Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Übersetzung und Validitätsprüfung der Selbsteinschätzungsskala für digitale Kompetenzen Pflegestudierender","authors":"Marten Schmied ,&nbsp;Orsolya Máté ,&nbsp;Klára Simon ,&nbsp;Livia Toth ,&nbsp;Gerhard Müller","doi":"10.1016/j.zefq.2026.02.001","DOIUrl":"10.1016/j.zefq.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Digital competencies are essential skills in modern nursing practice. Until now, no validated instrument has been available for assessing these competencies among nursing students in German-speaking countries. This study aimed to culturally adapt and validate the Self-Assessment of Nursing Informatics Competencies Scale for this context.</div></div><div><h3>Method</h3><div>The scale was translated and culturally adapted in accordance with the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcome Measures of the International Society for Pharmacoeconomics and Outcome Research. Content validity was evaluated in a two-stage expert review (<em>n</em> = 20) using the Content Validity Index. To assess construct validity, a pretest was conducted with 140 nursing students enrolled in an Austrian bachelor level degree program. Data analysis included principal component analysis with Varimax rotation and evaluation of internal consistency (Cronbach’s alpha, Spearman–Brown coefficient).</div></div><div><h3>Results</h3><div>The principal component analysis confirmed the three-factor model (“Basic Computer Skills”, “Role”, “Applied computer skills: clinical informatics”), which explained 63.86% of the total variance. Internal consistency was high for two subscales (α = .92; ρ = .77), and moderate for the third (α = .58). Known-groups analysis revealed significantly different scores between students with and without perceived need for additional computer training, supporting construct validity.</div></div><div><h3>Conclusion</h3><div>With the German translation of the Self-Assessment of Nursing Informatics Competencies Scale, a valid instrument is now available to assess nursing students’ self-perceived digital competence in German-speaking countries. It can contribute to quantitatively measuring the learning and teaching of digital competencies in nursing education.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 74-82"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533450","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":"Herausforderungen und Bedarfe bei der Versorgung von Post-COVID-Patient*innen in Hausarztpraxen in Berlin und Brandenburg – eine qualitative Studie","authors":"Wibke Bartels ,&nbsp;Lisa Kümpel ,&nbsp;Marie Ledebur ,&nbsp;Michael Jeitler ,&nbsp;Christoph Heintze ,&nbsp;Susanne Döpfmer","doi":"10.1016/j.zefq.2026.02.004","DOIUrl":"10.1016/j.zefq.2026.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>General practitioners (GPs) play a central role as the first point of contact for patients with post-COVID. The aim of this qualitative study was to explore challenges and needs in the care for post-COVID patients from the perspective of GPs.</div></div><div><h3>Methods</h3><div>Between October 2023 and May 2024, one face-to-face and two online focus groups were conducted with a total of 17 GPs from Berlin and Brandenburg. A self-developed guide was used, and data were analysed using framework analysis. In October 2024, results were validated in follow-up discussions with seven of these GPs.</div></div><div><h3>Results</h3><div>Across all focus groups, GPs reported multiple challenges. These included diagnostic and therapeutic uncertainties, a lack of robust evidence, and gaps in service provision, such as long waiting times in specialised care facilities and feelings of helplessness in dealing with affected patients. Several care needs emerged from these challenges: low-threshold access to specialised outpatient clinics, the development of tailored rehabilitation concepts, and structured, up-to-date information for patients. In addition, GPs highlighted the need for stronger recognition and support of their role in post-COVID care.</div></div><div><h3>Discussion</h3><div>GPs provide the lion’s share of care for people affected by post-COVID, and thus their perspective should be given greater consideration in order to strengthen ambulatory care. The findings uncover genuine opportunities to address gaps in care and improve patient support.</div></div><div><h3>Conclusion</h3><div>GPs require support through structured care pathways and closer collaboration with specialised services. Further research is needed to develop cross-sectoral models of care that both improve patient outcomes and alleviate the burden on primary care.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 34-43"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634812","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":"Experiences of people with substance use disorders with a novel intervention for reintegration into working life: A qualitative formative evaluation","authors":"Christoph Armbruster ,&nbsp;Emre Özbulut ,&nbsp;Marianne Bayrhuber ,&nbsp;Malgorzata Schlöffel ,&nbsp;Erik Farin-Glattacker","doi":"10.1016/j.zefq.2026.03.004","DOIUrl":"10.1016/j.zefq.2026.03.004","url":null,"abstract":"<div><h3>Introduction</h3><div>In Germany, substance use disorders (SUDs) are highly prevalent and impose a significant burden on both individuals and society, such as unemployment. Participation in working life is crucial for people with SUDs as employment can help to overcome these disorders. However, re-entry into the labour market among this population remains low, which is partly due to insufficient cross-sectoral collaboration at the interface between job centres and rehabilitation. ANDANTE is an innovative intervention for people with SUDs based on the “Individual Placement and Support” model that aims to address these challenges. This study presents the experiences of people with SUDs who participated in the ANDANTE program.