Sara Söling

Schumpeter School of Business and Economics University Wuppertal

Objective: Formative evaluation of the implementation process for a digitally supported intervention in polypharmacy in Germany. Qualitative research was conducted within a cluster randomized controlled trial (C-RCT). It focused on understanding how the intervention influences behavior-related outcomes in the prescription and medication review pro...

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...

Background The adoption of digital health technologies can improve the quality of care for polypharmacy patients, if the underlying complex implementation mechanisms are better understood. Context effects play a critical role in relation to implementation mechanisms. In primary care research, evidence on the effects of context in the adoption of di...

Background Understanding how to implement innovations in primary care practices is key to improve primary health care. Aiming to contribute to this understanding, we investigate the implementation of a clinical decision support system (CDSS) as part of the innovation fund project AdAM (01NVF16006). Originating from complexity theory, the practice c...

As a part of the project “Transsectoral Optimisation of Patient Safety” (TOP), an information technology (IT)-based intervention was implemented in hospitals with the aim of optimising the process of drug therapy for hospitalised patients with polypharmacy through intensified pharmaceutical care. Organisational readiness to implement is a crucial f...

Background: Inappropriate drug prescriptions for patients with polypharmacy can have avoidable adverse consequences. We studied the effects of a clinical decision-support system (CDSS) for medication management on hospitalizations and mortality. Methods: This stepped-wedge, cluster-randomized, controlled trial involved an open cohort of adult pa...

Hintergrund und Stand der Forschung: Entscheidungscoachings können als Maßnahme eingesetzt werden, um Patient:innen in die Lage zu versetzen aktiv im Entscheidungsprozess zu partizipieren. In der EDCP-BRCA Studie wurde die Wirksamkeit eines „Decision Coaching Programms“ für gesunde BRCA1/2-Mutationsträgerinnen evaluiert. Wirkmechanismen der Interve...

Project aim: Understanding of respondents' specific interactions with context and explaining the mediating role of contextualized variables. Setting: Primary Care: The intervention AdAM included several design components (e.g., a digitalized CDSS for polypharmacy, patient medication history and diagnosis, information about other specialists, tra...

Background Interventional studies on polypharmacy often fail to significantly improve patient-relevant outcomes, or confine themselves to measuring surrogate parameters. Interventions and settings are complex, with many factors affecting results. The AdAM study’s aim is to reduce hospitalization and death by requiring general practitioners (GPs) to...

Hintergrund und Stand (inter)nationaler Forschung: Mit dem Practice Change and Development Modell (PCM) wurde nachhaltiger Wandel von Arztpraxen konzeptualisiert. Praxen werden als komplexe, adaptive Systeme verstanden, die durch vier sich wechselseitig beeinflussende Faktoren determiniert werden: Innere Eigenschaften, die zu Wandel befähigen (1. C...

Introduction Clinically complex patients often require multiple medications. Polypharmacy is associated with inappropriate prescriptions, which may lead to negative outcomes. Few effective tools are available to help physicians optimise patient medication. This study assesses whether an electronic medication management support system (eMMa) reduces...

Background To investigate patients’ perspectives on polypharmacy and the use of a digital decision support system to assist general practitioners (GPs) in performing medication reviews. Methods Qualitative interviews with patients or informal caregivers recruited from participants in a cluster-randomized controlled clinical trial (cRCT). The inter...

___________________________________________________________________________ Research aim 1) Identification of behaviour-related dimensions of the primary care habitus; and 2) Investigation of the effects of the multidimensional habitus of primary care practitioners on the adoption of a digitally supported intervention of polypharmacy management. Me...

Background: Much research is currently devoted to polypharmacy, but interventional studies often fail to significantly improve patient-relevant outcomes or just measure surrogate parameters. Interventions and their settings are often complex, and a wide range of factors affect results. The aim of the AdAM study is to reduce hospitalization and deat...

Objective: Formative evaluation of the implementation process for a digitally supported intervention in polypharmacy in Germany. Qualitative research was conducted within a cluster randomized controlled trial (C-RCT). It focused on understanding how the intervention influences behavior-related outcomes in the prescription and medication review proc...

Objective: To compare experiences and expectations of general practitioners (GPs) concerning the implementation and use of a digitally supported pharmacotherapy-management-system. Methods: Conducting four focus-group-discussions with GPs (N= 19) in a cluster-randomized-controlled trial named AdAM (registry: clinicaltrials.gov; identifier: NCT034303...

Hintergrund: Die Patientensicherheit, Qualität der Versorgung und Arbeitsentlastung für Ärzte stehen im Fokus der Implementierung von digitalen oder elektronischen Entscheidungsunterstützungssystemen in ambulanter und stationärer Versorgung. Wissenschaftliche Studien zeigen eine Verringerung von Medikationsfehlern, jedoch auch negative Bewertungen...

Hintergrund: Gesundheitspolitisch bieten Netzwerke eine Möglichkeit Akteure aus verschiedenen Arbeitsbereichen zusammenzubringen und deren Aktivitäten zu steuern. Aus wissenschaftlicher Sicht kann die Wirksamkeit der Zusammenarbeit in Netzwerken bislang nicht eindeutig nachgewiesen werden. Studien über Einflüsse der Zusammenarbeit in Netzwerken auf...

Die Beschreibung und Analyse von sozialer Gerechtigkeit in der Soziologie und in benachbarten Forschungsdisziplinen weisen noch immer große Forschungslücken auf. In diesem Kontext stehen sich insbesondere die Handlungsmodelle der Soziologie und der Ökonomie als Erklärungsansätze gegenüber. Wie kann das Handeln beschrieben werden, welches sich an be...