Gesundheitswesen最新文献

{"title":"[Perspectives, Action Strategies, and Approaches for Climate-Resilient and Low-Greenhouse-Gas Healthcare].","authors":"Fabian Baum, Katharina van Baal, Jobst Augustin, Heike van de Sand, Klara Lorenz-Dant, Christina Lindemann, Dorothea Baltruks, Christa Büker, Johannes Deutschbein, Karin Geffert, Holger Gothe, Alina Herrmann, Claudia Hornberg, Claudia Konnopka, Anna Kuehne, Esther Luhmann, Maria-Inti Metzendorf, Ingo Meyer, Andreas Meyer-Lindenberg, Jochen Schmitt, Miriam Steinmann, Petra Thürmann, Jennyfer Wolf, Patrick Ziech, Annika Ziegler, Martin Härter, Ivonne Panchyrz","doi":"10.1055/a-2872-4388","DOIUrl":"https://doi.org/10.1055/a-2872-4388","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857422","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":"[On the history of school entry examinations in Germany - a source-based contribution from the beginnings to the Bielefeld Agreement].","authors":"Fabian Standl, Heribert Stich","doi":"10.1055/a-2871-6542","DOIUrl":"https://doi.org/10.1055/a-2871-6542","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844543","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":"Determinants of the utilization of public pharmacies: Results of a population survey in the federal state of Bavaria in Germany.","authors":"Eric Faß, Josephine Thiesen, Ines Weinhold, Franziska Claus","doi":"10.1055/a-2652-2346","DOIUrl":"10.1055/a-2652-2346","url":null,"abstract":"<p><strong>Background: </strong>Public pharmacies are important for healthcare in Germany, despite decrease in their number over several years. Considering demographic aging and an expected increase in demand for pharmacy-specific services, adequate organization of pharmacy care services for specific target groups and regions is, therefore, highly relevant. For this, knowledge of utilization patterns and their determinants is crucial. This study aims to identify the determinants of visiting public pharmacies, while focusing on the relation of age and morbidity, by analyzing mediation effects. Additionally, specific target groups of public pharmacies will be identified.</p><p><strong>Methods: </strong>As data basis, a telephone survey was carried out in the federal state of Bavaria in Germany. The sample consists of 436 participants. To identify determinants of utilization, weighted generalized linear models were carried out. Next, causal mediation analysis was applied to analyze how much the association between age and visiting a public pharmacy may be explained by morbidity. Additionally, population groups with the highest predicted probability of a pharmacy visit as well as the most predicted pharmacy visits were identified.</p><p><strong>Results: </strong>Females (AME=0.072), older people (AME=0.086) and those who have at least one disease (AME=0.147) were found to have a higher, people with higher educational attainment (AME=-0.076) a lower probability of having visited a public pharmacy. Causal mediation analysis revealed a mediation effect of morbidity in the relation between age and public pharmacy visit (about 14%). Additionally, older women living in rural regions were found to have the highest predicted probability of having visited a public pharmacy.</p><p><strong>Conclusion: </strong>The results of this study highlight the need for further research regarding the determinants of pharmacy care utilization, especially focusing on their interplay. This is crucial for organizing future target group-specific pharmacy services when facing an increased demand with a simultaneous decrease in supply.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"323-329"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822844","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":"[Satisfaction with support provided by stroke case managers: Results of survey from the perspective of stroke survivors].","authors":"Christian Voigt, Johannes Miethe, Rebecca Pries, Christina Franzisket, Anke Siebdrat, Markus Wagner, Georg Galle, Michael Brinkmeier","doi":"10.1055/a-2776-2308","DOIUrl":"10.1055/a-2776-2308","url":null,"abstract":"<p><strong>Background: </strong>Many stroke patients are overwhelmed with the management and maintenance of their complex care and therapy during aftercare [1]. Stroke case managers provide support and coordination in the transition to aftercare, acting as contact persons for patients for a minimum of six contact points over a period of 12 months following stroke.</p><p><strong>Method: </strong>A postal survey of stroke patients who were accompanied by case managers as part of a selective contract in accordance with §140 SGB V in Est Westphalia Lippe was conducted. The results of the current survey (n=101) and the overall results of all persons people surveyed to date (n=335), who were supported by a stroke case manager, are reported.</p><p><strong>Results: </strong>The support provided by a stroke case managers was regarded as beneficial and valuable by stroke survivors. Cumulative satisfaction (agreement or full agreement on a four-point Likert scale) regarding frequency of contact (96%), accessibility (95%), and personal interaction with stroke survivors and, if applicable, relatives (98%) was rated very positively. A total of 82% of respondents indicated that the availability of a personal contact person constituted the most significant form of support. Furthermore, stroke survivors reported that the case managers had a positive impact on their awareness and the handling of risk and lifestyle factors. There was a notable level of satisfaction with the support provided, and based on their experiences, the respondents recommended the implementation of this intervention for all individuals who have experienced a stroke (99%).</p><p><strong>Conclusion: </strong>The intervention developed is well accepted by stroke survivors and provides relief for those affected and their relatives. A high level of acceptance on the part of stroke survivors and a needs-based organization of the stroke case manager activity is a central prerequisite for the nationwide establishment of case managers in standard care.