</div></div><div><h3>Methods</h3><div>We conducted n = 11 semi-structured interviews between 04/2023 and 06/2024. Participants were interviewed during the first 8 months of the intervention. We analysed the interviews using a structuring qualitative content analysis with a deductive-inductive approach according to Kuckartz and Rädiker.</div></div><div><h3>Results</h3><div>The majority of respondents were male (n = 10). Participants spoke predominantly positive about ANDANTE in terms of content and organisation. Some respondents made suggestions for improvement such as a greater focus on stress management or application training. Support from both ANDANTE staff or peers was described as helpful. Participants also perceived positive impacts throughout the intervention, such as an improved daily structure or living situation, as well as more control over substance use.</div></div><div><h3>Conclusion</h3><div>This study provides insights into the experiences of people with SUDs with an innovative intervention for reintegration into working life. The findings may contribute to targeted adaptations of ANDANTE or the development of future programmes in a similar context in Germany.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 56-63"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677757","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":"Development of meta-inferences using joint displays in mixed-methods nursing research: An illustrative study of an evidence-based practice educational intervention","authors":"Janina Wittmann,&nbsp;Gero Langer,&nbsp;Almuth Berg","doi":"10.1016/j.zefq.2026.02.007","DOIUrl":"10.1016/j.zefq.2026.02.007","url":null,"abstract":"<div><h3>Background</h3><div>Mixed-methods research enables comprehensive evaluation of complex nursing phenomena, yet its application remains limited, particularly regarding the systematic integration of qualitative and quantitative data. Using an illustrative study of an evidence-based practice (EBP) educational intervention, this article presents a structured data integration process supported by joint displays to derive meta-inferences.</div></div><div><h3>Methods</h3><div>The EBP educational intervention was conducted at a regional hospital in Germany with nurses and comprised four structured workshops along with a practical assignment. A convergent parallel mixed-methods design was applied for evaluation. Qualitative data were collected via a group interview, and quantitative data were used to assess self-efficacy using the Evidence-based Practice Confidence (EPIC) scale pre- and post-intervention. Data integration followed a four-step process: thematic coding, identification of thematic complexes, condensation, and derivation of meta-inferences. Formative and summative joint displays facilitated systematic comparison and visualisation of convergence, divergence, and complementarity between data strands.</div></div><div><h3>Results</h3><div>The integration process identified four thematic complexes: integration of the patient perspective, practical implementation, heterogeneous prior knowledge, and role clarity. Joint displays enabled transparent and iterative comparison of qualitative and quantitative findings, supporting the derivation of nuanced meta-inferences and a structured presentation of findings. This approach highlighted how the educational intervention interacted with existing roles, prior knowledge, and contextual conditions relevant to the implementation of EBP.</div></div><div><h3>Conclusions</h3><div>Different types of meta-inferences illustrated the depth achievable through integration. Joint displays enhanced structured integration, methodological transparency, and reflective interpretation. They provide a pragmatic and rigorous approach to integrating qualitative and quantitative data in nursing research.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 94-101"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677707","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(26)00096-6","DOIUrl":"10.1016/S1865-9217(26)00096-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Page OBC"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755588","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":"Leitlinienempfehlungen und Versorgungsrealität aus ärztlicher Perspektive: Befragung von Ärzt*innen zur Langzeitbehandlung chronischer nicht-tumorbedingter Schmerzen mit opioidhaltigen Analgetika","authors":"Silke Neusser ,&nbsp;Anja Niemann ,&nbsp;Nils Schrader ,&nbsp;Milena Weitzel ,&nbsp;Nikola Blase ,&nbsp;Carina Abels ,&nbsp;Cordula Riederer ,&nbsp;Joachim Nadstawek ,&nbsp;Wolfgang Straßmeir ,&nbsp;Jürgen Wasem","doi":"10.1016/j.zefq.2026.01.001","DOIUrl":"10.1016/j.zefq.2026.