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Publications (19)
Background
Emergency departments (ED) worldwide have to cope with rising patient numbers. Low-acuity consulters who could receive a more suitable treatment in primary care (PC) increase caseloads, and lack of PC attachment has been discussed as a determinant. This qualitative study explores factors that contribute to non-utilization of general prac...
Background
The use and advantages of point-of-care tests (POCTs) for C-reactive protein (CRP) in general practice, especially for upper respiratory tract infections (uRTIs), have been studied extensively. However, there is limited knowledge about test indications, prerequisites, and integration of these tests into everyday practice.
Aim
This study...
Background
Point-of-care tests (POCTs) for C-reactive protein can support clinical decision-making of general practitioners (GPs) but are not widely used in German general practices.
Aim
To investigate the utilization of semi-quantitative CRP-POCTs in routine primary care.
Design & setting
Prospective observational study in 49 general practices i...
Background
Utilization by low acuity patients contributes to emergency department (ED) crowding. Both knowledge deficits about adequate care levels and access barriers in primary care are important promoters of such presentations. Concurrently, not having a general practitioner (GP) increases the likelihood of low-acuity ED utilization. This pilot...
Zusammenfassung
Hintergrund
Das hausärztlich-geriatrische Basisassessment (hGBA) wird bei hausärztlichen Patient:innen ab dem vollendeten 70. Lebensjahr und geriatrietypischer Morbidität durchgeführt, um Alltagsprobleme und Funktionseinschränkungen strukturiert zu erfassen. Zum Nutzen des hGBA sowie zur Wahrnehmung, Akzeptanz und Anwendung auf hau...
Zusammenfassung
Einleitung Die Übertragung von hausärztlichen Aufgaben und Verantwortlichkeiten an Medizinische Fachangestellte (MFA) kann zur Sicherstellung der Primärversorgung in Deutschland beitragen. Das Ziel der Studie ist die Erfassung und Analyse von Einstellungen und Vorgehensweisen von Hausärzt:innen und MFA zur Delegation ärztlicher Aufg...
Introduction
Various developments result in increasing workloads in general practices. New models of care and a restructuring of the division of tasks could provide relief. One approach is to extend the delegation of medical tasks from general practitioners (GPs) to medical practice assistants (MPAs). So far, there has been a lack of information ab...
Introduction:
The coronavirus pandemic did not only result in changes in the provision and utilization of health care services in general practice but also in an increased workload for physicians and medical practice assistants. The VeCo practice study retrospectively explores the experiences of both professional groups two years after the start o...
Objectives
Low-acuity patients presenting to emergency departments (EDs) frequently have unmet ambulatory care needs. This qualitative study explores the patients’ views of an intervention aimed at education about care options and promoting primary care (PC) attachment.
Design
Qualitative telephone interviews were conducted with a subsample of par...
Introduction
During the COVID-19 pandemic, general practitioners (GPs) continued to be a main point of contact for patients. For GP practices, it was and still is a challenge to meet constantly changing requirements due to the various phases of the pandemic. The aim of the study is to explore retrospectively the subjective experience with supply an...
Zusammenfassung
In der hausärztlichen Versorgung multimorbider Patient*innen haben neben den medizinischen- auch soziale Beratungsanlässe eine große Bedeutung. Pflegestützpunkte stellen in Berlin ein etabliertes Angebot zur Beratung bei sozialen Anliegen auf Stadtbezirksebene dar. Im Rahmen einer berlinweiten Fragebogenerhebung wurde das Wissen von...
Introduction
General practitioners (GP) increasingly face the challenge of meeting the complex care needs of multi-morbid patients. Previous studies show that GP practices would like support from other institutions in advising on social aspects of care for multi-morbid patients. Already existing counselling services, like community care points, are...
Background
Against the backdrop of emergency department (ED) overcrowding, patients’ potential redirection to outpatient care structures is a subject of current political debate in Germany. It was suggested in this context that suitable lower-urgency cases could be transported directly to primary care practices by emergency medical services (EMS),...
Background
Only few studies of emergency department (ED) consulters include a longitudinal investigation. The EMACROSS study had surveyed 472 respiratory patients in eight inner-city EDs in Berlin in 2017/2018 for demographic, medical and consultation-related characteristics. This paper presents the results of a follow-up survey at a median of 95 d...
Background:
The number of patients visiting emergency departments (ED) due to acute but less than urgent treatment needs is increasing. A deeper understanding of emergency perception and decision-making competencies of patients is fundamentally important for developing strategies to reduce ED utilization. The aim of this study was to assess ED pat...
Zusammenfassung
Hintergrund
Hausärzt*innen sind erste Ansprechpartner*innen und koordinieren die Versorgung von multimorbiden Patient*innen. In diesem Artikel werden Lösungsansätze für die Bedarfe und Wünsche der Hausärzt*innen in Bezug auf die Unterstützung bei nichtmedizinischen Tätigkeiten, insbesondere im sozialen und sozialrechtlichen Bereich...
Objectives:
Because of demographic changes, new models of care are important for supporting general practitioners in the care of patients with complex needs. This study addresses the question of the type of support that is requested by general practitioners working in Berlin.
Methods:
All general practitioners working in Berlin (n=2354) were ask...
