Lena Ansmann

University of Cologne | UOC · Chair of Medical Sociology, Faculty of Medicine

Although healthcare systems across Europe face rather similar challenges, their organization varies widely. Even neighbouring countries substantially differ with respect to healthcare structures, processes, and resulting outcomes. Focusing on Germany and the Netherlands as examples of such neighbouring countries, this paper will first identify and...

Background In many countries, hospitals are confronted with nursing shortages. So are hospitals in Germany and the Netherlands as neighboring countries with dire consequences for the hospital. Simultaneously, competition for nurses is high, and hospitals are looking for innovative measures to deal with nursing shortages. This study examines how nur...

Hintergrund und Stand der Forschung: Laut dem aktuellen Teilhabebericht der Bundesregierung über die Lebenslagen von Menschen mit Beeinträchtigungen, wurden im Jahr 2017 ca. 2,6 Millionen pflegebedürftige Menschen in Privathaushalten und überwiegend durch Angehörige versorgt. Trotz wachsender Bedeutung des Themas Angehörigenbelastung auch in der Ve...

Background: The current uptake of many vaccinations recommended for persons aged 60 and older is unsatisfactory in Germany. Lack of confidence in the safety and efficacy of vaccinations, lack of knowledge and insecurities about possible side effects, and numerous pragmatic barriers are just some of the reasons to be mentioned. General practitioner...

The COVID-19 pandemic has a massive impact on social life, the healthcare system, and also on health services research. However, the effects of the pandemic on research processes, methods, and the personal situation of researchers has not been investigated so far. Guided by the question of how research processes and methods are adapted to the chall...

Introduction Total hip arthroplasty (THA) is the treatment of choice for end-stage osteoarthritis of the hip. Management of THA differs between countries, and it is hypothesised that this can influence patients’ expectations and self-efficacy. Using Chen’s intervening mechanism evaluation approach, this study aims to explore how structure of care i...

Background. Strong evidence supports the beneficial impact of exercise on cancer patients. However, the provision of exercise programs in Germany is highly heterogeneous. Therefore, the network OnkoAktiv (OA) enables patient consultations and referrals from coordinating regional OA centers (RE) into community-based exercise programs (CBEP). Objecti...

Objective Due to communication barriers, people without natural speech who use augmentative and alternative communication (AAC) are rarely interviewed about their healthcare needs, expectations, and experiences. This qualitative interview study aims to investigate how AAC users evaluate a new service delivery (nSD) in AAC care in Germany. Results...

Purpose: This study aimed (1) to analyze patients' perceived shared decision-making (SDM) experiences over 4 weeks between patients participating or not in multidisciplinary tumor conferences (MTCs) and (2) to analyze the association of patients' active participation in and organizational variables of MTCs with patients' perceived SDM experience d...

Zusammenfassung Ziel der vorliegenden Arbeit war es, Empfehlungen für ein Kerncurriculum für Masterstudiengänge der Versorgungsforschung zu erarbeiten. Hierzu wurde im ersten Schritt eine standardisierte Online-Befragung von Hochschullehrenden durchgeführt. Im zweiten Schritt wurden die Modulhandbücher der existierenden Studiengänge in Bezug auf ih...

Background: People with disabilities and without natural speech often rely on care provided by informal caregivers. The caregiving situation of these informal caregivers has been poorly researched. The objectives of the study are 1) to identify stressors, resources, and coping strategies among informal caregivers of people without natural speech an...

Background: In some breast and gynaecologic cancer centres in Germany, patients participate in their own case discussion in multidisciplinary tumour conferences (MTCs), where treatment recommendations are discussed and finalized. However, the extent to which patients in MTCs are involved in decision-making on treatment recommendations remains larg...

Zusammenfassung Hintergrund Mangelnde Kenntnisse über die Zuständigkeiten der Notfallversorgung führen zu einem höheren Bedarf an Ressourcen in der Notfallrettung. Die vorliegende Studie untersucht, ob sich die Inanspruchnahme und das Verhalten in Notfällen nach soziodemografischen Faktoren unterscheiden lassen. Methodik Von Januar bis Juli 2021...

Purpose: Many care settings are characterized by collaboration between a variety of stakeholders. People without natural speech who rely on augmentative and alternative communication (AAC) are often strongly dependent on the involved stakeholders and collaboration among them. Since collaboration can be challenged by many barriers, this study exami...

