Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Antwort auf Leserbrief zu „Needs and feasibility of living systematic reviews (LSRs): Experience from LSRs on COVID-19 vaccine effectiveness” (ZEFQ 186 (2024) 86–91) von W. Külper-Schiek et al. von Hinpetch Daungsupawong (ZEFQ 187 (2024) 100)","authors":"Vanessa Piechotta, Wiebe Külper-Schiek","doi":"10.1016/j.zefq.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.zefq.2024.05.001","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Page 101"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540877","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":"Situation des wissenschaftlichen Nachwuchses in der Versorgungsforschung – eine Survey-Studie","authors":"Anna Levke Brütt ,&nbsp;Anne Fahsold ,&nbsp;Juliane Köberlein-Neu ,&nbsp;Rebecca Palm ,&nbsp;Nadine Janis Pohontsch ,&nbsp;Lisa Tönnis","doi":"10.1016/j.zefq.2024.05.006","DOIUrl":"10.1016/j.zefq.2024.05.006","url":null,"abstract":"<div><h3>Background</h3><p>Early career researchers in health services research work in an interdisciplinary field of research. So far, information on early career researchers in health services research has only been available from surveys of individual disciplines, which do not adequately reflect the concerns in the field of health services research. Therefore, a working group of the German Network for Health Services Research (DNVF) conducted a first survey. The following research questions can be answered on the basis of the data obtained: (1) Which socio-demographic aspects characterize early career researchers in health services research? (2) What is the professional biographical background of early career researchers in health services research? (3) What are the research fields of early career researchers? (4) What are the career perspectives of early career researchers?</p></div><div><h3>Method</h3><p>The survey among early career researchers was conducted as an online survey in January/February 2019. The study was addressed to individuals currently working as early career researchers in health services research in Germany. The online survey was conducted using a standardized questionnaire. Participants were recruited through the DNVF access points and by snowball sampling.</p></div><div><h3>Results</h3><p>336 early career researcher aged between 23 and 57 participated in the online survey study, 102 of whom held a doctorate. The majority were employed as scientific staff (58<!--> <!-->%) and were in temporary employment (75<!--> <!-->%); 69<!--> <!-->% of them were emplyed at a university, followed by health care institutions (17<!--> <!-->%) and non-university research institutions (16<!--> <!-->%). About one-third of the respondents (36<!--> <!-->%) completed a vocational training prior to their studies. Of the participants, 50<!--> <!-->% said they were strongly or very strongly aspiring to a professional career in academia, 43<!--> <!-->% at a non-university research institution, and 30<!--> <!-->% at a university of applied sciences.</p></div><div><h3>Discussion</h3><p>The results of the online survey show the heterogeneity in terms of age and professional biography of early career researchers in health services research. Few researchers have permanent positions. However, the majority of respondents would like to have a professional future at a university, a research institute or a university of applied sciences. Further studies should be conducted to determine (possible) career paths taken by young scientists in health services research.</p></div><div><h3>Conclusion</h3><p>There is still scope for improvement in the promotion of early career researchers.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages 79-87"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176448","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(24)00106-5","DOIUrl":"https://doi.org/10.1016/S1865-9217(24)00106-5","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Page iii"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001065/pdfft?md5=e57d746ed3007e98dc0be139bee9ce96&pid=1-s2.0-S1865921724001065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542702","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":"A case management intervention in stroke care: Evaluation of a quasi-experimental study","authors":"Juliane Andrea Duevel ,&nbsp;Svenja Elkenkamp ,&nbsp;Daniel Gensorowsky ,&nbsp;Michael Brinkmeier ,&nbsp;Georg Galle ,&nbsp;Johannes Miethe ,&nbsp;Wolfgang Greiner","doi":"10.1016/j.zefq.2024.03.008","DOIUrl":"10.1016/j.zefq.2024.03.008","url":null,"abstract":"<div><h3>Background</h3><p>Patients with initial stroke or transient ischemic attack (TIA) are at high risk for further strokes, death or cardiovascular events. Even the first-ever stroke is associated with a high chance of disability and need for assistance. The risk of long-term health care demands increases with each subsequent event. Although the inpatient sector already provides a high standard of care in Germany, it can be difficult to obtain cross-sectoral aftercare. Thus, the study investigated whether a structured case management program can avoid stroke recurrences.