Wolfram J Herrmann

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Verified

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• Prof. Dr. med., MHE M.Sc.
• Professor at Charité Universitätsmedizin Berlin

In Germany, utilisation of ambulatory healthcare services is high compared with other countries: While a study based on the process data of German statutory health insurances showed an average of 17.1 physician-patient-contacts per year, the comparable figure for Norway is about five. The usual models of healthcare utilisation, such as Rosenstock's...

Sleep disorders are a relevant problem in the nursing home and difficult to treat for the residents' GPs. No intervention has yet addressed psychological factors contributing to nursing home residents' sleep disorders. To explore what nursing home residents perceive as psychological barriers to sleeping well. A qualitative research design. We condu...

To explore the nursing home residents' self-perceived resources for good sleep. A qualitative research design. Episodic interviews were conducted, and analysis was done using thematic coding. Five German nursing homes from different providers. Thirty nursing home residents who were at least 64 years old and oriented to place and person. The nursing...

Current research suggests LGBTIA persons to be lonelier than cis-heterosexual persons. While they rely more on friends than on family as support network, their social network and weekly contact to family and friends, as well as the association between the social network and loneliness have not been fully explored yet. The aim of this analysis was t...

Background Health-related social problems are common in primary care. Different care models integrating medical and non-medical services in primary care have been tested and established nationally and internationally, such as social prescribing, social work in primary care, health kiosks and integrated primary care centres. The aim of our study was...

Out-of-home mobility and social participation have been identified as resources to postpone frailty. We aim to examine the mediating role and specific contribution of social out-of-home activities in frailty prevention. Data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) waves six (w6), seven (w7), and eight (w8) were used. Fra...

Although asexuality became a growing research subject over the last decade, data on the mental health of individuals identifying as asexual is still rare. The key objective of the present study was to examine depressive symptoms among individuals identifying as asexual. Data of LGBTQIA+ (Lesbian, Gay, Bi-sexual, Trans*, Queer, Inter*, Asexual and/o...

Background Due to the authorization of the Mpox vaccines, we aimed to identify determinants of the intention to get vaccinated, actively trying to receive vaccination, and for successfully receiving a vaccination in Germany employing the 5 C model of vaccination readiness. Methods Data stem from a cross-sectional online survey that was available o...

In the German healthcare system, patients are expected to undertake the task of coordinating their own social and medical care. Patients with non-medical health related problems often present to GP surgeries. However, many GPs do not feel confident managing these problems. Hence, there is a high need for new care models such as social prescribing....

In this concluding chapter, policy, research, and practice across England, Wales, Ireland, Portugal, Germany, Canada, and Singapore are summarised, drawing on key similarities and differences and offering a critical lens on emerging themes. We discuss guiding policy principles of social prescribing across countries, including universality, equity,...

Background Breast cancer and cervical cancer are among the most common cancers in women in Germany. Early detection examinations such as mammography and the cervical smear test (Pap-test) have been shown to contribute to the reduction in the mortality and/or incidence of these cancers and can be utilised free of charge by women in certain age group...

Background Ageing societies and urbanization are global phenomena that pose new challenges for care delivery. It is important to create a scientific evidence base to prepare for these changes. Hence, the aim of our study was to assess which research agenda older adults living in an urban environment in Germany suggest. Methods A total of 1000 part...

[This corrects the article DOI: 10.3389/fpubh.2023.1148029.].

Hospital admissions due to acute cardiovascular events dropped during the COVID-19 pandemic in the general population; however, evidence for residents of long-term care facilities (LTCF) is sparse. We investigated rates of hospital admissions and deaths due to myocardial infarction (MI) and stroke in LTCF residents during the pandemic. Our nationwi...

Maintaining mobility with increasing age depends on personal, social and environmental factors, but the understanding of their complex interplay remains limited. Considering the comprehensive concept of Life-space mobility (LSM), we aim to illustrate the synergistic or antagonistic interplay of personal, social and environmental factors for life-sp...

Social Prescribing is a mechanism by which primary care team members can refer patients to community groups to improve their health and well-being. It integrates health, social care, and community, allowing patients to actively improve their health and well-being by participating in community initiatives and activities. These activities have tradit...

Introduction People experiencing homelessness face lower life expectancy, higher prevalence of somatic and mental diseases and a more difficult access to healthcare compared to people in secure living. During the COVID-19 pandemic transmission rates were higher among people experiencing homelessness and preventive public health measures were not pr...