Purpose Like other European countries, Germany is facing regional physician shortages, which have several consequences on patient care. This study analyzes how hospitals perceive physician shortages and which strategies they adopt to address them. As a theoretical framework, the resource dependency theory is chosen. Design/methodology/approach The...

Background The Implementation Leadership Scale (ILS) was developed to assess leadership behavior with regard to being proactive, knowledgeable, supportive, or perseverant in implementing evidence-based practices (EBPs). As part of a study on the implementation of a digitally supported polypharmacy management application in primary care, the origina...

Dieses Kapitel stellt die vergangenen und gegenwärtigen Beiträge der Medizinsoziologie zur Versorgungsforschung in den Mittelpunkt und gibt einen Ausblick auf die Herausforderungen, die vor der medizinsoziologischen Versorgungsforschung liegen. Das Kapitel stellt insbesondere die moderne Versorgungsforschung in die Tradition der Medizinsoziologie u...

Background: The development of immunotherapy in the treatment for lung cancer has changed the outlook for both patients and health care practitioners. However, reporting and management of side effects are crucial to ensure effectiveness and safety of treatment. The aim of this study was to learn about the subjective experiences of patients with lu...

Objective: Patients' participation is part of patient-centeredness, but it is so far unclear whether providers in multidisciplinary tumor conference (MTC) with patient participation communicate in a patient-centered way. Our aim is to explore (a) to what extent providers ask questions to breast and gynecological cancer patients during case discuss...

Objectives: To validate the patient-reported measure of Social Support Perceived by Patients Scale-Nurses (SuPP-N). Design/setting: A secondary data analysis based on a cross-sectional breast cancer patient survey in 83 German hospitals. Patients were asked to give written informed consent before they were discharged. If they agreed to participa...

Purpose Considering that breast cancer survivors (BCSs) have been dealing with unwanted job changes after diagnosis, this study aimed to investigate involuntary job changes (unwanted modifications in employment since diagnosis) and explore the association between job changes, involuntariness, and occupational development satisfaction in BCSs 5–6 ye...

Purpose: Provision of psychosocial care is obligatory in cancer centers certified in accordance with the criteria of the German Cancer Society, but the extent to which it is utilized differs greatly between centers. Anomalous utilization percentages are discussed during certification audits. This analysis aims to describe (1) how certified centers...

PurposeSocial service counseling (SSC) is an important instrument to support cancer patients, for example, regarding legal support, or rehabilitation. Several countries have established on-site SSC in routine care. Previous analyses have shown that SSC utilization varies across cancer centers. This analysis investigates patient and center-level pre...

Zentrale Fragen, die in diesem Kapitel beantwortet werden, sind:Wie ist der Zusammenhang zwischen professioneller Gesundheitskompetenz und Kommunikation?Welche Kommunikationskonzepte zur Verbesserung der professionellen Gesundheitskompetenz gibt es?Welche Empfehlungen für weitere Forschung und Praxis können gegeben werden?Dieses Kapitel gibt einen...

The article is part of a theory collection published by the journal "Monitor Versorgungsforschung" (https://www.monitor-versorgungsforschung.de/Theoriebaukasten). This collection includes theories which are relevant for health services research and aims to promote the use of theories in health services research.

Keywords: Breast cancer Gynecological cancer Multidisciplinary tumor conference Multidisciplinary tumor board Oncology Patient-centered communication a b s t r a c t Objective: To investigate (a) how many questions and negative emotions (cues/concerns) breast and/or gynecologic cancer patients and companions express during their case discussion in...

Objective To investigate (a) how many questions and negative emotions (cues/concerns) breast and/or gynecologic cancer patients and companions express during their case discussion in multidisciplinary tumor conferences (MTCs), (b) with which topics the emotions are linked, and (c) which patient- and context-related characteristics determine patient...

About 8% of all children and adolescents worldwide are affected by chronic diseases. Managing chronic conditions requires pediatric patients to be health literate. The purpose of this review is to examine the existing evidence on the links between health literacy and its outcomes proposed by the model by Sørensen et al. in chronically ill pediatric...

Abstract: Health literacy-sensitive communication has been found to be an important dimension of organizational health literacy measured from the patients’ perspective. Little is known about the role of health literacy-sensitive communication in complex care structures. Therefore, our aim was to assess which hospital characteristics (in terms of pr...