</p></div><div><h3>Methods</h3><p>The study was conducted with a quasi-experimental study design in three regions in North Rhine-Westphalia. Patients with first-ever stroke or TIA were eligible to participate. The intervention group was prospectively recruited and supported by a case manager during a one-year follow-up. Optimal Full Matching was used to generate a control group based on statutory claims data. The primary outcome was the stroke recurrence. Recurrence and mortality were analysed by using Cox regression; other secondary outcomes were examined with test-based procedures and with logistic regressions. Additionally, subgroup analyses were performed.</p></div><div><h3>Results</h3><p>From June 2018 to March 2020, 1,512 patients were enrolled in the intervention group. Claims data from 19,104 patients have been transmitted for establishing the control group. After the matching process, 1,167 patients of each group were included in the analysis. 70 recurrences (6.0<!--> <!-->%) occurred in the intervention group and 67 recurrences (5.7<!--> <!-->%) in the control group. With a hazard ratio of 1.06 (95<!--> <!-->% CI: [1.42-0.69]; p<!--> <!-->=<!--> <!-->0.69), no significant effect was found for the primary outcome. With regard to the secondary outcome mortality, 36 patients in the intervention group and 46 in the control group died (3.1<!--> <!-->% vs. 3.9<!--> <!-->%). Again, there was no significant effect (HR: 0.86; 95<!--> <!-->% CI: [0.58-1.28], p<!--> <!-->=<!--> <!-->0.46).</p></div><div><h3>Discussion</h3><p>Based on the present findings, the case management approach for stroke patients evaluated here was unable to demonstrate an improvement in health care. Potential effects of case management might not be adequately depicted in short observation periods. Thus, future studies should consider longer observation periods.</p></div><div><h3>Conclusion</h3><p>A panel of experts should discuss whether the core approach of case management to support cost-intensive individual cases is contrary to a broad implementation with a one-size-fits-all intervention for stroke patients. In this case, further research should focus on more specific study populations.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages 69-78"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000564/pdfft?md5=05304c2f690a35c038c568a410e2ec44&pid=1-s2.0-S1865921724000564-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904937","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":"To adjust or not to adjust in living systematic reviews? It’s all about the context","authors":"Adriani Nikolakopoulou ,&nbsp;Guido Schwarzer ,&nbsp;Waldemar Siemens","doi":"10.1016/j.zefq.2024.04.001","DOIUrl":"10.1016/j.zefq.2024.04.001","url":null,"abstract":"<div><p>With each update of meta-analyses from living systematic reviews, treatment effects and their confidence intervals are recalculated. This often raises the question whether or not multiplicity is an issue and whether a method to adjust for multiplicity is needed. It seems that answering these questions is not that straightforward. We approach this matter by considering the context of systematic reviews and pointing out existing methods for handling multiplicity in meta-analysis. We conclude that multiplicity is not a relevant issue in living systematic reviews when they are planned with the aim to provide up-to-date evidence, without any direct control on the decision over future research. Multiplicity might be an issue, though, in living systematic reviews designed under a protocol involving a “stopping decision”, which can be the case in living guideline development or in reimbursement decisions. Several appropriate methods exist for handling multiplicity in meta-analysis. Existing methods, however, are also associated with several technical and conceptual limitations, and could be improved in future methodological projects. To better decide whether an adjustment for multiplicity is necessary at all, authors and users of living systematic reviews should be aware of the context of the work and question whether there is a dependency between the effect estimates of the living systematic review and its stopping/updating or an influence on future research.