Gesundheitswesen最新文献

{"title":"[Professional Health Literacy Among Midwives - Findings from a Standardised Online Survey Conducted in Bavaria].","authors":"Sonja Sponsel, Larissa Pfaller, Linda Karrer, Oliver Schöffski, Matthias Wilhelm Beckmann, Alexander Mocker","doi":"10.1055/a-2887-6200","DOIUrl":"https://doi.org/10.1055/a-2887-6200","url":null,"abstract":"<p><strong>Background: </strong>Womens health literacy before, during and after childbirth is of considerable public health importance. As midwives frequently serve as primary care providers and first professional contacts during this critical stage of life, they are strategically positioned to support and enhance women's health literacy. The effective fulfilment of this role, however, requires a well-developed level of professional health literacy among midwives themselves. Empirical evidence on this construct remains limited. The aim of this study was to provide a systematic assessment of professional health literacy among midwives in Bavaria.</p><p><strong>Methods: </strong>A cross-sectional design was applied using data from a standardised online survey conducted within the HELPER study. Between November 2023 and May 2024, 668 midwives practising in Bavaria participated. Professional health literacy was assessed using the PROF-HL-Q, a 34-item instrument covering four competency domains. Data were analysed through descriptive and inferential statistics, including independent samples t-tests and correlation analysis.</p><p><strong>Results: </strong>Mean scores across the four competency domains ranged from 48.6 to 78.0 (scale range: 0-100). Patient-centred communication achieved the highest mean scores and was perceived as the least challenging domain. In contrast, professional digital health literacy showed the lowest mean scores and was rated as the most challenging.</p><p><strong>Conclusion: </strong>The findings underline the pivotal role of midwives as providers of health-related information and guidance through-out the perinatal period. Simultaneously, domain-specific competency gaps were identified, indicating a need for curricular refinement in both pre-registration education and continuing professional development. Targeted measures, particularly in the areas of digital competencies, evidence-informed practice, and advanced communication skills, appear warranted.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"88 8-09","pages":"542-551"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799644","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":"[Impact of increasing half positions in psychotherapy practices on the capacity of providing care].","authors":"Diethelm Hansen, Max Jacobi","doi":"10.1055/a-2752-0250","DOIUrl":"10.1055/a-2752-0250","url":null,"abstract":"<p><strong>Background: </strong>The division of practice licenses into two half positions has increased significantly, particularly in psychotherapeutic care mandates. So far, there has been no systematic investigation into the impact of dividing these statutory health insurance seats on care capacities.</p><p><strong>Methods: </strong>An anonymous survey was conducted among 132 psychotherapeutic practices in Berlin. The weekly number of patient treatment hours was recorded, categorized into consultation hours, acute therapy, and guideline-based psychotherapy. Practices holding full licenses were compared with those operating under half licenses.</p><p><strong>Results: </strong>A total of 40 practices with full licenses and 92 practices with half licenses participated in the study. Practices operating with two half licenses provided an average of 43.0 (SD=10.4) treatment hours per week, compared to 27.2 (SD=8.8) hours per week in practices with a full license - representing a 57% increase. When broken down by service type, practices with two half licenses offered 104% more consultation hours, 91% more acute therapy hours, and 60% more hours of guideline-based psychotherapy per week than full-license practices.</p><p><strong>Conclusion: </strong>The convergence of individual interests of practice owners, the difficulty in obtaining a license for providing care, and the increasing demand for psychotherapeutic services is leading, through the growing division of care mandates, to additional psychotherapeutic capacities that contribute to ensuring the provision of psychotherapeutic care.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"537-541"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565897","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":"[Cross-sector regional care networks to ensure needs-based (inpatient) care in times of crisis: results of focus group discussions with healthcare providers].","authors":"Ivonne Panchyrz, Benjamin Aretz, Lorenz Harst, Timm Weber, Felicitas Andreas, Tina Haase, Michael von Wagner, Birgitta Weltermann, Katrin Balzer, Jochen Schmitt","doi":"10.1055/a-2776-6848","DOIUrl":"10.1055/a-2776-6848","url":null,"abstract":"<p><strong>Background: </strong>Pandemic preparedness requires complementary tasks and a coordinated approach with multidirectional interaction between research, contribution-based healthcare, and public health services. The National Pandemic Plan provides the strategic framework for preparedness and emphasizes the importance of cross-sectoral cooperation. Practice-oriented approaches to regional stakeholder collaboration are only partly described so far and are further refined in this study.