A5075831996- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Vaccine Coverage and Hesitancy
- SARS-CoV-2 and COVID-19 Research
- Clinical practice guidelines implementation
- Medical Malpractice and Liability Issues
- Heparin-Induced Thrombocytopenia and Thrombosis
- Atrial Fibrillation Management and Outcomes
- Frailty in Older Adults
- Health and Medical Studies
- Chronic Disease Management Strategies
- Palliative Care and End-of-Life Issues
- Climate Change and Health Impacts
- Health Policy Implementation Science
- Health, psychology, and well-being
- Patient-Provider Communication in Healthcare
- Venous Thromboembolism Diagnosis and Management
- Health Promotion and Cardiovascular Prevention
- Thyroid Cancer Diagnosis and Treatment
- Colorectal Cancer Screening and Detection
- Meta-analysis and systematic reviews
- Pharmacovigilance and Adverse Drug Reactions
- Pharmaceutical industry and healthcare
- Cardiac Arrhythmias and Treatments
- Workplace Health and Well-being
Friedrich-Alexander-Universität Erlangen-Nürnberg
2018-2024
Bayer (Germany)
2024
Universitätsklinikum Erlangen
2017-2024
Despite general practitioners' (GPs') key role in Germany`s primary health care, clinical research practice is scarce. Clinical mainly conducted at inpatient facilities, although their results are rarely transferable. German GPs have no extra time or funding for research, as well limited training. To support practice-based networks (PBRNs) developed. As they will be based on an active involvement of GPs, we need more information GPs` participation-readiness. The aim this study was to explore...
Background Medical overuse is defined as health care services that exceed the individual needs of patients and when potential harms medical interventions their benefits. It has impacts on well resources. To address overuse, it important to understand knowledge experiences side patients. Research questions What citizens’ understanding overuse? How do they assess its relevance, causes, consequences solutions? Methods A quantitative online survey was conducted. The participants were asked state...
Abstract Background Practice-based research networks (PBRNs) have been implemented to support clinical in German general practice since 2020. General practitioners (GPs) are often critical concerning the feasibility of trials. Among others, high workload, lack resources GP teams and little acceptance trial requirements by patients assumed barriers. Therefore, aim this study was evaluate perspectives their on set up BayFoNet during implementation two pilot cluster-randomized trials improve...
For stroke prevention in patients with atrial fibrillation (AF), direct oral anticoagulants (DOACs) have been increasingly prescribed instead of vitamin-K-antagonists (VKA). some a lower dosage DOACs (ld-DOACs) is recommended. Ld-DOAC prescribing seems to be common, although previous studies did not show clear superiority ld-DOACs over warfarin. In Germany, phenprocoumon used almost exclusively as VKA. Randomized controlled trials comparing and the general population AF do exist. Therefore,...
Abstract Background Due to safety signals after vaccination with COVID-19 vector vaccines, several states recommended complete the primary immunization series in individuals having received one dose of ChAdOx1 (AstraZeneca) an mRNA vaccine. However, data on and reactogenicity this heterologous regimen are still scarce. The aim study was therefore compare frequency medical consultations boost a mRNA-vaccines (BNT162b2, BioNTech/Pfizer or mRNA-1273, Moderna) homologous regimens mRNA-vaccines,...
Medical overuse is a common problem in health care. Preventing unnecessary medicine one of the main tasks General Practice, so called quaternary prevention. We aimed to capture current opinion German Practitioners (GPs) medical overuse.A quantitative online study was conducted. The questionnaire developed based on qualitative and literature search. GPs were asked estimate prevalence as well evaluate drivers solutions overuse. Bavaria recruited via email (750 addresses). A descriptive data...
Clinical practice guidelines (CPG) were introduced to summarize the best scientific evidence available. Thereby, CPG meant support evidence-based medicine (EBM). However, besides evidence, EBM also asks for patients' preferences and physicians' experiences be considered when coming therapeutic decisions. Thus, deviations from recommendations are sometimes necessary practicing EBM. We wanted examine whether their appropriate. For operationalization, we asked absolute effect sizes (AES)...
In the course of SARS-CoV-2 pandemic, multiple vaccines were developed. Little was known about reactogenicity and safety in comparison to established vaccines, e.g. influenza, pneumococcus, or herpes zoster. Therefore, present study aimed compare self-reported side effects persons vaccinated against with incidence receiving one vaccines.A longitudinal observational conducted over a total 124 days using web-based surveys. Persons either vaccination (comparator group) included. first...
With the medical focus on disease, problem of overdiagnosis inevitably increases with ageing. Considering functional health patients might help to discriminate between necessary and unnecessary medicine. The International Classification Functioning, Disability Health (ICF) is an internationally recognised tool for describing health. However, it too detailed be used in primary care practices. Consequently, aim this study identify relevant codes ICF core set community-dwelling older adults (75...