An der Versorgung von Menschen ohne Lautsprache, die auf Maßnahmen der Unterstützten Kommunikation (UK) (z. B. Sprachcomputer) angewiesen sind, ist eine Vielzahl von Stakeholdern involviert.1 Wie erfolgreich die UK-Maßnahmen umgesetzt werden können, hängt stark davon ab, inwiefern die Stakeholder zusammenarbeiten.2 Da die UK-Versorgung in Deutschla...

The scientific poster/presentation sheds light on the P-RaRe project, which analyzes physician shortages in German hospitals. P-RaRe is a qualitative study and examines how hospitals perceive physician shortages and which countermeasures they undertake. For more details see: https://uol.de/en/ohsr/projects/prare.

Angeborene und erworbene Behinderungen können zu Einschränkungen der Lautsprache sowie zum Verlust dieser führen. Menschen ohne Lautsprache sind oft auf Unterstützte Kommunikation (UK) angewiesen und können in vielen Lebensbereichen Unterstützungs- und Pflegebedürfnisse haben. Private Bezugspersonen (z. B. Eltern, Ehepartner*innen) leisten oft inte...

Im Gesundheitswesen besteht ein hoher Innovationsdruck. Indes erweist sich das deutsche Gesundheitswesen mit seinen vielen Akteuren, Institutionen und Steuerungsorganen als komplex. Die Versorgungsforschung nimmt Bezug auf die Komplexität und untersucht, wie Neuerungen in ein komplexes System mit divergierenden Interessen implementiert werden, um a...

Objectives: The healthcare system is characterised by a high degree of complexity and involves various actors at different institutional levels and in different care contexts. To implement patient-centred care (PCC) successfully, a multidimensional consideration of influencing factors is required. Our qualitative study aims to identify system-level...

Objectives To determine the association between participation of patients with breast cancer and patients with gynaecological cancer in their own multidisciplinary tumour conference (MTC) and their information needs with regard to their disease and treatment options. Methods This is a prospective observational study that took place at six breast c...

Background Prior research has shown that around 5%–7% of patients in breast cancer centers in Germany participate in the discussion of their own case within a multidisciplinary tumor conference (MTC). The PINTU study is one of the first to research this practice. The objective is to describe (a) how patient participation in MTCs is implemented, (b)...

(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization...

Introduction In connection with a hospital stay, patients have to make important health-related decisions. They need to find, understand, assess and apply health-related information, and therefore, require health literacy. Adequately responding to the needs of patients requires promoting the communication skills of healthcare professionals within h...

Objective To examine interrelations between care-related burden on informal caregivers and their proxy assessments of outcomes in people without natural speech. Design A cross-sectional survey. Setting Data were collected in January 2019 from a postal survey of informal caregivers of people without natural speech who are insured by a large region...

Purpose Healthcare systems are under pressure to improve their performance, while at the same time facing severe resource constraints, particularly workforce shortages. By applying resource-dependency-theory (RDT), we explore how healthcare organizations in different settings perceive pressure arising from uncertain access to resources and examine...

Purpose: Healthcare providers decide on recommendations for further treatment of patients with cancer in multidisciplinary tumor boards (MTBs). As such, communicative processes during MTBs are assumed to influence decision-making and, thereby, treatment planning. The aim of this exploratory study is to gain insights into decision-making during MTB...

Purpose Previous studies found that some breast cancer patients in Germany are invited to participate in a multidisciplinary tumor conference (MTC) during the discussion of their own case. MTC are regular meetings of a treatment team in which the diagnosis and treatment plan of cancer patients are discussed. Psychological consequences concerning th...

Zusammenfassung Hintergrund In der COVID-19-Pandemie ging die Versorgung nichtübertragbarer Erkrankungen zeitweise deutlich zurück, auch weil Menschen Angst vor einer Ansteckung hatten. Wir führen eine Bestandsaufnahme zur organisationalen Gesundheitskompetenz in der Regelversorgung nichtübertragbarer Erkrankungen in der ersten Welle der COVID-19-P...

Collaboration among health care providers is intended to dissolve boundaries between the sectors of health care systems. The implementation of adequate augmentative and alternative communication (AAC) care of people without natural speech depends highly on collaboration among multiple stake-holders such as speech and language pathologists, teachers...

Objective: Recent studies from Germany show that a small amount of breast and gynecological cancer patients participate in multidisciplinary tumor conferences (MTCs) at some cancer centers. One reason for the variation by center might be the providers' attitudes about and experiences with MTC patient participation (MTCpp), which has not been analy...

