Gesundheitswesen最新文献

{"title":"[Use of qualitative evidence syntheses in health services research in German-speaking countries: results of an online survey].","authors":"Angélique Herrler, Veronika Lentsch, Yvonne Eisenmann, Ralph Möhler","doi":"10.1055/a-2549-0493","DOIUrl":"https://doi.org/10.1055/a-2549-0493","url":null,"abstract":"<p><p>Qualitative evidence syntheses (QES) can answer qualitative research questions across different studies and thus offer an important part in the collection of evidence. While QES are a common set of methods internationally, they appear to be little used in health services research in the German-speaking countries to date.The aim of the study was to analyse the current use of QES in health services research in the German-speaking countries in order to draw conclusions for their establishment.An online survey was conducted by the subgroup Qualitative Evidence Syntheses in the German Network Health Services Research. The survey was aimed at health services researchers in German-speaking countries. Among other things, experiences with QES as well as barriers and support factors during implementation were surveyed. The data were analysed using descriptive statistics and content-structuring qualitative content analysis.A total of n=103 people took part in the survey, n=45 of whom had already been involved in QES. They had used QES to analyse the perspectives of target groups, to describe and evaluate health care, to (further) develop models and concepts and to implement and evaluate interventions. The participants referred to the high added value of QES, particularly due to its practical relevance, as well as to methodological difficulties in implementation and the desire for better training programmes.Qualitative evidence syntheses offer a potential that is still underutilised in health services research and can be particularly useful in the development and evaluation of interventions and the investigation of contexts and complexity.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Barriers to and facilitating factors in school entry examination with SOPESS: Development of an online training to enhance basic diagnostic skills (KOMET-SEU project)].","authors":"Julia Christin Jaščenoka, Jenny Maurer, Tina Sierpinski, Christiane Diefenbach, Monika Daseking","doi":"10.1055/a-2550-4308","DOIUrl":"https://doi.org/10.1055/a-2550-4308","url":null,"abstract":"<p><p>The preschool health examination makes a significant contribution in terms of both individual and population medicine to positively shaping the long-term future of children starting school. To gain optimal benefit from the examination data, it is necessary that the examination process with SOPESS (social pediatric screening) is standardized. However, practical experience from the public health service has shown that the data collected to date indicates medium to high method-related heterogeneity at the level of the SOPESS raw value totals, which can have a negative impact on the validity of the data.The aim is to identify barriers to and facilitating factors for the implementation of SOPESS and to reduce method-related heterogeneity by providing a customized training measure. This project was realized in two studies. In study 1, 56 employees from 21 child and adolescent health service departments were interviewed by telephone about possible barriersto and facilitating factors in the implementation of SOPESS. These results were then used to design an online training to strengthen basic diagnostic skills, which was tested in study 2 with 25 persons in an initial application phase (piloting) and evaluated and adapted regarding various factors (e. g. practical relevance and suggestions for improvement).In Study 1, a central cause of the method-related heterogeneity was identified as the deviation of those carrying out the tests from the standardized test instructions. In the evaluation, there were uncertainties in the assessment of the visuomotor tasks. A video-based presentation of a standardized examination could prove to be beneficial to enhance the basic diagnostic skills of the examiners in the long term. In study 2, the results of the piloting of the online training were positive: Almost all persons (22 of 25) rated the online training as relevant to practice regarding the implementation and evaluation of the SOPESS and believed it would improve the quality of implementation of the SOPESS.The online training was then comprehensively evaluated in an application phase in North Rhine-Westphalia and Rhineland-Palatinate. Following completion of the evaluation phase, the online training is to be adapted and offered on a broad scale to enhance the diagnostic skills of employees in the departments of child and adolescent health service in the long-term, and support the collection of valid data as part of preschool health examination.