Diagnosen aus der ambulanten ärztlichen Versorgung – Dokumentationsdichte, Möglichkeiten und Limitationen bei der Eingrenzung von Erkrankungshäufigkeiten

Grobe, Th.; Dörning, Hans

doi:10.1055/s-0028-1086268

Cited by 4 publications

(5 citation statements)

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“…Generally, German patients visit their GPs more often than patients in other countries [ 33 , 35 ]. According to a report of the Gmünder Ersatzkasse that was based on invoicing data, 68.0% of insured patients had at least one contact with their GP in 2007 [ 36 ]. A patient's average number of annual visits to a physician increases considerably with age, and was also increased in 2007 compared with 2004.…”

Section: Discussionmentioning

confidence: 99%

“…A patient's average number of annual visits to a physician increases considerably with age, and was also increased in 2007 compared with 2004. In 2007, the average 45-year old German man visited his GP six times, and the average 45-year old German woman visited her GP eight times [ 33 , 36 ]. This high frequency of contacts provides the GP with ample opportunity to act as a health educator and counselor, which is particularly important for elderly people.…”

Section: Discussionmentioning

confidence: 99%

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Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients

et al. 2010

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BackgroundGeneral practitioners (GPs) have a key role in providing preventive care, particularly for elderly patients. However, various factors can inhibit or promote the implementation of preventive care. In the present study, we identified and examined factors that inhibit and promote preventive care by German GPs, particularly for elderly patients, and assessed changes in physicians' attitudes toward preventive care throughout their careers.MethodsA qualitative, explorative design was used to identify inhibitors and promoters of preventive care in German general medical practice. A total of 32 GPs in Berlin and Hannover were surveyed. Questions about factors that promote or inhibit implementation of preventive care and changes in physicians' perceptions of promoting and inhibiting factors throughout their careers were identified. Episodic interviews, which encouraged the reporting of anecdotes regarding daily knowledge and experiences, were analyzed using ATLAS/ti. Socio-demographic data of GPs and structural information about their offices were collected using short questionnaires. The factors identified as inhibitory or promoting were classified as being related to patients, physicians, or the healthcare system. The changes in GP attitudes toward preventive care throughout their careers were classified as personal transitions or as social and health policy transitions.ResultsMost of the identified barriers to preventive care were related to patients, such as a lack of motivation for making lifestyle changes and a lack of willingness to pay for preventive interventions. In addition, the healthcare system seemed to inadequately promote preventive care, mainly due to poor reimbursement for preventive care and fragmentation of care. GPs own attitudes and health habits seemed to influence the implementation of preventive care. GPs recognized their own lack of awareness of effective preventive interventions, particularly for elderly patients. GPs were motivated by positive preventive experiences, but often lacked the necessary training to counsel and support their patients.ConclusionsGerman GPs had positive attitudes towards prevention, but the implementation of preventive care was neither systematic nor continuous. Identification and elimination of barriers to preventive care is crucial. Further research is needed to identify effective practice-based approaches to overcome these barriers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients

et al. 2010

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“…In order to define a time period comparable with that of the KiGGS, we selected data for 2005. As suggested by Grobe et al [11], we included only persons insured at least 1 day in all four quarters of 2005. This selection resulted in a population of 290,919 children aged 0-17 years (148,915 boys, 142,004 girls).…”

Section: Health Insurance Claims Datamentioning

confidence: 99%

Prescriptions as a proxy for asthma in children: a good choice?

Hoffmann

Glaeske

2009

Eur J Clin Pharmacol

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“…Gründe für die mehrheitliche Verneinung einer grundsätzlichen Untersuchung Pflegebedürftiger auf Anzeichen sexuellen Missbrauchs wurden in vorliegender Befragung nicht erfasst. Die Ablehnung könnte in den begrenzten zeitlichen Ressourcen [11,13] von Hausärzten/-ärztinnen begründet liegen. Hinzu kommt, dass es sich um ein stark tabuisiertes Thema handelt.…”

Section: Diskussionunclassified

Sexueller Missbrauch Pflegebedürftiger

et al. 2021

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Zusammenfassung Hintergrund Gewalt gegen pflegebedürftige ältere Menschen ist häufig. Hausärzte/-ärztinnen können bei der Prävention von Gewalt eine Rolle spielen. Insbesondere sexualisierte Gewalt ist stark tabuisiert und wenig untersucht. Ziel der Arbeit Ziel dieser Arbeit ist es, die Einstellung von Hausärzten/-ärztinnen zu ihrer Verantwortung bei sexuellem Missbrauch pflegebedürftiger Patienten/Patientinnen zu untersuchen. Zugleich sollen die subjektive Sicherheit hinsichtlich des Vorgehens bei einem Missbrauchsverdacht sowie die Fortbildungsinteressen von Hausärzten/-ärztinnen zum Thema erhoben werden. Material und Methoden In einer Querschnittsstudie wurden 1700 Hausärzte/-ärztinnen in Deutschland zwischen September und November 2016 schriftlich befragt. Fragebogen von 302 Ärzten/Ärztinnen konnten ausgewertet werden. Ergebnisse Die Unsicherheit hinsichtlich des weiteren Vorgehens bei Verdacht auf sexuellen Missbrauch von pflegebedürftigen Patienten/Patientinnen ist groß. Nahezu alle Befragten sehen es als Teil der ärztlichen Verantwortung, bei sexuellem Missbrauch pflegebedürftiger Patienten/Patientinnen zu intervenieren. Hauptsächliches Fortbildungsinteresse besteht zur Differenzialdiagnose des sexuellen Missbrauchs sowie zum richtigen Vorgehen im Verdachtsfall. Schlussfolgerung Fortbildungen, insbesondere zu den Anzeichen sexueller Gewalt gegen Pflegebedürftige, können einen Beitrag leisten, die Handlungssicherheit von Hausärzten/-ärztinnen zu stärken und ihre Bereitschaft zur Prävention zu erhöhen.

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Diagnosen aus der ambulanten ärztlichen Versorgung – Dokumentationsdichte, Möglichkeiten und Limitationen bei der Eingrenzung von Erkrankungshäufigkeiten

Cited by 4 publications

References 0 publications

Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients

Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients

Prescriptions as a proxy for asthma in children: a good choice?

Sexueller Missbrauch Pflegebedürftiger

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