[GRADE: Evidence to Decision (EtD) framework for coverage decisions].
CONCLUSION: The EtD provides a systematic and transparent approach for making coverage decisions. It helps ensure consideration of key criteria that determine whether a technology or service should be covered and that judgments are informed by the best available evidence. PMID: 32451188 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 27, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Development and piloting of a blended learning training programme for physicians and medical students to enhance their competences in evidence-based decision-making.
Authors: Hinneburg J, Hecht L, Berger-Höger B, Buhse S, Lühnen J, Steckelberg A Abstract INTRODUCTION: In 2016, the German Network for Evidence-based Medicine revised its basic curriculum for competences in evidence-based medicine. A curriculum-based training programme for physicians and medical students to enhance their competences in evidence-based decision-making was developed. The training programme was planned on the basis of problem-based learning. The aim of this qualitative pilot study was to explore the feasibility and acceptability of the training programme. Hypotheses concerning its influence o...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 24, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Database indexing of health science journals from the German-speaking area: a journal analysis].
CONCLUSIONS: The results indicate a heterogeneous indexation of the included journals. Only a small number is indexed in common international literature databases such as MEDLINE or CINAHL. On the other hand, only a few journals are not indexed in any database. The results can be used as a basis to define databases for literature searches as part of systematic reviews. In addition, the findings might guide the selection of journals for hand searching after literature databases have been defined. PMID: 32439423 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 24, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Health status, comorbidities and cost-of-illness in females with stress urinary incontinence living in the Canton of Bern.
DISCUSSION: This COI study provided data on health status, comorbidities, QoL, health care use, productivity losses and costs of SUI. The high prevalence of comorbidities observed in this study was comparable to obese females of a similar age group. The high economic burden of SUI requires cost-effective preventive actions and clinical treatment concepts. PMID: 32439424 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 24, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Use of summaries of product characteristics (SmPC) among family doctors and pharmacists in the context of the aut-idem regulation: Results of an exploratory cross-sectional survey].
Authors: Gahr M, Freudenmann RW, Connemann BJ, Schönfeldt-Lecuona C, Muche R, Hiemke C, Sillmann YM Abstract INTRODUCTION: Summaries of product characteristics (SmPC) of same-substance medications may feature content-related differences. This may cause difficulties regarding informed consent in the case of prescriptions of drugs in the context of the aut-idem regulation. A survey among family doctors (FD) and pharmacists (PH) was conducted in order to evaluate the usage behaviour of SmPCs, sources used to obtain information about drugs and the awareness of the existence of differences between SmPCs of same-sub...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 24, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Equity in the health economic evaluation of public health: An overview].
CONCLUSION: The use of the instruments presented offers good potential to improve transparency with respect to distributive effects of different allocation decisions. This appears to be necessary in order to meet demands for health equity improving public health interventions - especially in the context of the German Prevention Act. PMID: 32434735 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 23, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

["But you often come unstuck on particularities" - Care consultants on legislation amendments and the challenges of their job: A qualitative investigation].
CONCLUSION: Complex dependencies within the German care system were identified and the necessity for a public discourse on themes such as self-responsibility, equity and a comprehensive (nationwide) care supply was underlined. A central information platform was proposed in order to concretely improve information about services available locally. PMID: 32434736 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 23, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Antibody tests for COVID-19: What the results tell us].
Conclusions: A sufficiently high sensitivity and specificity are prerequisites for the application of antibody test systems. Positive test results are often false if the pre-test probability is low. Depending on the assumed prevalence of a SARS-CoV-2 infection, there are substantial differences in the significance of a concrete test result for the respective affected persons. PMID: 32419875 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 20, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Effects of lifestyle interventions for arterial hypertension in primary care: A systematic review].
CONCLUSION: There is a need for further studies focusing on primary care. However, many lifestyle interventions seem to show very good effects in patients with pre-existing AH (secondary prophylaxis), so these measures should form the basis of antihypertensive therapy in all patients with AH. In addition, it is important to maintain advice on a healthy lifestyle during drug therapy. PMID: 32389609 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 13, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The effect of tailored training courses in preanalytical procedures on the quality of laboratory results].