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Predetermined breaking points and recommendations for action in development of digital prevention services in public health: a practical example].","authors":"Peter Bickmann, Ingo Froböse, Christopher Grieben","doi":"10.1055/a-2549-0446","DOIUrl":"https://doi.org/10.1055/a-2549-0446","url":null,"abstract":"<p><p>Digital prevention is essential for a sustainable healthcare system in Germany, with health insurance companies playing a key role. Despite promising approaches in research, studies indicate that hybrid and digital prevention solutions are often short-lived, pointing to systematic challenges. This paper presents the development of a prevention app commissioned by a German health insurance company. The app promotes a health-oriented lifestyle through an integrated chatbot. The scientifically accompanied development process highlights the importance of user participation and emphasizes the challenges of the long-term implementation of digital prevention solutions. These include project communication, scientific monitoring, data protection requirements, and the technical infrastructure of the health insurance company. Practical insights provide recommendations for the development and a structural model for future projects is proposed. It focuses on the effective integration of expert knowledge from various fields, such as prevention and software development. This collaboration is more crucial than ever for the future use of AI in health prevention.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Fifty years of psychiatric reform in Germany: East and West].","authors":"Dyrk Zedlick, Jörg Holke, Matthias Rosemann, Klaus Obert","doi":"10.1055/a-2549-0658","DOIUrl":"https://doi.org/10.1055/a-2549-0658","url":null,"abstract":"<p><p>The development of psychiatric reform in Germany over the last 50 years has been characterized by a heterogeneity that should not be underestimated, as can also be observed in other European countries. The fact that the reform process in both the \"old\" Federal Republic of Germany and the former German Democratic Republic began quite belatedly was also due to the consequences of \"euthanasia\" during the National Socialist era and the delayed social and professional reappraisal of euthanasia. This article traces the major lines of development of the reform and outlines some of the current challenges in mental health services, especially community psychiatry.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[History of ideas and psychiatric reform: Italy, Great Britain and Germany].","authors":"Thomas Becker, Stefan Weinmann, Uta Gühne","doi":"10.1055/a-2560-1372","DOIUrl":"https://doi.org/10.1055/a-2560-1372","url":null,"abstract":"<p><p>Ideas and societal structure interact. This paper focuses on relationships between the history of ideas and mental health reform in Italy, Great Britain and Germany. The Italian reform process is based on the ideas of Jean-Paul Sartre, Michel Foucault, phenomenology and Antonio Gramsci, with issues of human rights and social inclusion taking central stage; diagnostic concepts are (temporarily) put in brackets. In Great Britain, there is a strong tradition of empiricism coupled with Erving Goffman's institutional critique and analysis, evangelical (and Quaker) traditions of 'pauper and lunacy' politics, and high-quality evaluation of services. In (the Federal Republic of) Germany, Foucault, Goffman, anthropological-phenomenological psychiatry and international impulses are relevant. With its radical institutional critique and transformation towards comprehensive community care (in the face of tight finances), Italy's mental health reforms are impressive. In Great Britain there is a long-term orientation towards community mental health care, evidence-based services and a focus on patient rights (mixed with neoliberal elements in recent decades). In Germany, mental hospital reform was carried out based on the recommendations of a national Psychiatric Enquiry (White Paper, Psychiatrie-Enquête, 1975) but large psychiatric institutions are not closed, community psychiatric transformation is delayed. There is a recent surge of integrated care models with flexibility of care provision across the inpatient-community divide.