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Drug landscape in patients receiving general outpatient palliative care in Germany: results from a retrospective analysis of 10,464 patients
CONCLUSIONS: Our results support the role of GOPC as an important element in improving pharmacological symptom control and deprescription to improve quality of life of patients at the end of their life.PMID:37596590 | DOI:10.1186/s12904-023-01231-3
Source: Cancer Control - August 18, 2023 Category: Cancer & Oncology Authors: Sven H Loosen Jacqueline Schwartz Steven Grewe Sarah Krieg Andreas Krieg Tom Luedde Yann-Nicolas Batzler Karel Kostev Martin Neukirchen Christoph Roderburg Source Type: research

Instruments in general practice to identify and to measure (over)burden due to informal care for caring relatives: a scoping review protocol
The objective of this review is to give an overview of instruments to identify and measure (over)burden of caring relatives in German general practice and to describe their characteristics. Methods and analysis We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist in addition to the Joanna Briggs Institute Reviewer’s Manual to describe the aims and methods of the planned scoping reviews. This protocol has been registered with Open Science Framework (OSF), https://osf.io/9ce2k. Two reviewers will run the search to identify studies in four d...
Source: BMJ Open - June 28, 2023 Category: General Medicine Authors: Marx, Y., Bauer, A., Unverzagt, S., Stark, U., Frese, T. Tags: Open access, General practice / Family practice Source Type: research

SaxoForN-a transregional primary care research network in Dresden and Frankfurt am Main : Design of a  practice-based research infrastructure
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Jun 13. doi: 10.1007/s00103-023-03722-3. Online ahead of print.ABSTRACTEstablishing primary care research networks (PCRNs) makes it easier to conduct clinical trials and health services research in a general-practice setting. Since February 2020, the German Federal Ministry of Education and Research (BMBF) has sponsored the development of six PCRNs and a coordination unit throughout Germany, with the aim of setting up a sustainable outpatient research infrastructure to raise the quantity and quality of primary care.The present article describes the design ...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - June 13, 2023 Category: International Medicine & Public Health Authors: Karola Mergenthal Corina G üthlin Astrid A Klein Jennifer Engler Meike Gerber Jenny Petermann Steve Piller Antje Bergmann Ferdinand M Gerlach Karen Voigt Source Type: research

Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting - results from a qualitative sub-study of the PICTURE trial
CONCLUSION: The primary setting has certain qualities such as a long-term doctor-patient relationship and low-threshold consultations that offer good opportunities for implementation of a brief psychological intervention for post-intensive care unit impairments. Structured follow-up guidelines for primary care following intensive care unit treatment are needed. Brief general practice-based interventions could be part of a stepped-care approach.TRIAL REGISTRATION: The main trial was registered at the DRKS (German Register of Clinical Trials: DRKS00012589) on 17/10/2017.PMID:37149603 | DOI:10.1186/s12875-023-02046-0
Source: Primary Care - May 6, 2023 Category: Primary Care Authors: Linda Sanftenberg Antina Beutel Chris Maria Friemel Robert Philipp Kosilek Maggie Schauer Thomas Elbert Ulf-Dietrich Reips Sabine Gehrke-Beck Tomke Schubert Konrad Schmidt Jochen Gensichen PICTURE-study team Source Type: research

Letter to the editors: General practice in the German Democratic Republic (1949-1990)-A discipline between threat and professionalization
Wien Klin Wochenschr. 2023 May 5. doi: 10.1007/s00508-023-02218-z. Online ahead of print.NO ABSTRACTPMID:37145246 | DOI:10.1007/s00508-023-02218-z
Source: Wiener Klinische Wochenschrift - May 5, 2023 Category: General Medicine Authors: Vittoria Braun Source Type: research

BeoNet-Halle-development of a  multifunctional database for the automated extraction of healthcare data from general practitioner and specialist practices
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Apr 20. doi: 10.1007/s00103-023-03691-7. Online ahead of print.ABSTRACTThe Beobachtungspraxennetzwerk Halle (BeoNet-Halle) is an innovative database of outpatient care that has been collecting patient data from participating primary care and specialty practices throughout Germany since 2020 and making it available for research and care. The database is set up and maintained by the Institute of Medical Epidemiology, Biometrics and Informatics and the Institute of General Practice and Family Medicine of the Martin Luther University Halle-Wittenberg. Furtherm...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - April 20, 2023 Category: International Medicine & Public Health Authors: Konstantin Moser Rafael Mikolajczyk Alexander Bauer Daniel Tiller Jan Christoph Oliver Purschke Sara Lena L ückmann Thomas Frese Source Type: research

The conceptualization of acute bronchitis in general practice - a fuzzy problem with consequences? A qualitative study in primary care
CONCLUSION: Acute bronchitis as an "intermediate category" proved difficult to define for the GPs. Applying this diagnosis leaves GPs in abeyance of prescribing an antibiotic or not. As a consequence of this uncertainty in pathophysiologic reasoning (viral or bacterial) other clinical and social factors tip the balance towards antibiotic prescribing. Teaching physicians to better think in probabilities of outcomes instead of pathophysiologic reasoning and to deal with uncertainty might help reducing antibiotic overprescribing.PMID:37024785 | DOI:10.1186/s12875-023-02039-z
Source: Primary Care - April 6, 2023 Category: Primary Care Authors: Nadine Schubert Thomas K ühlein Larissa Burggraf Source Type: research

Physical activity for chronic back pain: qualitative interview study with patients and GPs in German primary care
CONCLUSION: To the best of the authors' knowledge, this is the first qualitative study exploring opinion and experience of PA in individuals with CBP and GPs in parallel. This study reveals a complex doctor- patient relationship and provides an important insight to motivation for, and adherence to, PA in individuals with CBP.PMID:37012078 | DOI:10.3399/BJGP.2022.0215
Source: The British Journal of General Practice - April 3, 2023 Category: Primary Care Authors: Nicole Lindner Nele Kornder Julia Heisig Veronika van der Wardt Annika Viniol Source Type: research

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