Authors: Mäder-Porombka C, Homberg A, Hörster F, Brune M, Kilian S, Buckel B, Goldwasser R Abstract INTRODUCTION: In 31 to 75 percent of cases, errors in laboratory medicine have preanalytical causes such as erroneous blood sampling. Erroneous blood sampling may lead to false test results and additional laboratory cost; it may increase analyzing time and endanger the health of patients and employees. In particular, under- and overfilling of blood sampling tubes can considerably distort laboratory values. So far there has been a lack of studies investigating the effect of a tailored training for ward staff...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 17, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The similarity of drug names as a possible cause of confusion: Analysis of data from outpatient care].
CONCLUSION: There is a major need to fully inform patients about this risk of confusion and subsequent medication errors with certain drug combinations. The similarity structures of drug pairings identified in this study could serve as a basis for developing an appropriate information routine. PMID: 32279980 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 14, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The risk of re-identification when analyzing electronic health records: a critical appraisal and possible solutions].
DISCUSSION: Routine health data are, in principle, sensitive data. Knowledge about the variables in primary care data gathered from electronic health records in local practices and the evaluation of this data allow us to more accurately estimate the risk of re-identification for the persons concerned. In particular, chronic diagnoses and/or diagnoses in long text, calendar dates for patient contacts and therapies bear a high risk of re-identification. Technical measures such as removing data, masking values and coding should make re-identification considerably more difficult. There will always be a remaining risk of re-ide...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 15, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Treatment of non-specific low back pain: Evidence map of systematic reviews from 2015 to 2019].
CONCLUSION: This evidence map provides a compact resource for the use of current systematic reviews on interventions for non-specific low back pain. The methodological deficits of many reviews require a careful approach towards their findings and conclusions and suggest a need for methodologically rigorous reviews. PMID: 32151527 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 11, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[How do young general practitioners experience the transition to general practice? A qualitative study].
CONCLUSIONS: Our findings confirm that young doctors' initial views on medical care are strongly shaped by the clinical focus of medical schools and hospital work. Working in general practice is perceived as being very different from working in a hospital. PMID: 32139305 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 8, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Translation of the evidence-based practice confidence (EPIC) scale into German and its cross-cultural adaption for Switzerland, Austria and Germany].
CONCLUSION: The EPIC scale was successfully translated and interculturally adapted to the German language. The scale evaluates self-efficacy in EBP activities and could potentially be used to assess courses or be integrated into surveys. In the next step, the validity and reliability of the German scale should be established involving other health care professionals in this process. PMID: 32139306 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 8, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

GRADE-Leitlinien: 17. Beurteilung des Bias-Risikos durch fehlende Endpunkt-Daten im Evidenzk örper.
CONCLUSIONS: If the results of the primary meta-analysis are robust to the most extreme assumptions viewed as plausible, one does not rate down certainty in the evidence for risk of bias due to missing participant outcome data. If the results prove not robust to plausible assumptions, one would rate down certainty in the evidence for risk of bias. PMID: 32122800 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 5, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Regional differences between general practitioners and general internal medicine physicians in primary care].
Authors: Strumann C, Emcke T, Flägel K, Steinhäuser J Abstract OBJECTIVE: In many places in Germany, the need for primary care physicians has been steadily increasing for several years, especially in rural areas. It is hypothesized that physicians are more likely to practice in rural areas if they have received a broad education and vocational training. Differences between general practitioners (GPs) and physicians in general internal medicine (GIM) in the breadth of their vocational training are created by the underlying distinct training schemes. The aim of the analysis was to test whether GPs and GIM p...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 4, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Assuring the quality of continuous professional development: an analysis of accreditation documents of the chambers of pharmacists in Germany].
Authors: Hinneburg I, Günther J, Fleer D, Schwalbe O Abstract Accreditation of continuous professional training events is an important means to ensure quality. In Germany, the chambers of pharmacists accredit these events, i. e., they check the documents that the organizers of these events provide. The aim of this investigation was to compare the accreditation documents that the chambers of pharmacists publish on their websites. We developed explicit rating criteria concerning the categories quality of content, conflict of interest and sponsoring. The analysis revealed a huge discrepancy between the indiv...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 24, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Primary palliative care provision by general practitioners: Development of strategies to improve structural, legal and financial framework conditions].
CONCLUSION: In order to optimise general outpatient palliative care, structural, legal and financial framework conditions need to be correspondingly adapted. PMID: 32059833 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 17, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Effective health communication: Foundations, barriers, and success factors from a communication science perspective].
