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Introduction
Current projects: DECADE, MSHS, SESAM-6, CATMED, Global Health Initiative Dresden, Teaching Network Migration and Health;
Previous projects: Patientenbriefe (Patient Letters), Diabetes Literacy (7th Framework Programme), AvoZyst
Current institution
Current position
- Senior research fellow and Deputy head for research at the Department for General Practice
Publications
Publications (84)
Introduction
Cardiovascular diseases (CVD) are the most common cause of death in Germany. General practitioners (GPs) have an important role in supporting patients in the prevention of CVD. The DECADE intervention was developed to encourage patients to improve self-management in order to prevent CVD, addressing both GPs and patients. This study foc...
Introduction
The COVID-19 pandemic and the preventive measures led to a change in the health behaviour among the population. Medical students were particularly affected by this. Previous studies primarily focused on few health behaviours, were mostly conducted in 2020–2021, and did not assess the persistence of these behaviours post-pandemic.
Meth...
As part of the Hub Communities' Annual Theme 2024: Global Health in Conflict Settings presented Global Health Talk 2024 (5-6 December, 2024) organised by Global Health Hub Germany, Berlin, Germany.
Introduction
General practitioners (GPs) are mostly the first point of contact for patients with health problems in Germany. There is only a limited epidemiological overview data that describe the GP consultation hours based on other than billing data. Therefore, the aim of Saxon Epidemiological Study in General Practice-6 (SESAM-6) is to examine t...
This policy brief aims to provide a comprehensive framework with key policy recommendations and actions that highlight the critical importance of addressing the health challenges faced by migrants and refugees in host countries. By addressing facilitators, barriers, frontline worker experiences, system integration, and specific healthcare needs, th...
Zusammenfassung
Hintergrund 54% der deutschen Bevölkerung verfügt über eine eingeschränkte Gesundheitskompetenz. Eingeschränkte Gesundheitskompetenz ist assoziiert mit schlechteren Gesundheitsoutcomes und höherer Inanspruchnahme des Gesundheitssystems.
Ziel der Arbeit In der Pilotstudie wurden Effekte eines Patientenbriefs auf die Gesundheitskompet...
Zusammenfassung
Patient*innen mit Migrationsgeschichte stoßen im deutschen Gesundheitssystem vielfach auf Zugangsbarrieren, die die Qualität der ihnen zugänglichen Versorgung mindern und ihre Gesundheit beeinträchtigen. Diese Barrieren haben einerseits politische Ursachen, sind jedoch auch auf einen Mangel an migrations- und diversitätsbezogenen In...
Medical students are a vulnerable group for harmful health behaviours due to academic stress. Increased screen time is associated with adverse health behaviour, particularly delayed bedtime, shorter sleep duration and poorer sleep quality. This possible relationship has not yet been examined among medical students in Europe. Medical students at the...
Zusammenfassung
Hintergrund
Medizinstudierende und Hebammenschüler:innen beeinflussen im späteren Beruf die Impfentscheidungen ihrer Patient:innen. Bereits während der Ausbildung haben sie Patientenkontakt. Zur Patientensicherheit und zum Selbstschutz ist ein vollständiger Impfstatus als Schutz vor impfpräventablen Erkrankungen für medizinisches P...
The Global Health and Migration Community was invited to submit a statement to the German Bundestag's Sub Committee on Global Health on shortages of the health workforce in Germany and its impact on global health dynamics. Sub Committee members appreciated the feedback, stating that the Community’s “in-depth analysis brought very valuable informati...
The Global Health and Migration Community was invited to submit a statement to the German Bundestag's Sub Committee on Global Health on shortages of the health workforce in Germany and its impact on global health dynamics. Sub Committee members appreciated the feedback, stating that the Community’s “in-depth analysis brought very valuable informati...
Introduction
Cardiovascular diseases are the most common cause of death in Germany and among the most frequent reasons for encounters in primary care. Most patients with cardiovascular risks (CVRs) have difficulties implementing health-promoting behavioural changes. In this study, a complex intervention containing evidence-based patient materials a...