</p><p><strong>Objective and method: </strong>The BMFTR funded project PREPARED collected best practice examples from three healthcare regions (Frankfurt, Dresden, Bonn) and derived checklists for regional networks for pandemic preparedness and management. To this end, guided focus group discussions with 29 health experts were held in May 2023 and evaluated using content analysis. Stakeholders were selected based on a combination of typical cases and heterogeneous groups.</p><p><strong>Results: </strong>The study identified five key stakeholder groups in regional care networks: 1) laboratory logistics, 2) public administration, 3) emergency and rescue services, 4) medical care, and 5) nursing and social support. The analysis of best practice examples highlighted the importance of transparent information presentation, cross-sectoral cooperation, and standardized procedures. Recommendations were derived from this analysis with the aim of strengthening resilience and networking at the state level in a sustainable manner. These included the establishment of a central coordination office, the standardization of hygiene standards, continuous monitoring, and the integration of emergency services and training programs. Based on these results, practical checklists were developed to support regional providers in crisis management.</p><p><strong>Conclusion: </strong>The study identified key strategies for effective regional pandemic preparedness and response: i) close and binding regional cooperation, ii) the establishment of cross-sector networks, and iii) standardized communication and coordination structures as well as flexible checklists for pandemic management. These approaches focus on strengthening the resilience of the healthcare system and enabling a flexible response to crisis situations.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"497-511"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795246","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":"Pioneer in healthcare research.","authors":"","doi":"10.1055/a-2873-3819","DOIUrl":"10.1055/a-2873-3819","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"S185"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240281","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":"[Discussion paper: Digital falls prevention services for older adults].","authors":"Michaela Groß, Daniel Schoene, Patrick Roigk, Michael Schwenk, Uwe Dresel, Katharina Gordt-Oesterwind, Bettina Wollesen","doi":"10.1055/a-2825-1609","DOIUrl":"10.1055/a-2825-1609","url":null,"abstract":"<p><strong>Abstract: </strong>Falls and their consequences have significant health-economic implications in Germany. Tailored exercise training is among the most effective interventions for fall prevention in older adults. However, conventional in-person training programs alone are insufficient to provide nationwide fall prevention and effectively reduce fall-related injuries. Digital interventions have the potential to complement and enhance traditional fall prevention programs, improving accessibility and reaching a broader population. Despite this potential, no evidence-based digital fall prevention programs are currently available in Germany. Moving forward, it is essential to develop, evaluate, and implement digital, evidence-based solutions to strengthen fall prevention efforts. Achieving this goal requires regulatory frameworks that support innovation rather than impede it with excessive bureaucratic hurdles. Additionally, digital applications should be designed to be intuitive and accessible for users while ensuring compliance with current data protection standards.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"518-525"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785850","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: \"The Show Must Go on\": Medical Assistants and Their Experience Managing Vaccination during the Covid-19 Pandemic].","authors":"Anastasia Suslow, Kathrin Schlößler, Nino Chikhradze, Romy Lauer, Horst Christian Vollmar, Ina Otte","doi":"10.1055/a-2945-0738","DOIUrl":"10.1055/a-2945-0738","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"88 8-09","pages":"e6"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931322","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":"[Correction: Balancing maximum commitment and challenges: Interdisciplinary networks in outpatient palliative care within the Westphalia-Lippe model - results of a qualitative study].","authors":"Anastasia Suslow, Chantal Giehl, Nino Chikhradze, Horst Christian Vollmar, Ina