A5023058832- Interprofessional Education and Collaboration
- Chronic Disease Management Strategies
- Childhood Cancer Survivors' Quality of Life
- Nursing Roles and Practices
- Clinical practice guidelines implementation
- Hip disorders and treatments
- Acute Lymphoblastic Leukemia research
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Spinal Cord Injury Research
- Family Support in Illness
- Hip and Femur Fractures
- Adolescent and Pediatric Healthcare
- Cerebral Palsy and Movement Disorders
- Ultrasound in Clinical Applications
- Radiation Dose and Imaging
- Radiology practices and education
- Orthopaedic implants and arthroplasty
- Healthcare cost, quality, practices
- Health, Medicine and Society
- Neurogenetic and Muscular Disorders Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Palliative Care and End-of-Life Issues
- Pleural and Pulmonary Diseases
University of Lucerne
2018-2025
Interface Politikstudien (Switzerland)
2017-2025
University of Bern
1991-2023
LMU Klinikum
2023
Ludwig-Maximilians-Universität München
2023
University Children's Hospital Zurich
2023
University Children’s Hospital Basel
2023
University of Basel
2023
Community Care
2017-2022
Federal Office of Public Health
2020-2021
Primary care is facing a multimorbid, ageing population and lack of general practitioners (GPs), especially in rural areas. In many countries, advanced practice nurses (APNs) may be potential solution for these challenges. Switzerland, however, the early stages APN role development with handful pilot projects that are unresearched. Our aim was to explore experiences APNs GPs involved introducing Swiss primary care.We organised two focus group discussions (n = 9) engaged across...
Background Knowledge about their past medical history is central for childhood cancer survivors to ensure informed decisions in health management. information provision and needs this population still scarce. We thus aimed assess: (1) the reported have received on disease, treatment, follow-up, late effects; (2) these four domains format which they would like it provided; (3) association with psychological distress quality of life (QoL). Procedure As part Follow-up survey Swiss Childhood...
For many childhood cancer survivors follow-up care is important long after treatment completion. We aimed to describe the availability and characteristics of long-term programs (LTFU) across Europe, their content aims, problems, assess opinions on different models LTFU.We asked 179 pediatric oncology institutions in 20 European countries complete an online survey LTFU available at institution. Of 110 respondents (62% response), 66% reported having for survivors, 38% adult cancer....
Professionals treating adolescents with cancer must communicate well them and their parents. Evidence suggests that the communication needs of this population are rarely met. Skills training can improve professional communication, but has been criticized for not being based on experience participants in clinical encounter. We took a multiperspective approach, drawing perspectives former cancer, patients' parents, physicians, nurses aim to provide suggestions improvement adolescent...
Objective: To identify barriers to access healthcare services and reveal determinants of satisfaction with in people chronic spinal cord injury (SCI).Design: Cross-sectional survey.Setting: Community setting Switzerland.Participants: People SCI.Interventions: Non-applicable.Outcome Measures: Questionnaire-based evaluation availability quality for secondary health conditions, fulfillment needs, preference care from a hypothetical service provider limited specialized SCI expertise but close...
Background Life partnerships other than marriage are rarely studied in childhood cancer survivors (CCS). We aimed (1) to describe life partnership and CCS compare them siblings the general population; (2) identify socio-demographic cancer-related factors associated with marriage. Methods As part of Swiss Childhood Cancer Survivor Study (SCCSS), a questionnaire was sent all (aged 20–40 years) registered Registry (SCCR), aged <16 years at diagnosis, who had survived ≥5 years. The proportion...
Relapses occur in about 20% of children with acute lymphoblastic leukemia (ALL). Approximately one-third these can be cured. Their risk for late effects is high because intensified treatment, but their health-related quality life (HRQOL) was largely unmeasured. Our aim to compare HRQOL ALL survivors the general population, and relapsed non-relapsed survivors.As part Swiss Childhood Cancer Survivor Study (SCCSS) we sent a questionnaire all Switzerland who had been diagnosed between 1976-2003...
Abstract We investigated the prevalence and treatment of patients with chronic insomnia presenting to Swiss primary care physicians (PCPs) part “Sentinella”, a nationwide practice‐based research network. Each PCP consecutively asked 40 if they had sleep complaints, documented frequency, duration, comorbidities, reported ongoing treatment. analysed data 63% (83/132) PCPs invited. The 76% (2,432/3,216) included about their (51% female); 31% (761/2,432) these symptoms; 36% (875/2,432) current...
Abstract Background Management of patients with polypharmacy is challenging, and evidence for beneficial effects deprescribing interventions mixed. This study aimed to investigate whether a patient-centred intervention PCPs results in reduction polypharmacy, without increasing the number adverse disease events reducing quality life, among their older multimorbid patients. Methods cluster-randomised clinical 46 primary care physicians (PCPs) 12 months follow-up. We randomised into an control...
Abstract Background Mongolian traditional swaddling of infants, where arms and legs are extended with a tight wrapping hips in adduction position, may lead to abnormal maturation formation the hip joint; is contributing factor for developmental dysplasia (DDH). This hypothesis was tested this randomized controlled trial. Methods Eighty newborns one or two at risk worsening DDH (Graf Type 2a; physiologically immature hips) birth were into 2 groups tertiary hospital Ulaanbaatar. The...