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages 95-99"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000801/pdfft?md5=066c250dc7a12e67335b1940b9028049&pid=1-s2.0-S1865921724000801-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922707","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 Bevölkerungsperspektive in der Bewertung der Leistungsfähigkeit des deutschen Gesundheitssystems: Ergebnisse einer Querschnittsbefragung GKV-Versicherter","authors":"Philipp Hengel,&nbsp;Julia Köppen,&nbsp;Katharina Achstetter,&nbsp;Miriam Blümel,&nbsp;Matthias Haltaufderheide,&nbsp;Reinhard Busse","doi":"10.1016/j.zefq.2024.04.004","DOIUrl":"10.1016/j.zefq.2024.04.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Since the World Health Report in 2000, Health System Performance Assessment (HSPA) has been established as a tool for the evaluation and evidence-informed governance of health systems. So far, the population perspective has not been integrated into HSPA in a systematic manner, although people's experiences and expectations are of great importance to improve health systems and especially to strengthen patient-centered care. Therefore, this study aims to conduct an HSPA of Germany's health system from the population's perspective covering all eight goals of WHO’s Health Systems Framework, and to identify strengths and needs for improvement.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;In 2018, 32,000 people insured with the German sickness fund ‘AOK Nordost’ were invited by mail to participate in the survey. The questionnaire contained a total of 43 items covering the eight goals of WHO's Health Systems Framework (e.&lt;!--&gt; &lt;!--&gt;g., access, quality, safety) plus socioeconomics and other characteristics of the insured persons. The data on the health system goals were analyzed descriptively and by subgroups (age, sex, income, chronic conditions, health literacy).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;The sample (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1,481; response rate 4.6&lt;!--&gt; &lt;!--&gt;%) was 54.8&lt;!--&gt; &lt;!--&gt;% female and had a mean age of 59.1 years (±18.5). Altogether, the participants saw several needs for improvement within the German health system. For instance, 60.0&lt;!--&gt; &lt;!--&gt;% found quality differences between hospitals to be big, and between 3.9&lt;!--&gt; &lt;!--&gt;% and 8.5&lt;!--&gt; &lt;!--&gt;% reported mistakes related to their treatment or prescription medication in the previous two years. A big need for reform was especially seen regarding out-of-pocket payments (51.5&lt;!--&gt; &lt;!--&gt;%) and the coordination of ambulatory care physicians among each other (44.2&lt;!--&gt; &lt;!--&gt;%) and with hospitals (41.9&lt;!--&gt; &lt;!--&gt;%). In addition, big subgroup differences were seen, especially for income and health literacy. Of the participants in the lower income group, 37.2&lt;!--&gt; &lt;!--&gt;% reported a (very) strong financial burden due to out-of-pocket payments (vs. 20.7&lt;!--&gt; &lt;!--&gt;%). People with limited health literacy (52.1&lt;!--&gt; &lt;!--&gt;%) assessed the access to care generally as not being good, and they perceived greater quality differences and needs for reform, compared to their counterparts. For instance, 36.6&lt;!--&gt; &lt;!--&gt;% had experienced discrimination in the previous year (vs. 19.9&lt;!--&gt; &lt;!--&gt;%).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;The survey results provide a comprehensive picture of Germany's health system from the population perspective. In some areas, previous findings were confirmed (e.&lt;!--&gt; &lt;!--&gt;g., a lack of coordination between providers). Other results expand existing knowledge (e.g., the role of health literacy in health care provision) or raise new questions (e.&lt;!--&gt; &lt;!--&gt;g., the difference between the subjectively assessed burden from out-of-pocket payments and the objective measures ","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages 22-33"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000849/pdfft?md5=88341a317ebc49138da0b114fd649090&pid=1-s2.0-S1865921724000849-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187005","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":"Underfunding of German university-based high-performance medicine exemplified by the treatment of varices in cirrhosis","authors":"Simone Claus,&nbsp;Jonathan F. Brozat,&nbsp;Christian Trautwein,&nbsp;Alexander Koch","doi":"10.1016/j.zefq.2024.03.003","DOIUrl":"10.1016/j.zefq.2024.03.003","url":null,"abstract":"<div><p>Facing increasing economization in the health care sector, clinicians have to adapt not only to the ever-growing economic challenges, but also to a patient-oriented health care.