Felix Mühlensiepen

Felix Mühlensiepen
Medizinische Hochschule Brandenburg · Center for Health Services Research

Dr. rer. medic. MPH

About

56
Publications
3,116
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127
Citations
Citations since 2016
56 Research Items
127 Citations
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20162017201820192020202120220102030405060

Publications

Publications (56)
Article
Full-text available
Background Previous studies have demonstrated telemedicine (TM) to be an effective tool to complement rheumatology care and address workforce shortage. With the outbreak of the SARS-CoV-2 pandemic, TM experienced a massive upswing. However, in rheumatology care, the use of TM stagnated again shortly thereafter. Consequently, the factors associated...
Article
Full-text available
Background To address the problem of overuse of elective surgery and to support patients in their decision-making process, a Second Opinion Directive was introduced in Germany, which enables patients with statutory health insurance to obtain a second opinion for certain surgical indications. The study aims to identify, based on the experiences of p...
Article
OBJECTIVE. To explore health care professionals’ (HCPs) perspectives, experiences and preferences towards digital technology use in routine palliative care delivery. METHODS. HCPs (n=19) purposively selected from a sample of settings that reflect routine palliative care delivery (i.e. specialized outpatient palliative care, inpatient palliative ca...
Article
Full-text available
Background The COVID-19 pandemic led to transformations in healthcare infrastructures and increased use of (innovative) telemedicine (TM) tools. Comparison of the use of video consultation (VC) in rheumatology in the pre-pandemic period and during the pandemic might allow for evaluating this new form of consultancy in healthcare due to changing con...
Article
Full-text available
Objective A steadily increasing demand and decreasing number of rheumatologists push current rheumatology care to its limits. Long travel times and poor accessibility of rheumatologists present particular challenges for patients. Need-adapted, digitally supported, patient-centered and flexible models of care could contribute to maintaining high-qua...
Article
Full-text available
Patient-reported outcomes (PRO) represent a cornerstone in the management of patients with rheumatoid arthritis (RA). However, PRO are currently recorded mainly on paper and only during on-site appointments. Electronic PRO (ePRO) enable continuous remote monitoring and could improve shared decision-making (SDM) and implementation of a treat-to-targ...
Article
Full-text available
Introduction Being able to independently determine vaccine induced antibody responses by minimal-invasive methods is of great interest to enable a flexible and effective vaccination strategy. This study aimed to evaluate (1) the accuracy, feasibility, usability and acceptability of capillary blood and saliva self-sampling to determine SARS-CoV-2 an...
Article
Full-text available
Early and effective discrimination (triage) of patients with inflammatory rheumatic diseases (IRD) and other diseases (non-IRD) is essential for successful treatment and preventing damage. The aim of this study was to investigate diagnostic delays and pre-diagnosis treatment in patients newly presenting to rheumatology outpatient clinics. A total o...
Article
Full-text available
Objectives To evaluate the feasibility, accuracy, usability and acceptability of two upper arm self-sampling devices for measurement of autoantibodies and C reactive protein (CRP) levels in patients with immune-mediated rheumatic diseases (IMRDs). Methods 70 consecutive patients with IMRD with previously documented autoantibodies were assigned to...
Preprint
Full-text available
Background: A Second Opinion Directive (SOD) was introduced in Germany in December 2018 for elective surgeries such as hysterectomy, tonsillotomy, tonsillectomy, and shoulder arthroscopy. The aim of the SOD is to avoid surgeries which are not medically induced and to support patients in their decision-making process. A physician who indicates an SO...
Article
Full-text available
Introduction Rheport is an online rheumatology referral system allowing automatic appointment triaging of new rheumatology patient referrals according to the respective probability of an inflammatory rheumatic disease (IRD). Previous research reported that Rheport was well accepted among IRD patients. Its accuracy was, however, limited, currently b...
Article
Full-text available
A new Second Opinion Directive (SOD) was introduced in Germany in December 2018 for hysterectomy, tonsillotomy, and tonsillectomy to support shared decision making and to avoid unnecessary surgeries. Owing to its recent implementation, evidence and insights regarding outcomes and challenges encountered with the SOD are lacking, notably from the phy...
Article
Full-text available
To effectively self-manage a chronic disease, patients require specific education. In clinical routines, rheumatologists and other healthcare professionals often cannot devote the necessary time to adequately educate their patients. Digital technologies such as mobile applications represent promising tools to overcome this problem. This study aims...