Abstract Background Doctors’ unwillingness to share responsibility acts as a major barrier interprofessional collaboration (IPC). Educating both doctors and allied health professionals in taking on or relinquishing could enhance IPC. Yet there is no evidence that these educational efforts increase IPC willingness. This study aims (1) compare the willingness take relinquish for decision-making patient care their strengthen between members of five main professions, (2) investigate associations...
Dementia is often underdiagnosed in general practice, which may be based on practitioners' (GPs') knowledge and emotional factors as well external problems. This study aimed to describe GPs' attitudes toward early diagnosis of dementia. Cross-sectional postal survey Switzerland 2017. Members the Swiss Association General Practitioners (N = 4460) were asked participate survey. The questionnaire assessed attitudes, enablers barriers dementia post-diagnostic intervention strategies. Exploratory...
Mongolia is the first Asian country to launch universal ultrasound screening for newborns with developmental dysplasia of hip (DDH). The aims this study were determine coverage and treatment rate programme.Data from birth statistics 29 hospitals retrospectively reviewed (2010 2016, pre-nationwide phase; 2017 2019, nationwide programme). DDH was diagnosed using Graf-technique treated according 'ABCD', a modified Graf classification (Group A: Type 1, mature; B: 2a, physiologically immature; C:...
BackgroundIn Mongolia, adequate early diagnosis and treatment of developmental hip dysplasia (DDH) have been unavailable its incidence was unknown. We determined the ultrasonographic DDH in newborns established procedures for at largest maternity hospital Ulaanbaatar, Mongolia. Methodology/Principal FindingsDuring one year (Sept 2010 – Aug 2011) we assessed hips using ultrasound Graf's classification DDH. 8,356 were screened; median age screening 1 day. identified 14,873 Type (89.0%), 1715...
Background Cognitive problems can have a negative effect on person's education, but little is known about cognitive in young childhood cancer survivors (survivors). This study compared between and their siblings, determined if decreased during recent treatment periods identified characteristics associated with the presence of problem survivors. Methods As part Swiss Childhood Cancer Survivor Study, questionnaire was sent to all survivors, aged 8–20 years, registered Registry, diagnosed at...
Considering shortages of general practitioners (GP) and strategies for improving the quality health care provision, many countries have implemented interprofessional models with advanced practice nurses (APN). International evidence suggests that APN results in high patient satisfaction. In Switzerland, role is still new, perspective has not yet been researched. Our aim was therefore to explore patients' experiences Swiss family practices.We conducted 22 semi-structured interviews four...
Abstract Background Diagnostic ultrasound has become a bedside tool widely available to many primary care physicians (PCPs) in Europe. It is often used as point-of-care ultrasonography (POCUS) this setting. In Switzerland, certain POCUS examinations are listed learning objectives existing training programs (we defined these swissPOCUS = sPOCUS). Ultrasound performed by PCPs can lead faster diagnostic workup and reduce referral secondary units. However, adequate crucial guarantee high...
It is difficult to enlist the participation of medical general practitioners (GPs) in research studies. We aimed determine willingness GPs central Switzerland participate research, and identify factors that facilitate or hinder by GPs. To end, we conducted a postal questionnaire survey all 268 active canton Lucerne. The explored their interest participating projects (yes/no) potentially influence (5-point Likert scale from "very important" "not at important"). contacted non-responders phone....
As published data on 25-hydroxy-cholecalciferol (25(OH)D) deficiency in primary care settings is scarce, we assessed the prevalence of hypovitaminosis D, potential associations with clinical symptoms, body mass index, age, Vitamin D intake, and skin type unselected patients from care, extent seasonal variations serum 25(OH)D concentrations.25(OH)D was measured at end summer and/or winter 1682 consecutive using an enzyme-linked immunosorbant assay. Clinical symptoms were by self-report...
Abstract Background Ultrasound imaging is utilized in Swiss primary care; however, little known regarding the extent to which it performed. With this study, we aim (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine clinical indications practice. Methods This a quantitative analyzing 15 years billing data from 213 GPs Central Switzerland, cross-sectional survey completed 61 attending 26 certification refresher courses offered Society Medicine (SGUM)....
Abstract Background Although general practitioners (GPs) are generally considered as the first point of contact for care, this may be different persons with complex conditions, such those spinal cord injury (SCI). The objective study is to understand differences in long-term care provision by GPs and SCI-specialists, examining (1) SCI health problems, (2) morbidity profile use health-care services relation contact, (3) factors associated choice contact. Methods In cross-sectional based on...
Abstract Inspired by the Dartmouth Atlas of Health Care, an early version Swiss Care (SAHC) was released in 2017. The SAHC provides intuitive visualization regional variations medical care delivery and thus allows for a broad diffusion contents. That is why became widely accepted amongst health stakeholders. In 2021, relaunch initiated to update as well significantly expand scope measures depicted on platform, also integrating indicators outpatient order better reflect linkages between...