A5046645190- Respiratory Support and Mechanisms
- Mobile Health and mHealth Applications
- Intensive Care Unit Cognitive Disorders
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Health and Medical Studies
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Family and Patient Care in Intensive Care Units
- Climate Change and Health Impacts
- Disaster Response and Management
- Healthcare Policy and Management
- Health, psychology, and well-being
- Diabetes Management and Education
- Sepsis Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- Medical Practices and Rehabilitation
- Electronic Health Records Systems
- Social and Demographic Issues in Germany
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Arrest and Resuscitation
- Telemedicine and Telehealth Implementation
- Medication Adherence and Compliance
- Persona Design and Applications
National Center for Tumor Diseases
2024-2025
Heidelberg University
2019-2024
University Hospital Heidelberg
2019-2024
Heidelberg University
2023
Marshall University
2015
Abstract Background In recent years, healthcare has faced many different crises around the world such as HIV-, Ebola- or H1N1-outbrakes, opioid addiction, natural disasters and terrorism attacks). particular, current pandemic of Covid-19 challenged resilience health systems. systems, primary care practices play a crucial role in management they are often first point contact main provider for patients. Therefore, this study explored which situations perceived by practice teams potential...
The German healthcare system is responsible for 5,2% of the national emissions greenhouse gases. Therefore, mitigation actions to reduce carbon footprint are crucial. However, there have been few approaches achieve this in primary care.This study aimed identify environmental impact-reducing strategies care practices.During summer 2021, a qualitative was conducted using interviews and focus groups with experts across Germany, such as physicians, medical assistants, health scientists on level....
Abstract Background Invasive mechanical ventilation (IMV) is a standard therapy for intensive care patients with respiratory failure. With increasing population age and multimorbidity, the number of who cannot be weaned from IMV increases, resulting in impaired quality life high costs. In addition, human resources are tied up these patients. Methods The PRiVENT intervention prospective, mixed-methods interventional, multicentre study parallel comparison group selected insurance claims data...
Long-term invasive mechanical ventilation (IMV) is a major burden for those affected and causes high costs the health care system. Early risk assessment prerequisite best possible support of high-risk patients during weaning process. We aimed to identify factors long-term IMV within 96 h (h) after onset IMV. The analysis was based on data from one Germany's largest statutory insurance funds; who received ≥ were admitted in January 2015 at earliest discharged December 2017 latest analysed....
Abstract Background Particularly in the context of severe diseases like cancer, many patients wish to include caregivers planning treatment and care. Many be involved but feel insufficiently enabled. This study aimed at providing insight into patients’ caregivers’ perspectives on roles managing patient portal an electronic personal health record (PHR). Methods A descriptive qualitative was conducted comprising two phases: (1) Usability tests interviews with cancer (2) additional after a...
Abstract Background High continuity of care has a positive impact on health outcomes, but insight into the mechanisms underlying this is limited. Information continuity, which our study focuses, especially important when relational not given, often case at hospital admission or discharge. The aim to provide information flows between general practices and hospitals in Germany, identify factors associated with these information. Methods This qualitative interview purposeful sample staff from...
In primary care, patients play a crucial role in managing care processes and handling drug treatment. A decisive factor for success is their health literacy, several interventions have been introduced to support fulfilling responsibility.The aim of this study assess the influence such an intervention (ie, medication module) within patient-led electronic record on patients' literacy.We conducted randomized controlled among community-dwelling with type 2 diabetes mellitus. Patients were...
In the context of a GP-based care programme, we implemented an admission, discharge and follow-up programme.The VESPEERA programme consists three sets components: pre-admission interventions, in-hospital interventions post-discharge interventions. It was aimed at all patients with hospital stay participating in 7 hospitals 72 general practices southwest Germany using range strategies. Its' effectiveness evaluated readmissions within 90 days after as primary outcome. Questionnaires staff were...
Mobile health (mHealth) interventions for self-management are a promising way to meet the needs of patients with chronic diseases in primary care practices. Therefore, an mHealth intervention, TelePraCMan, was developed and evaluated type 2 diabetes mellitus, obstructive pulmonary disease, high blood pressure, or heart failure German setting. TelePraCMan entails symptom diary, appointment manager, manager document goals, warning system. The app should foster participating patients.We aimed...
