><div>German university hospitals, with their three pillars of research, teaching, and care, enjoy a special status in the health care and science system. Alongside care and teaching, the research pillar has also become increasingly relevant for physiotherapy at university hospitals. Nevertheless, there has been no comprehensive study to date of the status of physiotherapy research activities at German university hospitals. This study aims to provide an overview of research activities and their framework conditions.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted among the heads of physiotherapy departments at all 36 German university hospitals in order to collect data on physiotherapy research activities. The questionnaire used for this purpose was developed in advance with the help of a systematic literature review and an expert survey. The survey was analyzed descriptively.</div></div><div><h3>Results</h3><div>With a response rate of 58%, eight of the 21 university hospitals included in the survey have been conducting physiotherapy research, in some cases for over a decade. The most frequently reported obstacles to research are lack of financial resources (n = 10) and lack of interest or appreciation from other professions (n = 7). Most frequently, research projects are conducted in the medical specialties of orthopedics and trauma surgery (n = 10), intensive care medicine (n = 8), pediatrics (n = 6), and the outpatient sector (n = 6). Clinical research accounts for 58% (n = 18) of research activities. Interprofessional research is more common (n = 13, 72%) than intraprofessional research (n = 5, 28%). In addition to the CRediT roles of resources (n = 6) and investigation (n = 6), the role of conceptualization in the research process (n = 6) is also among the most common. Over the two-year period, a median of three articles was published with first or last authorship assigned to physiotherapists.</div></div><div><h3>Conclusion</h3><div>The online survey shows that there is little physiotherapy research activity at German university hospitals. In order to strengthen physiotherapy research, changes in professional and scientific policy and financial support are needed.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 8-16"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671581","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":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(25)00077-7","DOIUrl":"10.1016/S1865-9217(25)00077-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Page OBC"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654615","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}