This article discusses important barriers and success factors for effective communication in health contexts from the perspective of health communication, a subdiscipline of communication science. It focusses on aspects that are often not sufficiently addressed in our everyday communication: the degree of target group orientation, the role of attention processes, the variety of possible negative effects, the process character of individuals' health behavior changes, and social influences. We conclude the article with a plea for a better evidence-basing of health-related communication processes. PMID: 32057668 [PubMed -...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 16, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Improving cognitive resources of nursing home residents: a systematic review of prevention and health promotion interventions].
CONCLUSION: In general, a wide range of nonpharmacological interventions were reported. Due to the limited evidence, however, these may be regarded as ideas only or possible options for promoting the cognitive resources of nursing home residents. PMID: 32046938 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 14, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[GRADE guidelines: 18. How ROBINS-I and other tools to assess risk of bias in nonrandomized studies should be used to rate the certainty of a body of evidence].
CONCLUSION: The use of ROBINS-I in GRADE assessments may allow for a better comparison of evidence from randomized controlled trials (RCTs) and nonrandomized studies (NRSs) because they are placed on a common metric for risk of bias. Challenges remain, including appropriate presentation of evidence from RCTs and NRSs for decision-making and how to optimally integrate RCTs and NRSs in an evidence assessment. PMID: 31980320 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - January 27, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Englischer Titel: Scientific habilitations as an indicator of research productivity in Germany - a comparative analysis of several clinical specialties].
CONCLUSIONS: Here, the output of completed habilitations from 13 medical specialties was analyzed for each German medical school. As a habilitation stands for a sustainable scientific contribution, this study may help to identify further career development needs for junior and for female scientists. PMID: 31932253 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - January 15, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Reporting system for critical incidents in cross-sectoral healthcare (CIRS-CS): Pre-test of a reporting sheet and optimization of a reporting system.
CONCLUSION: The results of the pre-test of the CIRS-CS suggest that the description of the causes as well as potential solutions via the cross-sectoral reporting sheet is unfeasible and may be better approached with an interdisciplinary investigation team panel as part of the reporting system, in which the participating representatives are able to enter a structured dialogue based on the reported problems. Furthermore, the results indicate that investigation team panels enable an interprofessional exchange and may thus promote transparency between healthcare facilities. At this point, there is little research on the conten...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Efficacy of decision support systems to improve medication safety - results of the evaluation of the "Arzneimittelkonto NRW"].
[Efficacy of decision support systems to improve medication safety - results of the evaluation of the "Arzneimittelkonto NRW"]. Z Evid Fortbild Qual Gesundhwes. 2019 Nov 21;: Authors: Witte J, Scholz S, Surmann B, Gensorowsky D, Greiner W Abstract Polypharmacy increases the risk of adverse drug reactions, especially in the elderly. Therefore, the reduction of potentially inadequate medication (PIM), an improvement in drug therapy safety and, in general, a more rational use of drugs is an objective of various interventions. The aim of this prospective single-arm interventional study is to inve...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 26, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist].
CONCLUSION: Guideline projects should consider the aforementioned suggestions for recommendations that are equity sensitive. PMID: 31757658 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 25, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The "National Aeronautics and Space Administration-Task Load Index" (NASA-TLX) - an instrument for measuring consultation workload within general practice: Evaluation of psychometric properties].
CONCLUSIONS: The German version of NASA-TLX provides preliminary indications of psychometric properties and presents an important tool to evaluate family physicians' workload in direct patient contact. PMID: 31759889 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 25, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[What can structured doctoral programs contribute to ensure quality of medical dissertations and scientific careers/junior promotion? An evaluation using the "Experimental Medicine" program initiative of Ulm University as an example].
CONCLUSIONS: Despite methodological limitations, the results support the structured doctoral program, particularly with regard to the duration and evaluation of the doctorate. The program should be further optimized, though, with respect to specific aspects, particularly in terms of "career paths in research". PMID: 31732385 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Development of guideline-based quality indicators: a qualitative study on barriers and facilitating factors from the perspective of S3-guideline authors].
CONCLUSION: The study reveals starting points for measures to strengthen the consideration of QI development in German S3-CPG projects, especially within the MS program. Without substantial structural changes, especially of the resources of guideline groups, and without an overall concept covering the entire process from QI development to QI implementation, guideline-based QI development will remain heavily dependent on the (self-)motivation of guideline groups. PMID: 31732386 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Challenges in teaching systematic reviews to non-clinicians.