Objective
The Childhood Diabetes Registry of Saxony has been existing since 1999. The aim of this study was to investigate the incidence rates, cohort and point prevalence, and the trends of type 1 diabetes among children and adolescents based on the registry data over the past 21 years.
Methods
A completeness check of the Childhood Diabetes Regis...
Hintergrund: Ambulante Lehrärzt:innen (LÄ) und nichtärztliche Praxismitarbeiter:innen (NÄPM) haben in der Regel zunächst keine didaktische Grundausbildung. Diese ist zur Qualitätssicherung der universitären Lehre jedoch unabdingbar. Bei steigendem Versorgungsbedarf im primärärztlichen Bereich haben die Praxisteams vor allem in ländlichen, hausärztl...
Self-management education (SME) is a key determinant of diabetes treatment outcomes. While SME programs are often adapted for implementation, the impact of adaptations on diabetes SME effectiveness is not well documented. This study evaluated the impact of the implementation fidelity of diabetes SME programs on program effectiveness, exploring whic...
Background: :
Medical students as future physicians will have an important role in tobacco control; therefore, their tobacco use behavior is of particular interest. Consumption of combustible tobacco (cigarettes, waterpipes, cigars, and pipes) is prevalent throughout Europe, whereas smokeless tobacco use is common mainly in the Nordic countries. O...
Background
Use of electronic cigarettes (e-cigarettes) is gaining popularity among young adults. Medical students' nicotine use behavior is of particular interest because of their impending role in health promotion. Objectives: Aim of our study is to assess changes that occurred between 2016 and 2018 in the prevalence of e-cigarette use among medic...
Introduction:
Inaccurate information leads to increased scepticism concerning vaccinations among health care workers. Therefore, a proper education of medical students on vaccination is important.
Methods:
During summer term 2015, we performed a paper-based survey to identify the knowledge and attitudes of medical students on vaccinations agains...
Background:
Harmful alcohol consumption in Germany is a serious public health problem: About 7.7 million adults in Germany can be classified as risky alcohol consumers, about 74,000 deaths per year are related to alcohol consumption, and about 1.8 million adults in Germany (18-64 years) are classified as alcohol dependent. A treatment rate of 9% o...
Background
Most studies among medical students show high approval rates regarding the importance of vaccination in general. Due to indication-specific vaccination recommendations and differently perceived risks of individual vaccine-preventable diseases, it is to be assumed that the importance of vaccination should be assessed in a vaccination-spec...
BACKGROUND: Despite the growing evidence of a negative impact of medical school on students' health and well-being, little is known about protective factors for staying healthy and well during medical education. Therefore, a systematic review of peer-reviewed studies aiming to identify such predictors was conducted.
METHODS: Medline, Embase, and P...
Background
Medical students are at risk of contracting and transmitting infectious diseases such as pertussis. Complete vaccination status is important to protect own, patient and public health. Knowing own vaccination status is elementary for following current vaccination recommendations, including boosters. We aimed to assess pertussis vaccinatio...
Background
Tobacco use is the leading preventable cause of death worldwide. Besides cigarette smoking, waterpipe and e-cigarettes are gaining popularity among young adults. Medical students’ smoking behavior is of particular interest because of their impending role in health promotion as future physicians. Aim of our study is to examine the prevale...
Background
Diabetes self-management education (DSME) is considered essential for improving the prevention and care of diabetes through empowering patients to increase agency in their own health and care processes. However, existing evidence regarding DSME in the EU Member States (EU MS) is insufficient to develop an EU-wide strategy.
Objectives
Th...
Zusammenfassung
Hintergrund
Unzureichende Durchimpfungsraten bei medizinischem Personal und der Allgemeinbevölkerung führen zu wiederholten Masernausbrüchen. Für eine Erhöhung der Impfraten sind das nötige Fachwissen, eine positive Haltung gegenüber Impfungen, sowie eine vertrauensvolle Impfberatung durch den behandelnden Arzt entscheidend. Da die...