Otte","doi":"10.1055/a-2945-0077","DOIUrl":"10.1055/a-2945-0077","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"88 8-09","pages":"e7"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931380","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":"'It's okay!' - underestimated needs and lack of information regarding informal caregiver counselling.","authors":"Johanna Schmidt, Elmar Gräßel, Natascha Lauer, Sophia Bösl, André Kratzer, Anna Pendergrass","doi":"10.1055/a-2770-7720","DOIUrl":"10.1055/a-2770-7720","url":null,"abstract":"<p><strong>Background: </strong>Since 2009, informal caregivers (CGs) have been able to obtain information on support options and receive initial relief through consultation as part of informal caregiver counselling (ICC) in accordance with § 7a SGB XI. However, this offer has been used infrequently, and scientific evidence on non-users is lacking.</p><p><strong>Methods: </strong>The data were obtained from the cross-sectional study 'Progress in Home Care (ProCare)' and constituted a representative sample of CGs caring for care receivers (CRs) who were covered by statutory insurance in Bavaria (n=2,824). The analysis of use was based on Bradshaw's taxonomy of social need. The characteristics of (non-)users of ICC were identified descriptively (expressed need), and difference and regression analyses were computed (comparative need). For non-users of ICC, the reasons for non-use were evaluated (felt need), and the subjective and objective need for using ICC were compared (felt vs. normative need). Furthermore, information sources on care-related topics were analysed for CGs who were not aware that they were entitled to ICC.</p><p><strong>Results: </strong>ICC was used by 20.97% (n=593) of CGs in the previous three months, of whom 85.91% stated that they benefited from the ICC. Multivariate binary logistic regression revealed that CGs of CRs who were older (OR=1.01) or had a higher level of care (OR=1.33) or dementia (OR=1.30) used ICC more frequently. Functional coping was also associated with more frequent use (OR=1.10). 53.99% of non-users stated that they had no need for ICC to date. However, only 36.73% of this group demonstrated no normative need. CGs who were not yet aware of ICC can be reached in the future via the Internet and social media (55.92%), doctors (53.13%), and their immediate environment (49.65%).</p><p><strong>Conclusion: </strong>The high level of satisfaction with ICC highlights its potential, underscoring the necessity for its utilisation to be augmented. In order to prevent high burden at an early stage, preventative, ongoing use should be achieved instead of the current late utilisation and functional coping strategies of CGs should be strengthened. Additionally, there is a large discrepancy between objective and subjective perceptions of CGs burden and associated needs, as well as a lack of knowledge about ICC. In order to raise awareness in CGs, a wider range of targeted information sources should be used.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"S229-S236"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769569","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":"Vom Geist der Neuerungen und einer großartigen Menschheit.","authors":"Manfred Wildner","doi":"10.1055/a-2894-8308","DOIUrl":"https://doi.org/10.1055/a-2894-8308","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"88 8-09","pages":"491-494"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799698","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":"[Evaluation of possible applications of text-generative artificial intelligence in statutory accident insurance using ChatGPT].","authors":"Tim Kekeritz, Felix R Hoffmann","doi":"10.1055/a-2718-4633","DOIUrl":"10.1055/a-2718-4633","url":null,"abstract":"<p><strong>Abstract: </strong>This study examined the extent to which generative artificial intelligence can be used for analyzing reports from the statutory accident insurance system. To this end, medical documents were evaluated using targeted prompts with both ChatGPT and a specially customized CustomGPT model. The results showed that simple tasks, such as extracting basic personal data or identifying missing causal links, were performed with high accuracy and a low error rate. However, when it came to more complex legal issues or the interpretation of contextual information, the models demonstrated limited reliability. The use of a tailored CustomGPT model did not yield a significant improvement in response quality compared to the standard version. In its current stage of development, the technology is not suitable for practical use in evaluating reports from the statutory accident insurance system. Future research should investigate newer versions of ChatGPT as well as alternative AI systems. It is expected that generative AI will soon be reliably applicable to the use cases explored in this study.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"512-517"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439738","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}