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Germany is among the countries with the highest per capita consumption of opioid analgesics, which are mostly applied for chronic non-cancer pain (CNCP). The high-quality guideline LONTS, which is not disease-specific, gives treatment recommendations for long-term opioid therapy. Our aim was to explore physicians’ knowledge of and their attitude towards this guideline, as well as their perception of the guideline’s impact.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted in September 2021 and a reminder sent out in January 2022. A standardized questionnaire was circulated among 1,854 physicians working in outpatient healthcare. The sample consisted of a random sample of primary care physicians, orthopedists, and neurologists from the pool of an address provider (<em>n</em> = 1,300), as well as the members of the Professional Association of Physicians and Psychological Psychotherapists in Pain and Palliative Medicine in Germany (“Berufsverband der Ärzte und Psychologischen Psychotherapeuten in der Schmerz- und Palliativmedizin in Deutschland”, BVSD) (<em>n</em> = 554).</div></div><div><h3>Results</h3><div>The questionnaire was completed by 422 physicians. The majority of physicians was older than 50 years (79%) and male (64%). One third of the participating physicians were primary care physicians (33%), 46% were anesthetists. A majority of the participants knew the LONTS guideline (83%). Their attitude towards following the LONTS guideline recommendations varied between “rare deviation in reasonable cases” (41%) and “regular deviation in reasonable cases” (52%). Though a majority of participating physicians (78%) thought that multimodal non-pharmaceutical treatment, as recommended by the LONTS guideline, is important, only 17% regarded it as being implementable.</div></div><div><h3>Discussion</h3><div>The level of knowledge and implementation of the LONTS guideline fell within the range of other guidelines. The recommendation for multimodal non-pharmaceutical treatment accompanying long-term opioid therapy was considered important but unrealistic in current healthcare practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"201 ","pages":"Pages 76-83"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285435","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":"Experiences of occupational and physical therapists in Germany as recipients of knowledge transfer: A qualitative telephone interview study","authors":"Nicole Wimmesberger,&nbsp;Christoph Armbruster,&nbsp;Sebastian Voigt-Radloff,&nbsp;Erik Farin-Glattacker","doi":"10.1016/j.zefq.2026.01.005","DOIUrl":"10.1016/j.zefq.2026.01.005","url":null,"abstract":"<div><div>Healthcare professionals have a responsibility to base their decisions on a combination of clinical experience, evidence-based research, and the inclusion of patient values and preferences to improve their clients’ quality of care. However, the implementation of research findings into clinical practice is often delayed by up to 15 years. Therefore, this study explores experiences of occupational and physical therapists in Germany as recipients of knowledge transfer in order to identify influencing factors and possible ways to enhance knowledge transfer and to address the knowledge-to-practice gap. We conducted 16 semi-structured, guided individual telephone interviews with occupational and physical therapists and employed thematic qualitative content analysis.</div><div>The results show a variety of strategies to access knowledge (e.g., teaching materials, educational programmes, peer exchange), which are applied with various frequency: conferences are rarely attended, while search engines are used more regularly. However, accessing knowledge usually takes place outside working hours and is rated differently in terms of effectiveness/efficiency and quality of content: despite potential inadequacies of some strategies to access knowledge (e.g., due to a disputable level of evidence), others (e.g., peer exchange) are considered useful because of their simplicity and efficiency. The access to knowledge is influenced by a number of facilitating and hindering factors related to resources, communication, and organisational and individual aspects. Thus, potential for optimisation has been identified in terms of access, supply, and content of knowledge.</div><div>These research findings facilitate an enhanced understanding of knowledge transfer received by therapists. This is needed to establish targeted strategies to access, integrate, and evaluate knowledge, and it may lead to an improvement in professional development and patient outcome.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"201 ","pages":"Pages 10-16"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370211","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":"Warum Versorgungsforschungsprojekte an der Praxis scheitern können – Erkenntnisse aus Expertensicht am Beispiel des Harnsteinregisters RECUR","authors":"Urs A. Fichtner ,&nbsp;Erik Farin-Glattacker ,&nbsp;Martin Schönthaler ,&nbsp;Antonia Elsässer","doi":"10.1016/j.zefq.2025.11.011","DOIUrl":"10.1016/j.zefq.2025.11.011","url":null,"abstract":"<div><h3>Background</h3><div>The “Registry for Recurrent Stone Diseases of the Upper Urinary Tract” (RECUR) was developed as a prospective long-term study. The aim was to link clinical data from hospital information systems (HIS) with self-report data from patients. The aim was to sustainably minimize resource requirements through digital and automated processes. However, numerous formal, legal, and logistical factors led to considerable delays in the implementation of the necessary digital infrastructure. This caused a significant delay in the start of recruitment. In addition, recruitment itself fell far short of the projected figures so that the registry had to be closed, partly because further funding could no longer be guaranteed. This paper describes the obstacles, supporting measures and reasons for the inability to achieve the targets, in particular the inadequate recruitment.