A5023383709- Climate Change and Health Impacts
- Health, psychology, and well-being
- Healthcare cost, quality, practices
- Mobile Health and mHealth Applications
- Respiratory Support and Mechanisms
- Chronic Disease Management Strategies
- Health and Medical Studies
- Disaster Response and Management
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Primary Care and Health Outcomes
- Interprofessional Education and Collaboration
- Medical Practices and Rehabilitation
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- COVID-19 and Mental Health
- Climate Change Communication and Perception
- Diabetes Management and Education
- Emergency and Acute Care Studies
- Social and Demographic Issues in Germany
- COVID-19 and healthcare impacts
- Mental Health and Patient Involvement
- Clinical Reasoning and Diagnostic Skills
- Social Media in Health Education
- Environmental Education and Sustainability
Heidelberg University
2020-2024
University Hospital Heidelberg
2020-2024
Institute for Healthcare Improvement
2023
Heidelberg University
2023
Gesundheitsdienst
2021
Abstract Background Climate change is seen as the biggest health threat of twenty-first century. Making outpatient medical practices resilient therefore crucial to protect vulnerable groups and maintain quality care. Awareness a precondition for action. This study aims explore awareness (knowledge, experience attention) climate adaptation among stakeholders practices. Methods Semi-structured interviews focus with were conducted. The qualitative data analysed in two-step Thematic Analysis...
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....
IntroductionThe impact of climate change on health and the necessity to reduce emissions in sector is becoming an increasingly discussed topic. Little known about medical doctors' (MDs) attitude towards protection measures outpatient practices.MethodsBetween October 2020 February 2021, a survey was conducted among MDs German practices. 1,683 participants answered 39 questions energy use, transportation, disposable materials, budget patient counselling. Data were collected status, motivation,...
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 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...
Worldwide, the primary care sector played a key role in coping with challenges of SARS-CoV-2 pandemic. The aim this study was to explore resilience German healthcare system during second wave pandemic from perspective identified interface stakeholders, i.e., representatives hospitals, district offices, and medical associations. Qualitative data interviews focus groups were analyzed according framework. main findings include gap knowledge transfer, unstructured allocation responsibilities,...
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...
IntroductionDue to the COVID-19 pandemic, German health system has faced major challenges since spring 2020. In addition restrictions in inpatient care sector, maintenance of outpatient by providers also been affected pandemic-related restrictions. Both a decline treatment frequencies and temporary practice closures have observed. The aim study was survey work situation physiotherapy practices during first wave pandemic.MethodsAn anonymous online including quantitative qualitative items...
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...
Abstract Background Reporting of adverse events is an important aspect patient safety management in hospitals, which may help to prevent future events. Yet, only a small proportion such actually reported German hospitals. Therefore, it crucial evaluate attitudes clinical staff towards reporting The aim this study was translate the Clinical Adverse Events Scale (RoCAES) developed by Wilson, Bekker and Fylan (2008) validate sample German-speaking health professionals. Methods questionnaire...
<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...
Hintergrund Trotz der steigenden Zahl invasiv langzeitbeatmeter Patienten und gesellschaftlichen Bedeutung des Themas wird es in Öffentlichkeit wenig wahrgenommen. Ein Ziel Projekts PRiVENT ist es, die öffentliche Wahrnehmung Langzeitbeatmung durch eine gezielte Kampagne unter Einbeziehung sozialen Medien zu stärken.
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...
Abstract Background: Climate change is seen as the biggest health threat of 21st century. Making primary care institutions resilient therefore crucial to protect vulnerable groups and maintain quality care. Awareness a precondition for action. This study aims explore awareness (knowledge, experience attention) climate adaptation among stakeholders. Methods: Semi-structured interviews focus with stakeholders were conducted. The qualitative data analysed in two-step Thematic Analysis process....
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...
Die Coronavirus-Pandemie verändert die Gesundheitsversorgung dramatisch. Vor allem stationäre Versorgung wurde stark eingeschränkt, was eine kontinuierliche ambulante umso relevanter werden ließ. Forschende der Universität Heidelberg arbeiteten daher an einer Studie, Auswirkungen Pandemie auf Klienten in ambulanten Heilmittelversorgung und Arbeitssituation Therapeuten erfasst.
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...