An early integration of users and stakeholders is needed for a successful innovation process. Nonetheless, the often hard to realize - especially when dealing with persons chronic diseases. In addition, patients or in general are not able formulate requirements technical manner. Therefore, even if user collected, it certain that developers know understand 'what really wanted'. To overcome these 'gaps', we have developed so-called Action Sheets (AS). This article presents use AS two projects:...
<title>Abstract</title> <bold>Background:</bold> In recent years, health systems worldwide were confronted with several crises such as natural disasters or the Covid-19 pandemic that affected lives and of many people. light occurring waves infections heat, climate change is considered to be biggest threat 21st century. Strengthening individual organizational crisis resilience in healthcare settings thus becomes a crucial factor maintaining care quality protecting vulnerable patients during...
Hintergrund Im Zuge des demographischen Wandels und medizinisch-technischen Fortschritts hat der Bedarf an außerklinischer Intensivpflege (AKI) für Langzeitbeatmete (LZB) in Deutschland den letzten Jahren stark zugenommen. In häuslichen Versorgungsformen, insbesondere Beatmungs-Wohngemeinschaften besteht aufgrund finanzieller Fehlanreize, struktureller Versorgungsdefizite dem Nicht-Ausschöpfen von Weaning-Potenzialen eine Fehlversorgung. Jahr 2020 wurde deshalb vom deutschen Gesetzgeber das...
PRiVENT (PRevention of invasive VENTilation) is an evaluation a bundle interventions aimed at the prevention long-term mechanical ventilation. One these elements e-learning course for healthcare professionals to improve weaning expertise. The aim our analysis examine implementation in cooperating intensive care units.
In recent years, health systems worldwide have been confronted with several crises such as natural disasters or the COVID-19 pandemic, that affected lives and of many people. light waves infections heat, climate change is considered to be biggest threat 21st century. Strengthening individual organizational crisis resilience in healthcare settings thus becomes a crucial factor maintaining care quality protecting vulnerable patients during crises. The RESILARE project therefore aimed develop...
Zusammenfassung Krisen, wie die COVID-19-Pandemie und der Klimawandel, stellen große Herausforderungen für gesundheitliche Versorgung dar. Ärztliche Praxen sind zentral in von vulnerablen Personengruppen sollten daher optimal auf aktuelle zukünftige Krisen vorbereitet sein. Durch Entwicklung Qualitätsindikatoren im Rahmen des Projekts RESILARE sollen Resilienz ärztlichen gefördert Potenziale Vorbereitung Reaktion potenzielle aufgezeigt werden. Im eines etablierten 2‑stufigen Panelverfahrens...
The concept of Care Assistant in General Practice (VERAH) was developed order to integrate non-medical staff more strongly into primary care and thus meet the increasing demand for simultaneous shortage medical staff. VERAHs are increasingly responsible software-supported case management confronted with new tasks. aim this study therefore explore role VERAH practices.The present is a qualitative secondary data analysis; collection took place within projects VESPEERA TelePraCMan. Twenty...
The VESPEERA programme is a multifaceted to enhance information transfer between general practice and hospital across the process of admission, stay discharge. It was implemented in 7 hospitals 72 practices Southern Germany. Uptake heterogeneous overall low. A evaluation aimed at identifying factors associated with implementation programme.This qualitative study using semi-structured interviews purposeful sample health workers programme. Qualitative framework analysis Consolidated Framework...
Abstract Background Invasive mechanical ventilation (IMV) is a standard therapy for intensive care patients with respiratory failure. With increasing age and multimorbidity the number of rises, who cannot be weaned from IMV, leading to impaired quality life high costs. In addition, human resources are tied up in those patients. Methods The PRiVENT intervention prospective, mixed-methods interventional, multicentre study parallel comparison group selected insurance claims data health insurer...
Fragestellung Eine invasive Langzeitbeatmung beeinflusst die Lebensqualität von Patienten:innen sowie auch deren (pflegenden) Angehörigen. Ziel des Projekts PRiVENT ist es daher, durch den Einsatz einer Mehrkomponentenintervention zu vermeiden. In interprofessionellen Weaning-Boards und Weaning-Konsilen haben Intensivstationen Möglichkeit, sich mit Expert:innen aus spezialisierten Weaning-Zentren auszutauschen das volle Weaning-Potential der Patient:innen auszuschöpfen. begleitenden...