Health and social care organizations are under pressure of organizing care around patients’ needs and preferences while complying with regulatory frameworks and constraint resources. To implement patient-centered care in health and social care organizations successfully, particular organizational preconditions need to be considered. Findings on the...

Objective The aim of this study was to examine opportunities and limitations of shared decision making in multidisciplinary tumor conferences with patient participation from the providers’ perspective in breast and gynecological cancer centers. Methods Semi-structured guideline-based expert interviews were conducted with providers from breast and...

The presentation deals with physician shortages and human resource activities in hospitals

Hintergrund und Stand (inter)nationaler Forschung: Die Erhebung von individuellen Bedarfen und Bedürfnissen in qualitativen Interviews ist ein wichtiges Instrument zur Verbesserung der Versorgungsqualität. Wie ist jedoch vorzugehen, wenn die Interaktion zwischen interviewter und interviewender Person nicht in gewohnter Weise möglich ist, da die in...

Die Patientenversorgung in Versorgungsorganisationen wie z.B. einem Krankenhaus ist traditionell stark nach Professionen und Fachdisziplinen (z.B. Kardiologie) organisiert und hierarchisch geprägt. Zudem haben wir es mit einer Arbeitsteilung zwischen ambulanter und stationärer Versorgung sowie zwischen Allgemein- und Fachärzten zu tun. In einem Kra...

Ziel Elterlicher Drogenkonsum kann zu prekären Lebensbe-dingungen für Kinder führen. Suchtbelastete Familien sind durch Hilfemaßnahmen schwer zu erreichen. Die Drogen-/Suchtberatung hat gute Zugangschancen, berücksichtigt die familiäre Situation bisher jedoch unzureichend. Die Implemen-tierung des Organisationsentwicklungsprogramms FITKIDS in die...

Objective In some breast and gynecological cancer centers in Germany, patients participate in multidisciplinary tumor conferences (MTCs) during the discussion of their own case. The aim of this study was to explore providers’ perceptions concerning patients’ emotional experiences during participation in an MTC by comparing the perspectives of provi...

Objectives Previous studies on patient-centred care (PCC) and its facilitators and barriers usually considered specific patient groups, healthcare settings and aspects of PCC or focused on expert perspectives. The objective of this study was to analyse patients’ perspectives of facilitators and barriers towards implementing PCC. Design We conducte...

Background: In highly segmented and complex healthcare organizations social capital is assumed to be of high relevance for the coordination of tasks in healthcare. So far, comprehensively validated instruments on social capital in healthcare organizations are lacking. The aim of this work is to validate an instrument measuring social capital in he...

Background Cancer patients often suffer from psychological distress. Psycho‐oncological services (POS) have been established in some health care systems in order to address such issues. This study aims to identify patient and center characteristics that elucidate the use of POS by patients in prostate cancer centers (PCCs). Methods Center‐reported...

Das Konzept der organisationsbezogenen Versorgungsforschung (O-VF) ist in Deutschland gut etabliert. Das Deutsche Netzwerk Versorgungsforschung (DNVF) beispielsweise bündelt die Aktivitäten zur O-VF in einer eigenen Arbeitsgemeinschaft. Hinter dem Begriff verbirgt sich zusammengefasst jede Art der Versorgungsforschung, die auch die Versorgungsorgan...

Objective The purpose of this study was to examine the psychometric properties of the German translation of the Transsexual Voice Questionnaire for Male-to-Female Transsexuals (TVQMtF), an instrument assessing the voice-related quality of life (VrQoL) in trans women. Study Design This is a cross-sectional study. Method The conducted online survey...

Das Organisations- und Personalentwicklungsprogramm FITKIDS hat zum Ziel, die gesunde Entwicklung von Kindern drogenabhängiger, suchtkranker Eltern zu stärken. Die Evaluationsstudie EvaFit untersucht die Implementierung von FITKIDS in 15 Sucht- und Drogenberatungsstellen hinsichtlich Strukturen und Prozessen sowie Kenntnissen und Kompetenzen. Im Vo...

Background: Prevalence and incidence of cancer are increasing in people with disability. Nevertheless, little is known about cancer care for people with disabilities. Objective: The goal of this study was to examine the quality of care of breast cancer patients with pre-existing disabilities regarding diagnosis and type of breast surgery in Germ...