Background Characteristics of high and low prescribers antibiotics in German primary care were analysed using population data. We aimed to evaluate differences prescribing rates factors being associated with prescribing, whether made the diagnosis perceived bacterial infections more often. Methods Routine data provided by Bavarian Association Statutory Health Insurance Physicians. are delivered practices on a quarterly basis. from 2011 2012. Patients older than 15 years respiratory tract...
To explore relevant areas of functioning from the perspective community-dwelling adults aged 75 years and over, in order to develop a Core Set International Classification Functioning, Disability Health (ICF) for older use primary care.Qualitative study using semi-structured interviews focus groups.A total 27 participated 24 them groups.Following proposed methodology ICF Research Branch, this is 1 4 preparatory studies development process. Within transcripts, concepts were identified, based...
Since the beginning of COVID-19 vaccination campaigns, recommendations regarding have been very dynamic. Although safety and efficacy different vaccines analysed, data were scarce for vaccine regimens combining vaccines. We therefore aimed to evaluate compare perceived reactogenicity need medical consultation after most frequently applied homologous heterologous regimens.In an observational cohort study, assessed within a maximum follow-up time 124 days using web-based surveys....
Abstract Background The international study PRICOV-19 aims to assess the impact of COVID-19 pandemic on organisation primary health care. German part focuses general practitioners during second wave pandemic. This paper addresses following research questions: (1) How were changes in tasks care and patient treatment perceived by GPs?, (2) What was role GPs pandemic, how their wellbeing?, (3) did perceive policy measures?, and, (4) influenced attitudes measures? Methods pursues a multi-country...
Direct oral anticoagulants (DOACs) were introduced based on randomised controlled trials (RCTs) comparing them to vitamin-K-antagonist (VKA) warfarin. In Germany, almost exclusively phenprocoumon is used as VKA. RCTs with being absent we analysed the benefits and harms of DOACs for patients atrial fibrillation (AF) in a real-world setting.In retrospective observational cohort study, claims data covering inpatient outpatient care from 2015 2019 by Cox regression propensity score matching...
Abstract Background The Corona-Vakzin-Konsortium project (CoVaKo) analyses the efficacy and safety of COVID-19 vaccines in a real-world setting, as well breakthrough infections Bavaria, Germany. A subproject CoVaKo aims to identify adverse reactions vaccine compare these other an online survey. In preceding feasibility study, study materials were tested for comprehensibility, visual design, motivation participate, their ability be implemented carried out primary care practices vaccination...
Medical overuse exposes patients to unnecessary risks of harm. It is an open question whether and how perceive the concept medical overuse, its causes negative consequences.
Patients with urinary tract infection (UTI) in German outpatient care are usually treated by general practitioners (GPs), as well other specialties. To prevent antibiotic resistances and side effects, guidelines recommend fosfomycin, nitrofurantoin, pivmecillinam nitroxoline first-line treatments, advice against broad-spectrum antibiotics such fluoroquinolones cephalosporins. However, data from the European Centre for Disease Prevention Control indicates a significant proportion of...
Background As a result of climate change, exposure to high temperatures is becoming more common, even in countries with temperate climates. For patients chronic diseases, heat poses significant health risks. Empowering crucial element protecting the population from adverse effects heat. In this context, self-reports protective behavior are often used gain mutual understanding patients’ issues. However, extent which self-reported associated complaints remains unclear. Objective This study...
<sec> <title>BACKGROUND</title> As a result of climate change, exposure to high temperatures is becoming more common, even in countries with temperate climates. For patients chronic diseases, heat poses significant health risks. Empowering crucial element protecting the population from adverse effects heat. In this context, self-reports protective behavior are often used gain mutual understanding patients’ issues. However, extent which self-reported associated complaints remains unclear....
Abstract Background The aim of this study was to evaluate the awareness and use German guideline “Protection against overuse underuse health care” from general practitioners’ (GPs’) perspective. In addition, assessed how GPs perceive medical what solutions they have for reducing it. Methods We performed a cross-sectional online survey with recruitment 15.06. 31.07.2023. Participants were members College General Practitioners Family Physicians (DEGAM). main outcomes guideline. Results...
This paper contributes to the discussion of whether non-indicated ultrasound examinations thyroid gland contribute overtreatment and excess health care expenditures. Using two sources claims data from Germany, we analyzed patients who underwent a TSH blood test which is initial diagnostic measure check for possible presence dysfunction. In matching analysis, compared costs groups patients. One consisted an early that according medical guidelines-at this point-was probably not indicated. The...