Zusammenfassung
Hintergrund
Es ist bekannt, dass auch bei Medizinstudierenden Impflücken bestehen. Zum Impfstatus bei Studierenden anderer Fachrichtungen liegen aktuell keine publizierten Daten für Deutschland vor. Bei hoher internationaler Mobilität im universitären Umfeld stellt ein unvollständiger oder unbekannter Impfstatus für Studierende ein...
Background
Although many anti-tobacco measures have reduced the number of smokers in Germany, every fourth person still smokes and smoking is still an enormous burden for both the affected person and their relatives as well as for the healthcare system and society. Physicians have a key position in tobacco cessation, their health and smoking behavi...
Background
The fact that in some specializations (e. g., general practitioner) and in some regions (mainly in the country side) there are not enough physicians to provide for the population means huge challenges for both German and Hungarian health care. By researching the specialization and work place preferences of medical students and by subject...
Konsequente Kondomnutzung und Testung auf sexuell übertragbare Infektionen (STI) sind wichtig, um sich und Partner vor STI zu schützen. Studierende haben im Vergleich zu älteren Altersgruppen mehr wechselnde Sexualpartner und sind international mobil, was das STI-Ansteckungsrisiko erhöht. Die Datenlage zum sexuellen Risikoverhalten und STI-Präventi...
Diabetes self-management education (DSME) is generally considered as an integral part of diabetes care. The availability of different types of self-management in the European Union Member States (EUMS) remains uncertain. The aim of this study is to perform a comparative analysis of existing DSME programs (DSMEP) implemented in EUMS.
Unpublished dat...
Background: Since the middle of the 1990s, sexually transmitted infections (STI) have been discussed increasingly as a global health problem in Europe (and worldwide). In Germany, significantly increasing STI incidence rates have been observed since several years. The degree of ignorance regarding STI is high in the German population. Much of the S...
Background
Medicine and psychology students are subject to great stress during formal university study, which is why it is of great importance to investigate this group concerning burnout. To fully understand the symptoms of burnout, knowledge regarding the influence of internal factors is crucial. This study focuses on the connection between the B...
Over the past decades, we have observed an increase of prevalence of diabetes in many countries along with significant differences in prevalence trends between countries worldwide (1). In Europe and other Western countries, the prevalence rate reaches a plateau or has slowed down on the level of ∼8–10%. In Asia, a continuous rise in prevalence has...
Purpose:
Given the intense physical and mental demands placed on nurses and other caregivers, getting sufficient sleep is essential to maintaining both individual health and professional performance. The goal of our study is to describe and analyze the self-reported sleep quality of nursing staff and identify which factors have an influence on it....
Background:
Physical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. Health behaviors of medical students influence not just their own health but also the health of their futur...
Background: Health care workers can be multiplicators for infectious diseases due to their patient contacts. Vaccinations are not mandatory in Germany but there are recommendations for people at higher risk such as health care workers. There is no representative data regarding vaccination status of health care workers in Germany. Aim: We examined v...
Aim of the study: Especially in the rural areas of Germany, there are not enough general practitioners (GPs) for primary care. Preferred medical specialties of medical students can help get an estimate of the number of future GPs. This study compares this estimate to the current need for GPs in Saxony. Methods: 587 medical students at the second, s...
Germany aimed to eliminate measles by 2015, but vaccination coverage is still insufficient, especially in respect to adolescents and young adults. A cross-sectional survey with 711 students studying a range of subjects showed a high acceptance regarding vaccination. Actual self-reported vaccination rates were lower; only 65.5% of medical students a...
Arbeitslandpräferenzen nationaler und internationaler Medizinstudierender in Ungarn – Deutschland als Option?