Introduction: Measures against the COVID-19 pandemic led to restrictions in ambulatory health care in Germany. While the restrictions have been described from claims data, the patients' perspective has been missing. Lesbian, gay, bisexual, trans-, inter- and asexual persons (LGBTIA) might have been particularly affected by these restrictions becau...

Aim: Interprofessional collaboration is particularly relevant to patient safety in outpatient care with polypharmacy. The educational project "PILLE" is meant to give medical and pharmacy students an understanding of the roles and competencies needed for cooperation in the provision of healthcare and to enable interprofessional learning. Method:...

Background Routine data such as claims data and health care documentation data are of increasing relevance in health services research—also in the field of general practice and family medicine. An increasing number of articles using these kind of data highlights the increasing relevance. Thus, it is essential for general practitioners (GPs) to know...

Background Though evidence on the detrimental impact of the COVID-19 pandemic in nursing homes is vast, research focusing on general practitioners’ (GP) care during the pandemic in nursing homes is still scarce. Methods A retrospective online survey among 1,010 nursing home managers in Germany was conducted during the first wave of the COVID-19 pa...

Aims Hospital admissions due to acute cardiovascular events dropped during the COVID-19 pandemic in the general population; however, evidence for residents of long-term care facilities (LTCF) is sparse. We investigated rates of hospital admissions and deaths due to myocardial infarction (MI) and stroke in LTCF residents during the pandemic. Methods...

Im Mai 2022 konnte weltweit ein Anstieg von Affenpockeninfektionen beobachtet werden, und allein in Deutschland gab es bis zum 18.10.2022 insgesamt 3 656 registrierte Fälle (1). Der Infektionsweg verschob sich dabei von reiseassoziierten Fällen zu einer autochthonen Übertragung (2). Erste Veröffentlichungen zu bestätigten Affenpockeninfektionen zei...

Abstract Background Depression is the most common mental health burden worldwide. Primary care physicians (PCPs) play a key role in the care provision for people with depression. The first objective of the present study was to examine the health care situation of depression in primary care, focusing on the cooperation between PCPs and mental health...

Introduction: Social prescribing (SP) aims to provide targeted psychosocial support and close the gap between medical and non-medical services. This review assesses the effectiveness of community-based SP interventions. Methods: We performed a systematic review and qualitative synthesis of interventional studies of community referral interventio...

Background: Depression is the most common mental health burden worldwide. Primary care physicians (PCPs) play a key role in the care provision for people with depression. The main objective of the present study was to examine the health care situation of depression in primary care, focusing on the cooperation between PCPs and mental health speciali...

Background: Cardiovascular disease is one of the main causes of death in Europe and around the world. Effective and individualized long-term treatment of patients with chronic diseases such as cardiovascular disease and myocardial infarction reduces mortality and the risk of recurrence and prevents secondary disease. However, there is little data...

Background Though evidence on the detrimental impact of the COVID-19 pandemic in nursing homes is vast, research focusing on general practitioners’ (GP) care during the pandemic in nursing homes is still scarce. Methods A retrospective online survey among 1,010 nursing home managers in Germany was conducted during the first wave of the COVID-19 pa...

Zusammenfassung Hintergrund Aufgrund der älter werdenden Bevölkerung und der Zunahme von Menschen mit chronischen Erkrankungen im Alter, steigt die Zahl der pflegenden Angehörigen sowie deren Wert für die Versorgung. Dabei agieren sie meist ohne Vorerfahrungen im Bereich der Versorgung, haben begrenztes Verständnis für das Gesundheitssystem und er...

During the COVID‐19 pandemic, physical distancing measures to prevent transmission of the virus have been implemented. The effect of physical distancing measures on loneliness especially for vulnerable groups remained unclear. Thus, we aimed to investigate loneliness in relation with depressive symptoms among lesbian, gay, bisexual, trans, inter, a...

Social prescribing is an approach that aims to improve health and well-being. It connects individuals to non-clinical services and supports that address social needs, such as those related to loneliness, housing instability and mental health. At the person level, social prescribing can give individuals the knowledge, skills, motivation and confiden...

Background General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices. Methods A cross-sectional analysis of data obtai...

Background: Germany already has a high degree of urbanisation, and the share of urban population is expected to increase further. Thus, it is important to explore urban primary care from a scientific point of view. Method: In this article, the author suggests a framework for urban primary care. Results and conclusion: Three core characteristic...