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Early dental visits - a systematic analysis of the information content of national dental child health records].","authors":"Kimija Rahbari, Christian Graetz, Miriam Cyris, Malin Sucherlan, Christof E Dörfer, Antje Geiken","doi":"10.1055/a-2573-5692","DOIUrl":"https://doi.org/10.1055/a-2573-5692","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Update of the WHO Clinical practice guidelines for influenza].","authors":"Jana Meixner, Barbara Nußbaumer-Streit, Isolde Sommer","doi":"10.1055/a-2571-3357","DOIUrl":"10.1055/a-2571-3357","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Facilitators and Barriers to Implementing University Health Management: A Qualitative Study].","authors":"Lisa Paulsen, Loreen Philipps, Chiara Dold, Jens Bucksch","doi":"10.1055/a-2550-3754","DOIUrl":"https://doi.org/10.1055/a-2550-3754","url":null,"abstract":"<p><p>Changes at German universities, such as an increasing workload and a shift towards competition, require investments in health promotion. University Health Management (UHM) aims to support the development of a health-promoting setting. While conceptual considerations emphasize promising success factors for UHM, empirical studies are lacking. The aim of this qualitative study is therefore to identify facilitators and barriers to the implementation of UHM from the perspective of experts.We interviewed 26 experts in guideline-based interviews regarding facilitators and barriers to implementing UHM. Data were analysed using content-analytical methods following Kuckartz, assisted by MAXQDA 2020 software.We identified eight factors that can be both supportive and inhibiting in the implementation of UHM: university leadership, health as a topic within universities, networks, collaboration and exchange, structural organization, target groups, financial resources, collaboration with health insurance providers, and state university laws. Additionally, individual supporting factors, such as adherence to guidelines for a healthy university, or barriers, such as a heterogeneous understanding of UHM and time constraints, influence the implementation.Various facilitators and barriers can be found when introducing UHM. These factors need to be considered within the diverse structures, historical backgrounds, and sizes of universities. Thus, there is no universal blueprint for the development and implementation of UHM. A uniform understanding of UHM and the integration of health into state-level university seem fundamental for the successful implementation of UHM.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Methods for health economic evaluation of complex interventions in healthcare: current practice, challenges and guidance for future research].","authors":"Nadja Chernyak, Damon Mohebbi, Adrienne Alayli, Johann Behrens, Helene Eckhardt, Cornelia Henschke, Rolf Holle, Nadja Kairies-Schwarz, Sebastian Liersch, Ralph Möhler, Dirk Müller, Anja Neumann, Markus Vomhof, Ingrid Zechmeister-Koss, Juliane Köberlein-Neu, Andrea Icks","doi":"10.1055/a-2569-9765","DOIUrl":"https://doi.org/10.1055/a-2569-9765","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Recruitment of a cohort to investigate medical follow-up care after childhood cancer: Record-Linkage between the German Childhood Cancer Registry and statutory health insurance companies (VersKiKCohort)].","authors":"Hiltrud Merzenich, Peter Ihle, Jutta Küpper-Nybelen, Christian Lüpkes, Claudia Bremensdorfer, Ekaterina Aleshchenko, Christian Apfelbacher, Pietro Trocchi, Dirk Horenkamp-Sonntag, Iris Meier, Patrik Dröge, Thomas Ruhnke, Ursula Marschall, Melanie Klein, Katja Baust, Gabriele Calaminus, Thorsten Langer, Enno Swart, Cecile Ronckers, Claudia Spix","doi":"10.1055/a-2536-2966","DOIUrl":"https://doi.org/10.1055/a-2536-2966","url":null,"abstract":"<p><p>The VersKiK-study is based on a record-linkage between the German Childhood Cancer Registry (GCCR) and claims data from statutory health insurances (SHI) in order to investigate the frequency of late effects and long-term medical care among pediatric cancer survivors.GCCR defined a basic population of approximately 50,000 former patients with cancer in childhood or adolescence (years of diagnosis 1991-2021) who survived until 1.1.2017. Encrypted GCCR identity data were stochastically linked with encrypted identity data from 13 SHI. For those cancer patients who could be identified in SHI records (study population), claims data covering 2017-2021 were added and combined with basic GCCR information on cancer diagnosis. A comparison between identified cancer patients and those who were not identified in SHI records was made to evaluate the representativeness of the study population for quantitative analyses.A total of 26,127 former childhood cancer patients were identified in SHI data. Since the participating SHI represent approximately two-thirds of the German population, the record linkage could be judged as satisfactory (84% matching rate). We found no significant differences between the study population and the non-matched group regarding age, sex, primary cancer diagnosis, and year of diagnosis.The identified study population is considered representative for survivors of childhood cancer in Germany.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}