Article
Background During the COVID-19 pandemic telemedicine tools rapidly and widely gained acceptance as indispensable management tools for the continuum of clinical care in rheumatic diseases. They have been adopted in position papers and guidelines for the management of rheumatic diseases in adult patients. Objectives Evaluation of the use of video co...
Article
Full-text available
The working routines in palliative care nursing are associated with a variety of causes of stress with regional and setting-specific differences in Germany. This mixed-methods study aimed to investigate the mental and physical well-being among nurses in German palliative and hospice care and to gain a deeper understanding of procedural and structur...
Preprint
Training in robust research practices is becoming increasingly common. However, many course participants may encounter challenges in implementation of what they learned after returning to their research groups. In this piece, we summarize insights and "lessons learned" from a group of former course participants. We offer practical tips on implement...
Article
Full-text available
Introduction An increasing number of digital tools, including dedicated diagnostic decision support systems (DDSS) exist to better assess new symptoms and understand when and where to seek medical care. The aim of this study was to evaluate patient's previous online assessment experiences and to compare the acceptability, usability, usefulness and...
Article
Zusammenfassung Hintergrund Die Durchführung von Videosprechstunden in der ärztlichen Versorgung von Pflegeeinrichtungsbewohner:innen kann die Primärversorgung in ländlichen Gebieten unterstützen und dem Fachkräftemangel entgegenwirken. Bisher beschränkt sich jene auf Pilotprojekte und ist noch nicht flächendeckend implementiert. Die vorliegende S...
Article
Full-text available
BACKGROUND: Telehealth approaches are increasingly being used to support patients with advanced diseases, including cancer. Evidence suggests telehealth is acceptable to most patients, however the extent of and factors influencing patient engagement remain unclear. OBJECTIVE: To characterise the extent of engagement with telehealth interventions in...
Article
Full-text available
# # # # Background: The past decade has witnessed the establishment of flexible and integrative treatment (FIT) models in 55 German and Polish psychiatric catchment areas. FIT is based on a global treatment budget (GTB), which integrates funding of all acute psychiatric hospital services for a regional population. Prior research has identified 11 s...
Article
Full-text available
OBJECTIVE: To explore and analyse causes of stress among nurses in palliative and inpatient hospice care settings in Germany during the COVID-19 pandemic. DESIGN: Explorative, qualitative study using problem-centered interviews. Interview data was analysed using structured qualitative content analysis. SETTING: Telephone interviews with nurses of...
Article
Full-text available
Innovative strategies are needed to adequately assess and monitor disease activity of patients with rheumatoid arthritis (RA) in times of scarce appointments. The aim of the TELERA study is to evaluate the feasibility and performance of asynchronous telemedicine visits based on patient-generated data and patient's drug history. RA patients use a me...
Article
Full-text available
Despite all its promises, telemedicine is still not widely implemented in the care of rheumatic and musculoskeletal diseases (RMDs). The aim of this study is to investigate opportunities, barriers, acceptance, and preferences concerning telemedicine among RMD patients and professional stakeholders. From November 2017 to December 2019, a participato...
Conference Paper
Hintergrund und Stand (inter)nationaler Forschung: Die Bedeutung von digitalen Technologien nimmt in allen Lebensbereichen rasant zu und führt zu grundlegenden Änderungen in der Kommunikation und im Informationstransfer. Informations- und Kommunikationstechnologien (IKT) werden als Möglichkeit gesehen, den Austausch in der Palliativversorgung (PV)...
Article
Digitalization in medicine is of major interest since the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. This article tries to present the induced changes and technical solutions with respect to the different parts in the patient journey. Symptom checkers, new health applications, digital appointment management etc. are desc...
Research
20. Deutscher Kongress für Versorgungsforschung (DKVF). sine loco (digital), 06.-08.10.2021. Düsseldorf: German Medical Science GMS Publishing House, 2021. Doc21dkvf373.
Conference Paper
Full-text available
This paper reports on the results of a secondary analysis of qualitative and quantitative research data focused on the socio-demographic and-economic dimension of digital health service and telemedicine use in German rheumatology care. The qualitative data analysis revealed that particularly age, place of residence and economic wealth are attribute...
Article
Background Telehealth approaches are increasingly being used to support patients with advanced diseases, including cancer. Evidence suggests that telehealth is acceptable to most patients; however, the extent of and factors influencing patient engagement remain unclear. Objective The aim of this review is to characterize the extent of engagement w...