Background: General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices. Methods: A cross-sectional analysis of data obta...

Beackground Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation to rates of non-utilization of outpatient psychotherapy as well as the predisposing, enabling, and need factors proposed by Andersen’s Model of Health Care Utilization that account for these differences warran...

Objectives: Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation with rates of non-utilization of outpatient psychotherapy as well as predisposing, enabling, and need factors proposed by Andersen’s Model of Health Care Utilization that account for these differences warrants...

https://www.woncaeurope.org/file/19c9f9dc-fa5e-428e-997c-37671a6174a0/WONCA%20Berlin_Book%20of%20Abstracts_Index.pdf Contribution ID: 1171 "Background: Despite increasing prevalence of survived myocardial infarction (MI), prescribing of and adherence to medical secondary prevention are known to be frequently insufficient. General practitioners (G...

Background: An increasing prevalence of having survived a myocardial infarction increases the importance of medical secondary prevention. Although preventive medication reduces mortality, prescribing and adherence are known to be frequently insufficient. General practitioners are the most important prescriber. However, their perspective on prescrib...

Protocol for a systematic review

Objective: To develop and evaluate an elective for the 6th semester in the medical curriculum at Charité - Universitätsmedizin Berlin. In this elective, medical students could experience and test Community Oriented Primary Care, hence the integration of public health into primary care, by using explorative learning methods. Method: In three consecu...

Background: For many patients, the general practitioner (GP) is the most important point of contact for obtaining information about a wide range of health topics. However, patients with different characteristics may seek health information from different sources, such as friends or the internet. The relationship between patient characteristics and...

Background: After myocardial infarction, guidelines recommend pharmaceutical treatment with a combination of five different types of drugs for prevention in patients. However, studies from different countries have shown that this goal is not achieved in many patients. The aim of this study was to assess both healthcare and prescribed pharmaceutica...

Background: Statins substantially reduce the risk of cardiovascular disease when taken regularly. Though statins are generally well tolerated, current studies show that one-third of patients discontinue use of statins within 2 years. A qualitative approach may improve the understanding of attitudes and behaviours towards statins, the mechanisms re...

Background: Cardiovascular and metabolic diseases are a major cause of mortality and loss of quality of life in Germany. Research into risk factors of these diseases requires large population-based cohort studies. Complete and accurate assessment of the incidence of cardiovascular and metabolic diseases is a key element for valid interpretation of...

Background: Copayments are implemented in many health care systems. The effect of copayments differs between countries. Up to now, patients' attitudes regarding copayments are mainly unknown. Objectives: Thus, the goal of our analysis was to explore adult patients' attitudes in Germany and Norway towards copayments as a steering tool. Methods:...

Traditional measurement models of health care utilization are not able to represent the complex structure of health care utilization. In this qualitative study, we, therefore, developed a new model to represent the health care utilization structure. In Norway and Germany, we conducted episodic interviews, participant observation and a concurrent co...

Background: Cardiovascular disease is the leading cause of death in Germany. However, the lethality of acute myocardial infarction is decreasing. Hence, there is a growing number of people whose life expectancy and quality of life is affected by the long-term consequences of a heart infarction. Thus, continuous primary care for patients who survive...

Background: The aim of this study was to compare the approach of general practitioners (GP) and outpatient specialists for psychiatry, neurology or psychosomatic medicine to patients with somatically unexplained complaints. Methods: Qualitative interviews were conducted with general practitioners in Berlin and with outpatient specialists. Interv...

Background: Patient Reactions Assessment (PRA) is an established instrument in the English language to measure patient perceived quality of the physician-patient relationship. The aim of the study was to transfer the 15 item questionnaire with three subscales( information, communication and affectivity) to German and to evaluate it in a primary car...

Hintergrund: Die Weiterbildungssituation für angehende Hausärzte hat zunehmend Aufmerksamkeit erfahren. Dabei wurde die IPAM-Förderung auf 3 500 Euro/Monat im ambulanten Bereich erhöht. Wie jedoch die Vertragsbedingungen von Ärzten in Weiterbildung (ÄiW) zum Facharzt für Allgemeinmedizin im ambulanten Bereich aussehen war bislang unbekannt. Methode...

Often these trainees work part time at the university and part time as a trainee in clinical practice. However, little is known about the situation of the actors involved. The aim of the study was to investigate the perspectives of GP trainees, heads of departments and GP trainers regarding the combination of research and GP training. Methods: We...

