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7. Soziale Gesundheit in der hausärztlichen Versorgung fördern

Author

Kloppe, Thomas, Mews, Claudia, Jung, Petra, Herrmann, Wolfram, Zimmermann, Thomas, Voß, Martyna, and Spreckelsen, Ove

Subjects
ddc: 610, Medicine and health
Abstract

Hintergrund: Bei Patientinnen und Patienten in der hausärztlichen Versorgung finden sich neben den medizinischen Beratungsanlässen häufig auch soziale Probleme. Häufig gesehene Problembereiche wie finanzielle Schwierigkeiten, Probleme mit Arbeit- und Arbeitslosigkeit sowie Einsamkeit [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Published
2021
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8. How Do German General Practitioners Assess Medical Specialist Care Needs of Nursing Home Residents? Results of a Postal Survey in North-Western Germany

Author

Spreckelsen, Ove, Schmiemann, Guido, Fassmer, Alexander Maximilian, Engel, Bettina, Hoffmann, Falk, and Freitag, Michael Hermann

Subjects
Male, Health Services Needs and Demand, nursing home residents, education, lcsh:R, lcsh:Medicine, Middle Aged, Article, specialist care, health services research, Nursing Homes, primary care, Cross-Sectional Studies, General Practitioners, Surveys and Questionnaires, Germany, coordination of care, Homes for the Aged, Humans, Female, survey, Needs Assessment, Specialization
Abstract

The frequency of contacts of nursing home residents with medical specialists is lower compared to the general population of the same age group in Germany. The aim of this study was to assess general practitioners&rsquo, (GPs) views on specialist care needs of nursing home residents, on questions of qualification and care coordination. A cross-sectional study was conducted with a postal questionnaire among a representative sample of 1121 GPs in north-western Germany in 2018. The perceptions of GPs about the relative importance of the type of specialist care that is required in nursing homes was assessed on a five-point Likert scale (0 = very low to 4 = very high). A total of 375 GPs (response 33.5%, mean age 54.4 years, 57.6% male) participated in the survey. GPs assessed care needs as highest for neurologists and psychiatrists (68.7%) and lowest for gynecologists (6.5%). Almost all respondents (96.2%) strongly agreed that medical care for nursing home residents should be coordinated by GPs and that GPs should initiate the referral for further specialist care when required (87.5%). A minority (25.7%) agreed that quality of medical care would improve when care for a nursing home was provided by only one GP practice. GPs perceive the needs of nursing home residents for specialist care as high only in relation to care by neurologists and psychiatrists. GPs consider their own coordination function for medical care in nursing homes as very important.

Published
2020

11. Einschätzung von Hausärzten zur Versorgung von Pflegeheimbewohnern am Lebensende - Ergebnisse einer Befragung in Niedersachsen und Bremen

Author

Allers, Katharina, Fassmer, Alexander Maximilian, Spreckelsen, Ove, and Hoffmann, Falk

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Hintergrund: Vor dem Hintergrund des demografischen Wandels spielt das Setting Pflegeheim eine zunehmend wichtigere Rolle. Für einen Großteil der Bewohner ist das Pflegeheim der Ort der letzten Lebensphase. Hausärzte begleiten ihre Patienten meist über mehrere Jahre und sind oftmals[zum vollständigen Text gelangen Sie über die oben angegebene URL], 18. Deutscher Kongress für Versorgungsforschung (DKVF)

Published
2019

12. Alltagsrelevant oder doch nur graue Theorie? - Health Literacy im hausärztlichen Kontext

Author

Voigt, Mona, Levelink, Michael, Spreckelsen, Ove, Freitag, Michael, and Brütt, Anna Levke

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Hintergrund: Health Literacy (engl., Gesundheitskompetenz) bezeichnet die Fähigkeit von Menschen Gesundheitsinformationen zu finden, zu verstehen und anzuwenden. So können gesundheitsbezogene Entscheidungen getroffen und nach ihnen gehandelt werden, mit dem Ziel, eine hohe Lebensqualität[zum vollständigen Text gelangen Sie über die oben angegebene URL], 17. Deutscher Kongress für Versorgungsforschung (DKVF)

Published
2018

15. End‐of‐life care of nursing home residents: A survey among general practitioners in northwestern Germany.

Author

Allers, Katharina, Fassmer, Alexander M, Spreckelsen, Ove, and Hoffmann, Falk

Subjects
CONFIDENCE intervals, PALLIATIVE treatment, PHYSICIANS, GENERAL practitioners, QUESTIONNAIRES, STATISTICAL sampling, TERMINAL care, ADVANCE directives (Medical care), MULTIPLE regression analysis, OCCUPATIONAL roles, PSYCHOSOCIAL factors, CROSS-sectional method, ODDS ratio
Abstract

Aim: To describe general practitioners' (GPs) perspectives on end‐of‐life care of nursing home residents. Methods: We carried out a cross‐sectional study. A questionnaire was sent to a random sample of 1121 GPs in the German federal states of Bremen and Lower Saxony in 2018. Data were compared between GPs with a qualification in palliative medicine and those without such qualifications, and multivariable logistic regression was performed. Results: Overall, 375 questionnaires were returned (response rate 34%). The majority of GPs (71%) agreed that nursing home residents are treated too often in hospitals at the end of life, and more than half rated end‐of‐life care in nursing homes as "rather poor" (54%). For both questions, GPs with a qualification in palliative medicine showed higher agreements. In the multivariable analysis, a prior qualification in palliative medicine was also strongly associated with rating end‐of‐life care as "rather poor" (OR 1.89, 95% CI 1.10–3.23). Respondents cited higher staffing ratios and better trained nursing staff as the most important measures to improve end‐of‐life care. Furthermore, it was estimated that just 37% of residents have an advance directive, with only one‐third including valid information on end‐of‐life hospitalizations. Conclusions: This study showed that GPs tend to be critical regarding end‐of‐life care in nursing homes. To improve end‐of‐life care, better training in palliative care for nursing staff and GPs might be warranted. In addition, advance care planning can help to ensure that residents' wishes are respected. Geriatr Gerontol Int 2020; 20: 25–30. [ABSTRACT FROM AUTHOR]

Published
2020
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