Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"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}

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(25)00073-X","DOIUrl":"10.1016/S1865-9217(25)00073-X","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Pages iv-v"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654568","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(25)00072-8","DOIUrl":"10.1016/S1865-9217(25)00072-8","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Page iii"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654537","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":"Organisationale Maßnahmen zur Stärkung der Arbeitszufriedenheit in der stationären Langzeitpflege: eine Querschnittstudie aus Österreich","authors":"Alexander Braun ,&nbsp;Markus Latzke ,&nbsp;Manfred Pferzinger ,&nbsp;Adelheid Schönthaler","doi":"10.1016/j.zefq.2025.01.001","DOIUrl":"10.1016/j.zefq.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>With increasing care needs and a decline in nursing staff, measures must be found to make long-term care (LTC) attractive for nursing staff and at the same time encourage them to remain in the care sector. For this reason, the question is answered: “How do organizational measures, identified by nursing staff, contribute to improving job satisfaction?”.</div></div><div><h3>Method</h3><div>In a non-proportional quota sample along the federal state distribution, the implementation of measures was surveyed in a cross-sectional survey in LTC facilities. The effect of the measures on job satisfaction was analyzed using multiple linear regression.</div></div><div><h3>Results</h3><div>The bundles of measures show a high internal consistency of 0.771 to 0.863. Regression analyses revealed that the bundles of measures, like making LTC more attractive (B = 0.244; <em>p</em> &lt; 0.05), integrating interns (B = 0.222, <em>p</em> &lt; 0.05), duty scheduling and working hours (B = 0.324, <em>p</em> &lt; 0.05), and strengthening relationships (B = 0.078), explain more than 60% of the variance in job satisfaction. Overtime has a negative effect but can be mitigated by duty scheduling (B = –0.017, <em>p</em> &lt; 0.05). Women report higher levels of job satisfaction than men. The type of organization, age and vocational training have no influence on job satisfaction.</div></div><div><h3>Discussion</h3><div>Duty scheduling and working hours are important factors. Loss in job satisfaction can be cushioned by focusing on these measures.</div></div><div><h3>Conclusions</h3><div>The bundles of measures “Making LTC more attractive”, “Duty scheduling and working hours”, “Integrating interns”, and “Strengthening relationships” are positively associated with job satisfaction. Accordingly, care facilities that implement these bundles of measures have higher job satisfaction rates.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 31-39"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606608","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":"Abschlusseditorial","authors":"Susanne Knappe ,&nbsp;Ute Lewitzka ,&nbsp;Anna Kuehne ,&nbsp;Arne Bürger","doi":"10.1016/j.zefq.2025.02.005","DOIUrl":"10.1016/j.zefq.2025.02.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 108-109"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617299","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":"Fatigue bei Krebs: Wie (gut) sind Betroffene an onkologischen Einrichtungen in Deutschland versorgt?","authors":"Anna S. Wagner ,&nbsp;Marlena Milzer ,&nbsp;Senta Kiermeier ,&nbsp;Martina E. Schmidt ,&nbsp;Truong D. Nguyen ,&nbsp;Karen Steindorf ,&nbsp;Imad Maatouk","doi":"10.1016/j.zefq.2025.02.003","DOIUrl":"10.1016/j.zefq.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>One of the most common sequelae of cancer and/or its treatment is cancer-related fatigue (CRF). For those affected, CRF is often accompanied by considerable, even long-term impairment. This makes it all the more important to examine how care is provided in Germany and to what extent guideline recommendations are implemented in clinical practice.</div></div><div><h3>Methods</h3><div>In a Germany-wide questionnaire survey, inpatient and outpatient oncological cancer care facilities were asked to describe their approach to CRF (information and education, screening, diagnostics), local treatment options, and clinical trials.</div></div><div><h3>Results</h3><div>A total of 145 facilities participated, including 11 comprehensive cancer centers, 35 organ-specific cancer centers, 22 hospitals with a (hemato-)oncology unit, 29 outpatient (hemato-)oncology practices, 48 outpatient cancer counseling units. Nearly all the facilities reported that patients are provided verbal health information (per groups: 90.9%, 88.6%, 90.9%, 96.9%, 72.9%); less frequently in written form (90.9%, 54.3%, 59.1%, 48.3%, 87.5%). A systematic screening for CRF is conducted in up to one-third of the facilities (per groups: 27.3%, 20.0%, 31.8%, 17.2%, 8.3%). A standardized procedure for further clarification of CRF is available at a small number of institutions (0%, 11.4%, 13.6%, 6.9%, 2.1%). Exercise (90.9%, 82.9%, 72.7%, 79.3%, 89.6%) and psychotherapeutic services (90.9%, 68.6%, 86.4%, 62.1%, 68.8%) are most frequently actively recommended to patients with CRF across the facility groups.</div></div><div><h3>Discussion</h3><div>With regard to the systematization of screening and diagnosis of CRF as well as the provision of information material, there is a clear discrepancy between guideline recommendations and everyday clinical practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 40-47"},"PeriodicalIF":1.4,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587825","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}