A5021283346- Health and Medical Studies
- Medical and Health Sciences Research
- Medical Practices and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Biomedical and Chemical Research
- Chronic Disease Management Strategies
- Pharmaceutical Practices and Patient Outcomes
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Diabetes Management and Education
- Diabetes Treatment and Management
- Diet and metabolism studies
- Blood Pressure and Hypertension Studies
- Metabolism and Genetic Disorders
- Pharmaceutical studies and practices
- Acute Myocardial Infarction Research
- Pediatric Urology and Nephrology Studies
- Criminal Law and Policy
- Health Promotion and Cardiovascular Prevention
- Digital Innovation in Industries
- Autoimmune Bullous Skin Diseases
- Urticaria and Related Conditions
- Medical Imaging and Pathology Studies
- Inflammatory Myopathies and Dermatomyositis
- Cardiac Imaging and Diagnostics
Medizinisches Versorgungszentrum Prof. Mathey, Prof. Schofer
2025
Gesundheit Österreich
2022-2024
Paracelsus Medical University
2007-2022
Medical University of Vienna
2018-2022
Hochschule Düsseldorf University of Applied Sciences
2021
FOM University of Applied Sciences for Economics and Management
2021
Manchester Academic Health Science Centre
2018-2021
University of Manchester
2018-2021
National Institute for Health Research
2020
Witten/Herdecke University
2012-2019
The term potentially inadequate medication (PIM) is used to describe substances that may be unsuitable for use inthe elderly and should avoided. PRISCUS list, published in 2010, was the first catalog of PIM designed Germandrug market become adopted practice. While 24% German patients aged ≥ 65 years were prescribed at least one PIMper year 2009, proportion 2019 only 14.5%.In a three-round Delphi process, experts from clinical practice research evaluated whether selected substancesare...
<b>PURPOSE</b> We wanted to determine the effect of promoting effective communication absolute cardiovascular disease (CVD) risk and shared decision making through disseminating a simple aid for use in family practice consultations. <b>METHODS</b> The study was based on pragmatic, cluster randomized controlled trial (phase III) with continuing medical education (CME) groups physicians as unit randomization. In intervention arm, 44 (7 CME groups) consecutively recruited 550 patients whom...
Background/objective: Chest pain is a common complaint and reason for consultation. We aimed to study the epidemiology of chest with respect underlying aetiologies establish pre-work-up probabilities primary care setting. Methods: included 1212 consecutive patients pain, aged 35 years older, attending 74 general practitioners (GPs). GPs recorded symptoms findings each patient provided follow-up information. An independent interdisciplinary reference panel reviewed clinical data every decided...
Disease management programmes (DMPs) are costly and impose additional work load on general practitioners (GPs). Data their effectiveness inconclusive. We therefore conducted a cluster-randomised controlled trial to evaluate the of Austrian DMP for diabetes mellitus type 2 HbA1c quality care adult patients in primary care. All GPs Salzburg-province were invited participate. After cluster-randomisation by district, all with recruited consecutively from 7-11/2007. The DMP, consisting mainly...
The patients’ active participation in their medical care is important for patients with chronic diseases. Measurements of patient activation are needed studies and clinical practice. This study aims to validate the Patient Activation Measure 13 (PAM13-D) German-speaking primary patients. international cross-sectional multicentre enrolled consecutively from practices three countries: Germany, Austria, Switzerland. Patients completed PAM13-D questionnaire. General Self-Efficacy scale (GSE) was...
Background: Chest pain can be caused by various conditions, with life-threatening cardiac disease being of greatest concern. Prediction scores to rule out coronary artery have been developed for use in emergency settings. We and validated a simple prediction primary care. Methods: conducted cross-sectional diagnostic study 74 care practices Germany. Primary physicians recruited all consecutive patients who presented chest ( n = 1249) recorded symptoms findings each patient (derivation...
Self-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether how self-management integrated into approaches 13 European countries. In addition, it investigates level barriers implementation strategies health practice. We conducted review among participating countries, based on common data template informed by Chronic Care Model. Key informants presented sample...
Chronic diseases affect more than half of the population ≥75 years age in developed countries. Prescription medication use increases with age. Depending on definition, 25–80% elderly are exposed to polypharmacy. Polypharmacy risk hospitalization, interactions and adverse drug reactions. To examine frequency errors patients polypharmacy treated general practice. The medications 169 22 GP surgeries Austria were analysed. analysis identified (i) errors, including non-evidence-based medications,...
Polypharmacy is common in older people and associated with potential harms. The aim of this study was to analyse the characteristics an multimorbid population polypharmacy identify factors contributing excessive these patients. This cross-sectional analysis based on PRIMA-eDS trial, a large randomised controlled multicentre primary care. Patients’ baseline data were used for analysis. A number socioeconomic medical as well SF-12-scores entered into generalized linear mixed model variables...
Abstract Objective To evaluate the effects of a computerised decision support tool for comprehensive drug review in elderly people with polypharmacy. Design Pragmatic, multicentre, cluster randomised controlled trial. Setting 359 general practices Austria, Germany, Italy, and United Kingdom. Participants 3904 adults aged 75 years older using eight or more drugs on regular basis, recruited by their practitioner. Intervention A newly developed electronic comprising to practitioners...
Multimorbidity is increasing in aging populations with a corresponding increase polypharmacy as well inappropriate prescribing. Depending on definitions, 25-50 % of patients aged 75 years or older are exposed to at least five drugs. Evidence that polypharmacy, even when guidelines advise the prescribing each drug individually, can potentially cause more harm than benefit patients, due factors such drug-drug and drug-disease interactions. Several approaches reducing have been proposed, but...
Patients do not always receive guideline-adherent therapy, yet little is known about the underlying causes on patients' side. We quantified non-guideline-adherent treatment of chronic diseases (diabetes mellitus, hypertension, cardiovascular disease, heart failure, atrial fibrillation) in primary care and analysed from physician's as well patient's view.With intention to analyze frequency patients with diseases, we drew a random sample 124 general practitioners (GP) Salzburg, Austria, which...
Diagnosing the aetiology of chest pain is challenging. There still a lack data on diagnostic accuracy signs and symptoms for acute coronary events in low-prevalence settings.To evaluate patients presenting to general practice with pain.Cross-sectional study delayed-type reference standard.Seventy-four practices Germany.The included 1249 consecutive pain. Data were reviewed by an independent panel, heart disease (CHD) indication urgent hospital admission as conditions. Main outcome measures...
Background The treatment of upper respiratory tract infections (URTIs) accounts for the majority antibiotic prescriptions in primary care, although an therapy is rarely indicated. Non-clinical factors, such as time pressure and perceived patient expectations are considered to be reasons prescribing antibiotics cases where they not improper use antibiotics, however, can promote resistance cause serious side effects. aim study was clarify whether prescription rate lowered by means a short (2 x...
Person-centred care (PCC) has been suggested as the preferred model of dementia in all settings. The EPCentCare study showed that an adapted PCC approach was difficult to implement and had no effect on prescription antipsychotics nursing home residents Germany. This paper reports qualitative process evaluation identify facilitators barriers implementation German homes from perspective participating practice development champions.Five individual 14 group interviews were conducted with 66...