</p><p>Treatment costs are the most important variable for optimizing success when facing scarce human resources, increasing material- and infrastructure costs in general, as well as low revenue flexibility due to flat rates per case in Germany, the so-called Diagnosis-Related Groups (DRG). University hospitals treat many patients with particularly serious illnesses. Therefore, their share of complex and expensive treatments, such as liver cirrhosis, is significantly higher. The resulting costs are not adequately reflected in the DRG flat rate per case, which is based on an average calculation across all hospitals, which increases this economic pressure. Thus, the aim of this manuscript is to review cost and revenue structures of the management of varices in patients with cirrhosis at a university center with a focus on hepatology. For this monocentric study, the data of 851 patients, treated at the Gastroenterology Department of a University Hospital between 2016 and 2020, were evaluated retrospectively and anonymously. Medical services (e.g., endoscopy, radiology, laboratory diagnostics) were analyzed within the framework of activity-based-costing. As part of the cost unit accounting, the individual steps of the treatment pathways of the 851 patients were monetarily evaluated with corresponding applicable service catalogs and compared with the revenue shares of the cost center and cost element matrix of the German (G-) DRG system. This study examines whether university-based high-performance medicine is efficient and cost-covering within the framework of the G-DRG system. We demonstrate a dramatic underfunding of the management of varicose veins in cirrhosis in our university center. It is therefore generally questionable whether and to what extent an adequate care for this patient collective is reflected in the G-DRG system.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"186 ","pages":"Pages 43-51"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856285","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":"Reliabilität des Strukturierten Dialogs in der gesetzlich verpflichtenden Qualitätssicherung","authors":"Dennis Boywitt ,&nbsp;Maximilian Kähler ,&nbsp;Sven Bungard ,&nbsp;Michael Höhle ,&nbsp;Johannes Rauh","doi":"10.1016/j.zefq.2024.02.002","DOIUrl":"10.1016/j.zefq.2024.02.002","url":null,"abstract":"<div><h3>Background</h3><p>Quality measurement in the German statutory program for quality in health care follows a two-step process. For selected areas of health care, quality is measured via performance indicators (first step). Providers failing to achieve benchmarks in these indicators subsequently enter into a peer review process (second step) and are asked by the respective regional authority to provide a written statement regarding their indicator results. The statements are then evaluated by peers, with the goal to assess the provider’s quality of care. In the past, similar peer review-based approaches to the measurement of health care quality in other countries have shown a tendency to lack reliability. So far, the reliability of this component of the German statutory program for quality in health care has not been investigated.</p></div><div><h3>Method</h3><p>Using logistic regression models, the influence of the respective regional authority on the peer review component of health care quality measurement in Germany was investigated using three exemplary indicators and data from 2016.</p></div><div><h3>Results</h3><p>Both the probability that providers are asked to provide a statement as well as the results produced by the peer review process significantly depend on the regional authority in charge. This dependence cannot be fully explained by differences in the indicator results or by differences in case volume.</p></div><div><h3>Conclusions</h3><p>The present results are in accordance with earlier findings, which show low reliability for peer review-based approaches to quality measurement. Thus, different results produced by the peer review component of the quality measurement process may in part be due to differences in the way the review process is conducted. This heterogeneity among the regional authorities limits the reliability of this process. In order to increase reliability, the peer review process should be standardized to a higher degree, with clear review criteria, and the peers should undergo comprehensive training for the review process. Alternatively, the future peer review component could be adapted to focus rather on identification of improvement strategies than on reliable provider comparisons.