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"297-305"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436698","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":"[Prevention and prediction of food allergies on Instagram: a systematic evaluation].","authors":"Maja Beyer, Martina Hasseler, Magdalena Rohr, Katharina Gerhardinger, Susanne Brandstetter, Christian Apfelbacher, Madlen Hörold","doi":"10.1055/a-2761-2238","DOIUrl":"10.1055/a-2761-2238","url":null,"abstract":"<p><strong>Background: </strong>Based on the increasing use of social media and the paradigm shift in allergy prevention, the aim was to examine the type and content of Instagram posts on the prevention and prediction of food allergies. In addition, the extent to which the content of the posts reflects the current S3 guideline on allergy prevention was examined.</p><p><strong>Methods: </strong>Based on Stieglitz and Dang-Xuan's (2013) framework for social media analysis, 103 Instagram posts were identified and processed using a hashtag search from June 8 to June 15, 2023. A content-structuring content analysis according to Kuckartz (2018) was conducted to evaluate the content and describe the authors and addressees. The content was assessed for its alignment with the current S3 guideline on allergy prevention using an evaluative content analysis according to Kuckartz (2018).</p><p><strong>Results: </strong>Dietitians represented the largest group of authors with 31.1%, while the remaining authors were divided in 14 other categories. The main addressees of the posts are parents (81.6%). The information available on Instagram regarding the prevention and prediction of food allergies is heterogeneous, but mostly in line with guidelines regarding the introduction of complementary foods and breastfeeding. Overall, 13.2% of the articles contained statements on allergy prevention that were not in line with the current S3 guideline. This was particularly evident in posts about breastfeeding, hydrolyzed infant formula, and introduction of complementary foods, which were posted before the current guideline was published. In addition to prevention and prediction, the Instagram posts also covered other topics, such as the definition of food allergies, including the description of causes, allergens and cross-allergies, as well as their distinction from intolerances. In the comments, mothers in particular shared their experiences and asked questions about the introduction of complementary foods.</p><p><strong>Conclusion: </strong>Specifically, prevention recommendations that have been updated from the previous version of the guideline are often not presented in their current form on Instagram. Accordingly, the content should be evaluated critically by users. There is a need for further research in the area of the user perspective, particularly with regard to parental usage and its impact on the prevention and prediction of food allergies in children.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"337-346"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610491","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":"[Correction: DNVF Memorandum Participatory Health Services Research (Part 1)].","authors":"Anna Levke Brütt, Sandra Borgmann, Eva Buchholz, Larissa Burggraf, Jennifer Engler, Florian Fischer, Tim Holetzek, Stefanie Houwaart, Andrea Icks, Franziska Jagoda, Sven Kernebeck, Christine Kersting, Theresia Krieger, Charlotte Kugler, Silke Kuske, Jonas Lander, Melanie Messer, Cathleen Muche-Borowski, Catharina Münte, Anna-Lena Röper, Sandra Salm, Daniel Schindel, Stefanie Schreiter, Sonja Teupen, Sebastian von Peter, Erik Farin-Glattacker","doi":"10.1055/a-2778-7312","DOIUrl":"10.1055/a-2778-7312","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"e2"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Subjective Care Needs after Tracheostomy: A Qualitative Study with Patients and Proxy-Interviewed Relatives].","authors":"Nataliia Brehmer, Ann-Kathrin Klähn, Franziska Püschner, Lisa Maria Gartner, Maximilian Oberste, Ilka Buhl, Claudia Rudack, Achim Georg Beule","doi":"10.1055/a-2718-4703","DOIUrl":"10.1055/a-2718-4703","url":null,"abstract":"<p><strong>Introduction: </strong>Diseases that impair breathing through the mouth and nose often necessitate the creation of a tracheostoma. This procedure is linked to complex care requirements. The present study investigates deficits in care as perceived subjectively by patients with a tracheostoma.</p><p><strong>Methods: </strong>A qualitative study design was employed, utilizing semi-structured interviews. Participants were recruited from a single center using theoretical and maximum variation sampling. For speech-limited and pediatric patients, their relatives were also interviewed. The interviews took place in the second quarter of 2024 and were recorded. The transcripts were then coded using thematic analysis, and the results were summarized into main themes.</p><p><strong>Results: </strong>A total of 33 individuals participated in the study (24 patients, including 2 pediatric patients, and 9 relatives). The subjective care deficits identified can be categorized into several themes: impairments related to the tracheostoma, lack of information about the tracheostoma, the desire for autonomy in self-care, social participation, provision of medical supplies, and navigation within the healthcare system.</p><p><strong>Conclusion: </strong>The identified care deficits mainly pertained to the need for information, the challenge of finding tracheostoma-competent physicians and nurses, and issues related to social participation. In contrast, medical aspects of tracheostoma care were discussed less in the interviews compared to organizational and psychosocial challenges.