14. Deutscher Kongress für Versorgungsforschung. Berlin, 07.-09.10.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. DocP024
Hintergrund:
Die Zuwanderung ausländischer Ärzte nach Deutschland ist für Regionen, in den...
Funding/Support: Supported by the Friends' Association of the Medical Faculty and University Clinic Carl Gustav Carus Dresden (Förderverein der Medizinischen Fakultät und des Universitätsklinikums Carl Gustav Carus Dresden e.V.).
Aims and goals: Current outbreaks of vaccine-preventable infectious diseases (vpid) show that vaccination coverage of the public in Europe is insufficient. Vaccination recommendations vary between EU member states and beyond while outbreaks of vpid cross country boarders through increasing migration, travel and also due to political crisis in/outsi...
Aims and goals: Sexually transmitted infections (STI) are a global health problem that increases in Europe since the middle of 1990s especially among young, sexually active people. STI incidence rates are higher in Eastern than in Western Europe. Condom using and STI-testing are important for preventing STI and HIV but there is no published data re...
Background: The prevalence of alcohol dependency in Germany is high. Data indicate a lack of quality of care for the respective poulation. A survey of medical students of the 10th semester at the Medical Faculty of the Technical University of Dresden (TUD) should cover the achieved degree of competence to effectively care for alcohol-related disord...
Patient empowerment through self-management education is central to improving the quality of diabetes care and preventing Type 2 Diabetes. Although national programs exist, there is no EU-wide strategy for diabetes self-management education, and patients with limited literacy face barriers to effective self-management. The Diabetes Literacy project...
Aim:
This work describes the sexual risk behaviour of nursing students.
Methods:
22 of 23 state-approved nursing schools in Saxony-Anhalt, Germany, participated in this cross-sectional study (study period 7/2005-5/2006). Participation was voluntarily and anonymous.
Results:
More male than female students (59.6% vs. 44.8%) used condoms to preve...
Einleitung: In Deutschland sind Hausbesuche (HB) elementarer Bestandteil der primararztlichen Versorgung. Mit Sekundardatenanalysen von Abrechnungsdaten gelingt es nur eingeschrankt [1–3], das hausarztliche Handlungsfeld realistisch zu beschreiben [4–6]. Derzeit liegen keine ausreichend aussagekraftigen Primardatenerhebungen zu Versorgungsinhalten...
Introduction:
Osteoporosis is one of the most common diseases affecting elderly persons. Male patients with osteoporosis have rarely been the focus of earlier studies. This study explores health related quality of life (HRQoL) indicators in a sample of German male patients with osteoporosis to determine potential avenues for clinical practice chan...
In the SESAM-2 study it was found that the proportion of diabetic patients in the population seeking medical consultation is markedly higher in Saxony than those in European regions, but that only in every second case was diabetes the reason for seeking medical advice. Our study confirms that subjects with diabetes express more reasons to seek medi...
Migraine is one of the most prevalent neurological disorders in Europe, severely affecting ability to work and quality of life. Medical therapies are considered to be the "gold standard" of treatment. This study addresses osteopathic treatment for acute therapy or prophylactic therapy as an alternative to traditional therapies.
Forty-two (42) femal...
Introduction: The prevalence of thyroid disorders varies worldwide depending on natural regional iodine supply. Because of an improved nutritional situation, Germany is turning into a country with sufficient iodine supply. The existing prevalence data on thyroid disorders for the adult German population and for patients in primary care is heterogen...
Home visits are an integral part of family
practitioners’ (FPs) work in providing health care to multimorbid
and immobile patients in Germany. The Saxon Association
for Family Medicine (SGAM) and the department
of Family Practice of the Medical Faculty of Technical University
of Dresden conducted the 3rd Saxon Epidemiological
Study of Family Medici...
To examine the effectiveness of interventions seeking to prevent the spread of sexually transmitted infections (STIs), including HIV, among young people in the European Union.
For this systematic review, we examined interventions that aimed at STI risk reduction and health promotion conducted in schools, clinics, and in the community for reported e...
