A5024474116- Health and Medical Studies
- Chronic Disease Management Strategies
- Asthma and respiratory diseases
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Telemedicine and Telehealth Implementation
- Health Systems, Economic Evaluations, Quality of Life
- Mobile Health and mHealth Applications
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Sarcoidosis and Beryllium Toxicity Research
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Psychosomatic Disorders and Their Treatments
- Clinical practice guidelines implementation
- Respiratory and Cough-Related Research
- Electronic Health Records Systems
- Healthcare professionals’ stress and burnout
- Medical Coding and Health Information
- Primary Care and Health Outcomes
- Traumatic Brain Injury Research
- Medical Practices and Rehabilitation
- Blood Pressure and Hypertension Studies
- Paranormal Experiences and Beliefs
- Transplantation: Methods and Outcomes
- Biomedical and Chemical Research
- Innovations in Medical Education
German Center for Lung Research
2014-2025
Medizinische Hochschule Hannover
2016-2025
Hochschule Hannover
2012-2018
Institut Universitari d'Investigació en Atenció Primària Jordi Gol
2017
University of Bremen
2012
Klinik Bad Reichenhall
2010
With the onset of COVID-19, general practitioners (GPs) and patients worldwide swiftly transitioned from face-to-face to digital remote consultations. There is a need evaluate how this global shift has impacted patient care, healthcare providers, carer experience, health systems. We explored GPs' perspectives on main benefits challenges using virtual care. GPs across 20 countries completed an online questionnaire between June-September 2020. perceptions barriers were free-text questions....
Importance Better understanding of patients’ attitudes toward deprescribing specific medications will inform future interventions. Objective To investigate older adults’ by investigating which they would like to have deprescribed, the reasons why, and patient factors associated with interest in deprescribing. Design, Setting, Participants This survey study was conducted from May 2022 December 2023 primary care settings 14 countries. Patients aged 65 years or taking 5 more were consecutively...
Background: A shortage of primary care physicians (PCPs) seems likely in Germany the near future and already exists some parts country.Many currently practicing PCPs will soon reach retirement age, recruiting young for family practice is difficult.The attractiveness depends on job satisfaction PCPs.We studied among Lower Saxony, a large federal state Germany.
Abstract Background General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to pandemic. We provide here an analysis of guidelines for reorganisation GP surgeries during beginning pandemic from 15 countries. Methods A network GPs collaborated together three-step process: (i) identification recommendations surgery reorganisation, according WHO, CDC and health professional resources care facilities; (ii)...
Although pulmonary rehabilitation (PR) is commonly used for asthmatics in many countries, so far there are no studies addressing the question of whether and how long an improvement asthma control (AC) seen after rehabilitation. The ProKAR study (Prospektive Katamnesestudie Asthma-Rehabilitation) was performed to provide data concerning short- long-term impact PR on AC.Two-hundred one adult patients with mild severe persistent were prospectively followed year completion a 3-week program. AC,...
Background Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for holistic approach Family Medicine (FM) and long-term care. To avoid this pitfall European General Practitioners Research Network (EGPRN) designed a comprehensive of multimorbidity using systematic literature review. Objective translate that English into languages validate semantic, conceptual cultural homogeneity...
General Practice (GP) seems to be perceived as less attractive throughout Europe. Most of the policies on subject focused negative factors. An EGPRN research team from eight participating countries was created in order clarify positive factors involved appeals and retention GP The objective explore supporting satisfaction Practitioners (GPs) clinical practice Qualitative study, employing face-to-face interviews focus groups using a phenomenological approach. setting primary care European...
Background The extent to which digital technologies are employed promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic maturity both necessary ensure a successful, scalable sustainable transformation in healthcare. However, primary care has been scarcely evaluated. Objectives This study assessed General Practice (GP) globally evaluated its association with participants' demographic characteristics, practice characteristics features Electronic...
Most COVID-19 patients were treated in primary health care (PHC) Europe.To demonstrate the scope of PHC workflow during pandemic emphasising similarities and differences patient's clinical pathways Europe.Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire 30 European countries, created ad hoc agreed upon among all researchers who participated study. GPs from each country answered approved questionnaire. Main variable: acute pathway. All variables...