Authors: Pieper D, Müller D, Stock S Abstract Systematic reviews are regarded as the cornerstone of evidence-based decision making across many disciplines. The teaching of systematic review methods is thus very important, yet it is a field that still remains unexplored. In this paper, we will outline an approach for teaching non-clinicians about systematic reviews at the University of Cologne. Our aim was to cast some light on the challenges involved and to stimulate discussion and discourse on this topic. Out of a total of twelve weeks of teaching (1.5hours per week), nine of them included hands-on exercises ...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Improving psychosocial health of nursing home residents: a systematic review of interventions for prevention and health promotion].
CONCLUSION: The diversity and heterogeneity of the interventions made both classification difficult and consistent judgments of the quality of the evidence difficult. From the perspective of promoting the psychosocial health of nursing home residents, the identified interventions should only be considered as suggestions or proposals for prevention and health promotion measures, and future studies should evaluate their implementation. PMID: 31727536 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 17, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Accreditation and digitization - just a load of crap?Systematic risk analysis among medical employees - today and 12 years ago].
CONCLUSION: Health professionals estimate that digitization and QM measures have the potential to reduce patients' treatment risks and help offset the increased workload. In particular, accreditations can help implement and maintain quality management measures. PMID: 31727537 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 17, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[(How) are quality indicators for measuring and appraising the quality of healthcare derived from evidence-based clinical practice guidelines? A review].
CONCLUSIONS: A standard for QI development is needed for German guideline authors to seize the opportunity and develop clinically relevant, widely accepted and evidence-based QIs in the guideline development process. In addition, it must be ensured that appropriate structures are used or set up in order to be able to apply the recommended QIs in the German healthcare system. PMID: 31718988 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 15, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Who needs health services researchers? The occupational profile according to job advertisements in Germany].
CONCLUSION: Health services research is a term which is used in job offers on the German labor market and is associated with multiple academic disciplines. At the same time, an institutionalization process can be observed, most prominently within the advertised professorships. This may lead to a consolidation of career paths in the future. The results of this study might inform educational programs in the field of health services research and may be of interest to graduates looking for employment. PMID: 31669184 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 2, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Longitudinal evaluation of female and male medical residents' career satisfaction].
CONCLUSION: Residents who were satisfied with their job subjectively rated the quality of postgraduate training conditions more positively. The anticipated delays in obtaining the degree as a medical specialist and the residents' career satisfaction were reciprocally related. The improvement of career satisfaction in female physicians with children needs special attention in the future. PMID: 31631002 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 23, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Shared decision making in breast care centres in North Rhine-Westphalia: Results of a 10-year trend analysis].
CONCLUSIONS: Despite the slight increases in the 10-year observation period a stable trend cannot be assumed. However, this study might be useful as baseline for other studies on SDM implementation. PMID: 31629688 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 22, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Educational intervention to improve diagnostic accuracy regarding psychological morbidity in general practice].
Authors: Schneider A, Mayer V, Dinkel A, Wagenpfeil S, Linde K, Henningsen P Abstract INTRODUCTION: The aim of this pilot study was to evaluate the effectiveness of a complex educational intervention to improve the diagnostic competencies of general practitioners (GPs) regarding the detection of depression, anxiety and somatization. METHODS: Cluster-randomized controlled pilot study with six practices each in the intervention group and control group. Psychological morbidity was determined by patient self-report using the Patient Health Questionnaire (PHQ-D). GPs rated the extent of psychological morbidity on a ...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Reimbursement differences in the ambulatory specialized care (ASV) compared to the previous care system. An exemplary analysis in medical oncology treating gastrointestinal malignancies].
CONCLUSION: Exemplified with the ASV subgroup GIT, our study shows for the analyzed medical specialty that the difference in reimbursement in ASV is mostly due to the federal country-specific budgets and that the increase in honoraria can be substantial. Due to differences in budgets and quota systems, there may be different results in other ASV indications and specialist groups as well as in other federal states. Irrespective of these arguments, further aspects need to be taken into account when participation in ASV is considered. PMID: 31570212 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, For...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 3, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Increasing the efficiency of guideline production: a narrative review].
CONCLUSIONS: New methods allowing for more efficient guideline production have been developed and, in part, already been introduced. Before starting with the production of a guideline (or its update), the potential advantages and disadvantages/risks of the corresponding methods should be balanced. PMID: 31563415 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 1, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Development of a flexible rehabilitation concept for a neurological in-patient rehabilitation program after stroke].