Im Rahmen der Konferenz der Jungen Allgemeinmedizin Deutschland (JADE) im Vorfeld des DEGAM-Kongresses in München beschäftigten wir uns mit der Frage „Wie werde ich ein guter/besserer Hausarzt?“. Wir erarbeiteten dabei, was einen guten Hausarzt3 ausmacht, welche strukturellen Gegebenheiten notwendig sind, um ein guter Hausarzt zu werden und welche...

Sleep disorders are common among nursing home residents. However, the possible involvement of psychological factors has been given little attention up until now. We investigated nursing home residents' perspective on psychological factors and sleep disorders within the nursing home environment. We conducted a qualitative interview study comprising...

Im Juni 2013 wurden von der World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) weltweite Standards für die Facharztweiterbildung in Allgemeinmedizin verabschiedet. Diese gliedern sich in neun Bereiche: Ziele, Weiterbildungsprozess, Beurteilung und Prüfung, Ärzte in Weiterb...

The patients' active participation in their medical care is important for patients with chronic diseases. Measurements of patient activation are needed for studies and in clinical practice. This study aims to validate the Patient Activation Measure 13 (PAM13-D) in German-speaking primary care patients. This international cross-sectional multicentre...

Background Sleep disorders are common among nursing home residents. However, the possible involvement of psychological factors has been given little attention up until now. We investigated nursing home residents’ perspective on psychological factors and sleep disorders within the nursing home environment. Materials and methods We conducted a qualit...

Background: The academic development of family medicine plays an important role for its professionalisation in Germany. An important aspect of development is the promotion of young academic family practitioners (FPs). However, young FPs in clinical training who also perform research and teaching are confronted with many difficulties. The aim of thi...

Nursing home residents often suffer from sleep disorders. For nurses, nursing home residents' sleep disorders are a complex problem. The nursing home residents' perspective on sleep and sleep disorders has been unknown yet. The Aim of this article is to describe external barriers to good sleep from the nursing home residents' perspective and to ded...

Die ambulante Inanspruchnahme ist in Deutschland mit ca. 17 Arztkontakten/Jahr im internationalen Vergleich hoch. So betragt in Norwegen die Zahl der Arztkontakte ca. 5/Jahr. Ein verbreitetes Modell des Inanspruchnahmeverhaltens ist Andersens Behavioral Model. Andersen unterschied in seinem Modell pradisponierende Faktoren (demographische Faktoren,...

This article demonstrates how a systematic triangulation of research perspectives can provide a methodological framework for the practice of mixed methods research. The authors illustrate the application of a “systematic approach” by focusing on an in-depth case study concerning the management of sleeping problems in nursing homes. Two sources of q...

Introduction: Nursing home residents often suffer from sleep disorders. In Germany, family practitioners usually care for nursing home residents. There are narrow therapeutic possibilities to treat nursing home residents with sleep disorders due to multimorbidity and polypharmacy. Thus, our study aims to explore the nursing home residents' demands...

Introduction: Nursing home residents often suffer from sleep disorders. In Germany, family practitioners usually care for nursing home residents. There are narrow therapeutic possibilities to treat nursing home residents with sleep disorders due to multimorbidity and polypharmacy. Thus, our study aims to explore the nursing home residents’ demands...

Physician-patient-interaction: is highly complex. It is influenced by many interfering factors and its outcome is often quite unpredictable. Diagnostic labels try to reduce this complexity for patients and physicians. Diagnostic labels are an attempt to bridge the subjectiveobjective gap between patient’s perspective and physician’s measuring. They...

Background: In German family medicine research, qualitative research is a quite new field. A methodological discourse about qualitative research is just evolving. Objective: We wanted to explore the state-of-the-art of qualitative research in German family medicine, reflected in studies published in the “Zeitschrift für Allgemeinmedizin”. We were e...

It is important to research subjective perceptions of the aged to meet the old peoples' needs in daily practice of geriatrics. Understanding and emphasizing those subjective perceptions may lead to a person-centered gerontology. This seems to be especially important for institutionalized old people as their personal perspective is easily forgotten....

Background: In German family medicine research, qualitative research appears to be quite a new field. A methodological discourse about qualitative research is just evolving. Objective: We wanted to explore the state-of-the-art of qualitative research in German family medicine, reflected in studies published in the “German Journal of Family Medicine...