Preprint
BACKGROUND Telehealth approaches are increasingly being used to support patients with advanced diseases, including cancer. Evidence suggests that telehealth is acceptable to most patients; however, the extent of and factors influencing patient engagement remain unclear. OBJECTIVE The aim of this review is to characterize the extent of engagement w...
Article
Full-text available
Background Telemedical care of nursing home residents in Germany, especially in rural areas, is limited to a few pilot projects and is rarely implemented as part of standard care. The possible merits of implementing video consultations in longer-term nursing care currently lack supporting evidence. In particular, there is little documentation of ex...
Article
Introduction This study examines the consequences of the COVID-19 pandemic on outpatient care in the German federal state of Brandenburg during the first ‘lockdown’ between 22 March and 4 May 2020, focusing on the burden for physicians and psychotherapists in outpatient practices and on alternative ways to provide care, in particular telehealth. M...
Article
ZUSAMMENFASSUNG Dieser Artikel beschreibt die Akzeptanz, Chancen und Barrieren bei der Implementierung von Telemedizin in die rheumatologische Versorgung aus Sicht von Ärzt*innen und Patient*innen in Deutschland anhand von ausgewählten Forschungsarbeiten. Ärzt*innen weisen dem Einsatz von Telemedizin in der Rheumatologie gegenüber eine hohe Akzepta...
Preprint
Full-text available
Background Telemedical care of nursing home residents in Germany, especially in rural areas, is limited to a few pilot projects and is rarely implemented as part of standard care. The possible merits of implementing video consultations in longer-term nursing care currently lack supporting evidence. In particular, there is little documentation of ex...
Preprint
BACKGROUND The global burden of rheumatic and musculoskeletal diseases (RMDs) is rising. Professional ressources in rheumatology are scarce. The use of telemedicine could improve access to RMD care. Despite all its promises, telemedicine is still not widely implemented in RMD care. OBJECTIVE To investigate opportunities, barriers, acceptance, and...
Article
Full-text available
The global COVID-19 pandemic has led to drastic changes in the management of patients with rheumatic diseases. Due to the imminent risk of infection, monitoring intervals of rheumatic patients have prolonged. The aim of this study is to present insights from patients, rheumatologists, and digital product developers on the ongoing digital health tra...
Article
Full-text available
Background: The worldwide burden of musculoskeletal diseases is increasing. The number of newly registered rheumatologists has stagnated. Primary care, which takes up a key role in early detection of rheumatic disease is working at full capacity. COVID-19 and its containment impede rheumatological treatment. Telemedicine in rheumatology (telerheuma...
Article
Zusammenfassung Ziel Untersucht werden die Bedingungen und Hürden der Einführung von Stationsäquivalenter Behandlung nach § 115d SGB V (StäB). Methode Qualitative Analyse von Interviews und Fokusgruppen mit Mitarbeitenden (n = 43) an 11 psychiatrischen Kliniken in Berlin/Brandenburg. Ergebnisse Auf Systemebene wird die Implementierung u. a. durch e...
Article
Full-text available
Zusammenfassung Der Ausbruch der COVID-19-Pandemie geht mit tief greifenden Einschnitten im Alltag und im Berufsleben einher – sowohl gesamtgesellschaftlich als auch speziell im Gesundheitswesen. Im Fokus der Pandemieeindämmung haben sich vielerorts rheumatologische Routineabläufe verändert. Um den entsprechenden Infektionsschutz der Patienten und...
Preprint
BACKGROUND The worldwide burden of musculoskeletal diseases is increasing. The number of newly registered rheumatologists has stagnated. Primary care, which takes up a key role in early detection of rheumatic disease is working at full capacity. COVID-19 and its containment impede rheumatological treatment. Telemedicine in rheumatology (telerheumat...
Article
Background The number of rheumatologists in Germany does not cover the minimum medical need [1]. This implies long journeys and waiting periods for patients in the context of rheumatologists’ consultations. International studies suggest that telemedicine could resolve these issues and support health care professionals in rheumatologic care [2, 3]....
Article
Zusammenfassung Ziel der Studie Quantitative Daten zur allgemeinen ambulanten Palliativversorgung (AAPV) in Deutschland sind rar. In 2 Regionen Brandenburgs wurde ein Pilotprojekt zur Stärkung der ambulanten Palliativversorgung realisiert und evaluiert. Ziel der vorliegenden Studie ist es, anhand von Dokumentationsdaten aus dem Pilotprojekt einen E...
Article
Objective This study examines the perspectives of patients and family caregivers on outpatient palliative care networks. It contrasts primary palliative care (AAPV) and specialized outpatient care (SAPV) services, particularly in regard to pain management. Methods The study is based on 27 semi-structured, problem-focussed interviews with 21 patien...