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"306-312"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490640","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":"[Awareness, use and acceptance of digital health applications (DiGA) for mental health in the general adult population in Germany].","authors":"Sophie Christine Eicher, Caroline Cohrdes","doi":"10.1055/a-2711-1021","DOIUrl":"10.1055/a-2711-1021","url":null,"abstract":"<p><strong>Background: </strong>The Digital Healthcare Act introduced digital health applications (DiGA) as a supplement to standard care in Germany in 2019. These applications offer potentially scalable treatment options in the field of mental health, which could be particularly important in times of crisis. There is therefore a considerable need for research to investigate how well DiGAs are known, how frequently they are used and how open people are to their potential use as an addition to traditional care. The aim of the present study was to investigate the awareness, use and acceptance of DiGAs in the general adult population living in Germany.</p><p><strong>Methods: </strong>Data collected were part of the COVID-19 Snapshot Monitoring Study in Germany in June 2021. The representative sample comprised n=1011 participants (n=506 women (50%), n=505 men (50%), mean age: 44.8 years, standard deviation:15.7). Using logistic and multiple regression models, associations between sociodemographic variables and awareness and use of DiGA as well as willingness to use DiGA were analyzed. Furthermore, reasons for non-use and sources of information about DiGA were analyzed.</p><p><strong>Results: </strong>The majority of participants were not familiar with DiGA, and only a few had already used a DiGA. In principle, however, many participants were open to using DiGA. Age was the only significant predictor of awareness and use: older people were more likely to know and use DiGA. The willingness to use and preference of DiGA in comparison to face-to-face psychotherapy was influenced by education, health awareness and self-rated mental health. Higher education and better mental health reduced the willingness to use DiGA, while higher health awareness increased it.</p><p><strong>Conclusion: </strong>Overall, this study paints a complex picture of the potential and challenges of establishing DiGA in existing care provision. The goal should be to consider, develop, and implement appropriate age- and target group-specific formats for informing and educating people about DiGA, contributing to the enhancement of health literacy in the search for suitable healthcare services.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"330-336"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597906","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":"[DNVF Memorandum Participatory Health Services Research (Part 1)].","authors":"Anna Levke Brütt, Sandra Borgmann, Eva Buchholz, Larissa Burggraf, Jennifer Engler, Florian Fischer, Tim Holetzek, Stefanie Houwaart, Andrea Icks, Franziska Jagoda, Sven Kernebeck, Christine Kersting, Theresia Krieger, Charlotte Kugler, Silke Kuske, Jonas Lander, Melanie Messer, Cathleen Muche-Borowski, Catharina Münte, Anna-Lena Röper, Sandra Salm, Daniel Schindel, Stefanie Schreiter, Sonja Teupen, Sebastian von Peter, Erik Farin-Glattacker","doi":"10.1055/a-2665-0028","DOIUrl":"10.1055/a-2665-0028","url":null,"abstract":"<p><strong>Abstract: </strong>Patients, as central actors in healthcare, should be enabled to actively participate in health services research processes. In addition, other stakeholders, such as professionals from healthcare practice, are also essential for a comprehensive participatory approach. This DNVF memorandum focuses on participatory approaches in the context of health services research. It begins by outlining the key characteristics of participatory health services research and describing its current development and institutionalization in Germany. The DNVF memorandum also highlights the potential and benefits of participatory research. Finally, it addresses two cross-cutting topics that are particularly relevant for further development in this field: the theoretical and conceptual foundations, and the investigation of effects and effectiveness of participatory approaches.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"347-354"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Prescription of Benzodiazepines and Z-Drugs for Sleep Disorders in General Practice: A Qualitative Study].","authors":"Annette Binder, Ida Gerlach, Ramona Hiller, Michael Alexander Pelzl, Daniel Sippel","doi":"10.1055/a-2718-5074","DOIUrl":"10.1055/a-2718-5074","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep disorders, particularly insomnia, are a common reason for consultation in general practice. Among the approved treatment options are benzodiazepines (BZ) and benzodiazepine receptor agonists (BZRA). However, these medications carry a risk of dependence. The extent to which the risk of medication dependence influences the treatment decisions of general practitioners (GPs) is unclear. This study aimed to explore the spectrum of awareness regarding dependency potential of these drugs and prescribing practices.</p><p><strong>Methods: </strong>As part of an exploratory qualitative interview study, 17 general practitioners from the districts of Tübingen, Reutlingen, and Zollernalb were interviewed. Data analysis was conducted using qualitative content analysis according to Kuckartz. A subsequent cross-analysis focused on addiction medicine aspects.</p><p><strong>Results: </strong>Seven relevant dimensions with an addiction medicine focus emerged: (1) assessment of substances, (2) patient education, (3) prescribing in the context of expectations from patients, relatives, and caregivers, (4) prescription type, (5) older patients, (6) younger patients, (7) duration of prescription, and (8) assumption of responsibility. It became evident that dimensions 1-6 should be considered influencing factors for the assumption of responsibility.</p><p><strong>Conclusion: </strong>Clear differences in the assumption of responsibility regarding the prescription of BZ/BZRA for sleep disorders in general practice were observed. The influencing factors identified could serve as starting points for promoting responsibility in prescribing. In this context, information and training on addiction medicine aspects could play a crucial role.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"313-322"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597931","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}