CONCLUSION: The evidence-based and consensus-based concept is characterized by being individually and flexibly applicable to the individual patient. In this way, it meets the given demands and fulfils the requirements of a heterogeneous group of patients. It is intended to incorporate the treatment concept into the routine healthcare services offered by the AOK Baden-Württemberg. In addition, the treatment concept will be the basis for the development of performance-based remuneration. PMID: 31558374 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - September 29, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[GRADE equity guidelines 1: considering health equity in GRADE guideline development: introduction and rationale].
CONCLUSION: Clinical and public health guidelines have a role to play in promoting health equity by explicitly considering equity in the process of guideline development. PMID: 31537503 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - September 22, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Closed-loop medication management: Results of a user survey].
CONCLUSION: In the study, 75% of participants reported that they were open to enthusiastic about using the new technologies and were supportive of their introduction into the medication process. Overall, the majority rated the new system as beneficial to daily clinical practice, provided the technical performance was high. PMID: 31526661 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - September 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Duration and variation of the ethics approval process in Germany - an example from a non-interventional study with 44 participating centers].
CONCLUSION: Submitting ethics approval applications for observational studies in a clinical setting involved considerable effort and long waiting times in 2017 and 2018. Simplified review procedures or a waiver of examination by local IRBs do not necessarily mean shorter processing times. In general, further progress is still needed. PMID: 31473073 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - September 3, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[For discussion: What potential does digitization hold for patient safety?]
Authors: Weigand M, Köster-Steinebach I Abstract Digitization is comparatively underdeveloped in the German healthcare system. Many digital applications are potentially capable of improving patient safety. This potential cannot be exploited in the long term with regional and time-limited projects. The present article shows in which care areas digital solutions are possible and necessary for safe patient care. In order for digital solutions and applications to be available to policyholders in the first healthcare market, producer of eHealth solutions will have to consider the goals of patient safety from the ve...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 14, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Von der EbM zum EbJ: Was Medien von der Medizinkommunikation lernen k önnen - und umgekehrt.
Von der EbM zum EbJ: Was Medien von der Medizinkommunikation lernen können - und umgekehrt. Z Evid Fortbild Qual Gesundhwes. 2019 Aug 07;: Authors: PMID: 31401018 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 13, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Corrigendum zu "Telemedizinprojekte im l ändlichen Raum Deutschlands. Eine systematische Bewertung mit dem "Modell zur Evaluation von telemedizinischen Anwendungen"": [Z. Evid. Fortbild. Qual. Gesund. wesen 2019;141-142:89-95].
Corrigendum zu "Telemedizinprojekte im ländlichen Raum Deutschlands. Eine systematische Bewertung mit dem "Modell zur Evaluation von telemedizinischen Anwendungen"": [Z. Evid. Fortbild. Qual. Gesund. wesen 2019;141-142:89-95]. Z Evid Fortbild Qual Gesundhwes. 2019 Aug 06;: Authors: Allner R, Wilfling D, Kidholm K, Steinhäuser J PMID: 31399390 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 12, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Serie: Das Grading of Recommendations, Assessment, Development and Evaluation (GRADE) System].
CONCLUSION: The "GRADE-ADOLOPMENT" approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful. PMID: 31399391 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 12, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Development of the German version of EQ-5D-Y-5L to measure health-related quality of life in children and adolescents: Identification of response labels and pilot testing].
CONCLUSION: Involving the target group of children and adolescents, a German EQ-5D-Y version with five severity levels was developed (EQ-5D-Y-5L) that can be used in children and adolescents aged 8 to 15 years. However, the psychometric properties of the instrument need further investigation. In addition, value sets need to be to developed before the questionnaire is suitable for all fields of application. PMID: 31378708 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 7, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Selected safety-relevant medication processes in Swiss nursing homes: Current state of affairs and optimization potentials].
CONCLUSION: In Swiss nursing homes, central safety-relevant medication processes have not yet been implemented nationwide. In particular, implementation is not widespread in nursing homes where medical care for their residents is provided by many different external general practitioners. The organizational features need to be taken into account to successfully implement quality improvement measures. PMID: 31375396 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Listening to stories: Using podcasts and storytelling to communicate science and evidence].
Authors: Jäger S, Hinneburg I Abstract The podcast project Evidenz-Geschichte(n) uses storytelling as a method to communicate principles and methods of evidence-based medicine in an attractive way. Both podcasts and storytelling have become quite popular for science communication in general. However, they bring both chances and risks that need to be considered thoroughly. Ideally, communication concepts using storytelling and/or podcasts should be evaluated in their specific contexts. PMID: 31362873 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - August 2, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research