Abstract Background General practitioners (GPs) should regularly review patients’ medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm health. However, deprescribing can be challenging for physicians. This study investigates GPs’ decisions in 31 countries. Methods In this case vignette study, GPs were invited to participate an online survey containing three clinical cases of oldest-old multimorbid patients with potentially polypharmacy. Patients differed terms...
Abstract Background During the COVID-19 pandemic, majority of patients received ambulatory treatment, highlighting importance primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization indicators could facilitate efficient monitoring and coordination pandemic response. objective study to describe for disease surveillance COVID-19’s impact Europe. Methods Descriptive, cross-sectional employing data obtained through a...
Background/objectives: Attitudes towards COVID-19 vaccination vary globally, influenced by political and cultural factors. This research aimed to assess the views of people without a healthcare qualification in Europe on safety, effectiveness, necessity as well how informed they felt. The secondary outcomes focused respondents’ were affected demographic context factors included comparison country level feeling informed. Methods: A mixed-method cross-sectional online survey eight European...
Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, practitioners (GPs) face obstacles effectively implementing it, with associated factors remaining unclear. The PACE GP/FP study aims explore GPs' attitudes towards PCC facilitating or hindering its implementation daily practice across European countries. This paper outlines protocol. cross-sectional...
Introduction The COVID-19 pandemic has significantly impacted general medical practice by altering work structures and increasing teamwork while also adversely affecting the mental health of practitioners family medicine specialists. This study assesses depression, anxiety, fear levels among specialists in Europe 2 years after pandemic’s onset, it explores influencing factors. Methods observational cross-sectional included participants from 13 European countries. Data was collected May to...
Treatment of asthma does not always comply with guidelines (AG). This may be rooted in direct or indirect resistance on the doctors' and/or patients' side caused by healthcare system. To assess whether concepts and attitudes are really an implementation barrier for AG, we analysed perspective a "good therapy" contrasted their wishes current recommendations. Using qualitative exploratory design, topic centred focus group (FG) discussions were performed until theoretical saturation was...
Real-world data on the effects of a multicomponent pulmonary rehabilitation (PR) for patients with sarcoidosis are scarce.To describe characteristics referred 3-week inpatient PR, to assess PR their quality life (QoL) and clinical outcomes, investigate whether there specific subgroups who particularly benefit from PR.Using prospective multicentre study design, regarding 6-min walking distance (6MWD), QoL (Saint George's Respiratory Questionnaire, SGRQ), secondary outcomes dyspnoea...
Background In recent decades, virtual care has emerged as a promising option to support primary delivery. However, despite the potential, adoption rates remained low. With outbreak of COVID-19, it suddenly been pushed forefront As we progress into second year COVID-19 pandemic, there is need and opportunity review impact remote had in settings reassess its potential future role. Objective This study aims explore perspectives general practitioners (GPs) family doctors on (1) use during (2)...
From a systematic literature review (SLR), it became clear that consensually validated tool was needed by European General Practitioner (GP) researchers in order to allow multi-centred collaborative research, daily practice, throughout Europe. Which diagnostic for depression, against psychiatric examination according the DSM, would GPs select as best use clinical taking into account combination of effectiveness, reliability and ergonomics? A RAND/UCLA, which combines qualities Delphi process...
Abstract Chronic obstructive pulmonary disease (COPD) is a debilitating medical condition often accompanied by multiple chronic conditions. COPD more frequent among older adults and affects both genders. The aim of the current cross-sectional survey was to characterize comorbidities stratified gender age patients with under care general practitioners (GP) pulmonologists, using real-world patient data. A total 7966 (women: 45%) than 5 years observation period in practice were examined 60...
Multimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the based on systematic review literature which closely linked to patient complexity and biopsychosocial model. This was identified by European Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding issues around multimorbidity, we needed do innovative research clarify this concept. The...
359 lung transplantations were performed in Germany 2013. The main goals of transplantation are to prolong survival and improve the quality life. Both these can be reflected a return employment. We report first study employment after Germany.We evaluated findings single-center, questionnaire-based cross-sectional investigation social economic situation 531 patients (September 2009 March 2010) obtained 5-year follow-up data December 2014.38% employed transplantation. They took mean ten sick...