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"186 ","pages":"Pages 18-26"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860735","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":"Evidenzbasierte Praxis in Bachelor-Pflegestudiengängen in Österreich, Deutschland und der Schweiz: ein Survey zu Rahmenbedingungen, Lehrinhalten und -methoden","authors":"Peter Jäger ,&nbsp;Julian Hirt ,&nbsp;Thomas Nordhausen ,&nbsp;Janine Vetsch ,&nbsp;Katrin Balzer ,&nbsp;Martin N. Dichter ,&nbsp;Gerhard Müller ,&nbsp;Angelika Schley ,&nbsp;Stefanie Neyer","doi":"10.1016/j.zefq.2024.01.006","DOIUrl":"10.1016/j.zefq.2024.01.006","url":null,"abstract":"<div><h3>Background/Aim</h3><p>Evidence-based practice (EBP) provides an important basis for improving both the quality of care and patient safety. Formulating a research question, searching the literature, and critical appraisal are crucial to developing evidence-based practice. The aim of this survey was to provide an overview of how these topics are integrated into bachelor's degree programs in nursing in Austria, Germany, and the German-speaking part of Switzerland. We also aimed to show how teachers implement these subjects and how they experience and assess the implementation.</p></div><div><h3>Method</h3><p>We conducted an exploratory cross-sectional study using an online survey sent out to program directors and teaching staff of all 58 bachelor's degree programs in nursing in Austria, Germany and the German-speaking part of Switzerland. For data collection, a questionnaire was developed containing items on general teaching conditions, contents, and methods of evidence-based nursing practice, as well as on the estimated thematic interest of students. The data were analysed descriptively.</p></div><div><h3>Results</h3><p>The program directors returned 24 questionnaires (41<!--> <!-->%). Of 75 questionnaires forwarded to the faculty, 17 (23<!--> <!-->%) were received from nine programs. On average, 5.6 teaching units (SD 2.6) are used for formulating a research question, 10 teaching units (SD 4.1) for literature review, and 11.3 teaching units (SD 6.9) for critical appraisal. Half of the teaching staff indicated that linkages between education and nursing care practice have been established. The traditional teaching method of frontal teaching is used predominantly. Student interest in topics was rated as moderate by most teachers.</p></div><div><h3>Conclusions</h3><p>Topics on evidence-based practice are an integral part of bachelor's degree programs in nursing in German-speaking countries. An increase in teaching units, active learning methods and the growing interconnection between education and practice could improve the acquisition of competencies and attitudes of students regarding EBP and further advance its implementation in practice.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"186 ","pages":"Pages 77-85"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000102/pdfft?md5=d4ed8e3f3f14b16ebbdafbadc482e037&pid=1-s2.0-S1865921724000102-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190251","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":"Aufarbeitung der Corona-Pandemiemaßnahmen - Evidenzbasierte Risikokommunikation muss ein zentrales Thema sein","authors":"Ingrid Mühlhauser ,&nbsp;Johannes Pantel ,&nbsp;Gabriele Meyer","doi":"10.1016/j.zefq.2024.03.004","DOIUrl":"10.1016/j.zefq.2024.03.004","url":null,"abstract":"<div><p>Evidence-based and comprehensible health information is a key element of evidence-based medicine and public health. The goal is informed decision-making based on realistic estimations of health risks and accurate expectations about benefits and harms of interventions. In Germany, standards of evidence-based risk information were poorly followed during the COVID-19 pandemic. Frequently, public information was biased, fragmentary and misleading. Pandemic-related threat scenarios induced emotional distress and unnecessary anxiety. A systematic and comprehensive evaluation of the pandemic measures is crucial, but still pending in Germany. A critical analysis of risk communication by experts, politicians and the media during the pandemic should be a key element of the evaluation process. Evaluation of decision making and media reporting during the pandemic should improve preparedness for future crises.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"186 ","pages":"Pages 35-42"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000527/pdfft?md5=cf5d5d6ed253eab8d1d9ee8ad223ac3b&pid=1-s2.0-S1865921724000527-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872904","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}