</div></div><div><h3>Methods</h3><div>To evaluate the recruitment process, seven guided expert interviews were conducted in the autumn of 2024 at the Freiburg site with healthcare professionals recruiting for RECUR (doctors and a ward secretary). Interview transcripts served as the basis for the qualitative summarizing content analysis according to Mayring. This involved sorting and summarizing the data material on the basis of case- and topic-related summaries.</div></div><div><h3>Results</h3><div>The following reasons for insufficient recruitment of participants were identified: (1) Physicians faced increasing workloads, particularly due to administrative tasks, making even minor additional duties a low priority. (2) There was no intrinsic benefit perceived by those responsible for recruitment. (3) On the patient side, challenges included language and cognitive barriers, lack of technical affinity and equipment, as well as information overload. Opportunities for optimization include centralizing responsibilities, providing additional staffing resources, automating and digitalizing processes, and implementing incentive systems for staff.</div></div><div><h3>Discussion</h3><div>Everyday hospital life is characterized by a high level of organizational and administrative effort combined with limited personnel and time resources. Such conditions considerably limit the implementation of care research studies. In the RECUR use case, recruitment was hampered by limited cognitive, technological, and linguistic competences as well as little recognizable intrinsic benefit for both staff and patients. Future research projects should incorporate these findings to improve design and recruitment.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"201 ","pages":"Pages 38-47"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967416","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(26)00069-3","DOIUrl":"10.1016/S1865-9217(26)00069-3","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"201 ","pages":"Page ii"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147588015","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":"Weshalb werden Patienten aus der vertragsärztlichen Versorgung in die Notaufnahme eingewiesen? Eine Analyse von Einweisungsdiagnosen und stationärem Behandlungsbedarf","authors":"Torben Brod ,&nbsp;Kristine Engeleit ,&nbsp;Pia Plank ,&nbsp;Nils Schneider ,&nbsp;Christoph Schroeder ,&nbsp;Tanja Schleef","doi":"10.1016/j.zefq.2025.11.004","DOIUrl":"10.1016/j.zefq.2025.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Hospital referrals from office-based physicians represent an important pathway to emergency departments (EDs), but in only about one-third of cases they result in inpatient admissions. Ambulatory care sensitive conditions (ACSCs) are considered an indicator of potentially avoidable hospitalizations and thus a measure of the quality of outpatient care. The aim of this study was to systematically analyze referral forms, determine the proportion of ACSCs, and examine patients’ subsequent care pathways.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted of all patients that were referred to the ED of a university tertiary care center by office-based physicians over a one-month period in June 2022 and subsequently triaged to the specialties of General Medicine or Internal Medicine within the ED. Recorded variables included referral diagnoses, additional information provided on the referral form, and the subsequent care pathway. ACSCs were identified on the basis of a consensus-based list of diagnostic groups. Data were analyzed descriptively and using the Chi-squared test.</div></div><div><h3>Results</h3><div>Of 1,038 patients assigned to the two specialties in the ED during the study period, 171 (16.5 %) had been referred by office-based physicians. A diagnosis was documented on 97 % of referral forms; in 27 % of cases, this corresponded to ACSCs, predominantly cardiovascular or respiratory conditions. Of all referred patients, 32 % were admitted. Neither the designation of the referral as an emergency nor the presence of an ACSC was significantly associated with the likelihood of admission.</div></div><div><h3>Conclusion</h3><div>These findings reveal a marked discrepancy between physician referrals and the actual need for inpatient treatment. The observed proportion of ambulatory care-sensitive conditions and the partially incomplete documentation on referral forms point to potential challenges at the interface between outpatient and inpatient care. These should be further investigated in the context of complex clinical decision-making processes, limited outpatient resources, and possible shortcomings in cross-sectoral coordination.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"201 ","pages":"Pages 69-75"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776138","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}