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Projects

Projects (5)
Project
Das Projekt führt eine systematische Evaluation des Innovationsfonds beim Gemeinsamen Bundesausschuss (G-BA) unter ausgewählten inhaltlichen Fragestellungen durch (Datenbasis: Projekte des Bewilligungszeitraums 2016-2020). Ein Schwerpunkt der Evaluation ist die Umsetzung von Patientenbeteiligung in den Forschungsdesigns der Förderprojekte. Untersucht wird u.a. die Konzeptualisierung von Partizipation in den verschiedenen Phasen des Forschungsprozesses, die eingesetzten Beteiligungsformate und Möglichkeiten der Mitbestimmung beteiligter Personengruppen. Ein weiterer Schwerpunkt liegt in der Analyse der Innovationspotenziale der Region Berlin-Brandenburg. Hierfür werden Charakteristika der Förderprojekte und regionale Forschungsnetzwerke untersucht, Innovationsanliegen der Region herausgearbeitet und die ersten vorliegenden Evaluationen und Entscheidungen des Innovationsausschusses hinsichtlich einer Überführung in die GKV-Regelversorgung ausgewertet. Projektbeschreibung auf der Webseite des Zentrums für Versorgungsforschung Brandenburg (ZVF-BB) an der Medizinischen Hochschule Brandenburg: https://www.mhb-fontane.de/projekte.html
Project
This project (EICP) consists of participants from Germany (Applicant organisation), Czech Republic, Croatia and Poland, who are key Europen stakeholders in Evidence-Based Healthcare (EBHC) in these countries. It is a combination of partners from universities who are focused on EBHC. The project members made initial contact thanks to the EVBRES Cost Action, Joanna Briggs Collaboration and Cochrane Collaboration which are not-for-profit organizations and European COST action and some project partners are members of this collaboration and COST Action. The EICP project was developed to address the needs of improving the skills and qualifications of European project partners in EBHC and critical thinking, especially in the implementation and utilization of evidence in healthcare clinical practice. The core idea of the project is to support cooperation and exchange of know-how within the unique Evidence Implementation Training Programme (EITP) context. Based on the current situation, there is not a completely established educational programme which is focused on evidence implementation into practice in Europe. This means that professionals in healthcare across Europe need to improve their experience and skills with the implementation of the research evidence into their practice. It is especially important in this era when praxis in some healthcare fields lags more than twenty years behind science. Critical thinking is a crucially important part of EHBC in our information era where is every year published in the PubMed, which is one of the relevant healthcare databases more than a million new publications yearly. The coordinator of this project from Germany is totally into the process of evidence-based research and Dissemination and implementation in different stakeholder groups, the Partner from Czech republic is one of the few institutions in Europe who has trainers qualified to deliver the unique EITP which was developed by experts from the Joanna Briggs Institute (JBI), Faculty of Health and Medical Sciences, University of Adelaide, Australia. JBI is a world leader in the field of EBHC towards evidence implementation, having developed the unique EITP. The key objective of this project is to decrease the gap between research and practice in healthcare and support international cooperation of professionals in healthcare. The project aims to support the development, transfer and implementation of innovative practice. The main direct impact of the project will be on the project participants enhancement of professional skills, enhancement of academics, social and economic benefits, and networking. The indirect impact will be provided by the Best Practice Implementation Projects (BPIPs), which have a significant potential to innovate current healthcare practice and thus to maintain the more effective and cost-effective practice, which will benefit patients/consumers and reduce the redundant economic burden of healthcare. To disseminate the project outcomes, a Dissemination plan will be implemented. The plan will comprise four different lines of actions: educational dissemination, clinical dissemination, online dissemination /internet/, and press and it will give clear measures and priorities of how to spread the findings and results elaborated by the project to the target public (local, regional, national, European and international). One of the important outcomes of the project will be to develop closer cooperation among European EBHC into strong European consortia, to disseminate and implement EBHC in terms of evidence implementation into practice. https://ec.europa.eu/programmes/erasmus-plus/projects/eplus-project-details/#project/2020-1-DE01-KA203-005669
Project
To evaluate various patient-centric eHealth applications in Rheumatology.