Larissa Burggraf - Academia.edu (original) (raw)

Papers by Larissa Burggraf

Research paper thumbnail of Die Bedeutung von Patientenzentrierung in der hausärztlichen Konsultation

Die Bedeutung von Patientenzentrierung in der hausärztlichen Konsultation

Hintergrund: Im wissenschaftlichen Diskurs gewinnt der Begriff der Patientenzentrierung und der p... more Hintergrund: Im wissenschaftlichen Diskurs gewinnt der Begriff der Patientenzentrierung und der partizipativen Entscheidungsfindung zunehmend an Gewicht. Praktiken des shared-decision-makings werden ausprobiert, gelehrt und weiterentwickelt. Im angelsächsischen und skandinavischen Raum wird diesem[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Partizipation in der Palliativforschung

Partizipation in der Palliativforschung

Pflege Zeitschrift, Nov 1, 2022

Research paper thumbnail of The conceptualization of acute bronchitis in general practice – a fuzzy problem with consequences? A qualitative study in primary care

BMC Primary Care, Apr 6, 2023

Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically... more Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically, it is conceptualized as a viral infection. Still, general practitioners (GPs) often prescribe antibiotics for acute bronchitis. The explanation for this discrepancy may lie in a different conceptualization of acute bronchitis. Therefore, we wanted to know, how GPs conceptualize acute bronchitis, and how they differentiate it from common cold and pneumonia. Furthermore, we tried to find out the GPs' reasons for prescribing antibiotics in those cases. Methods To answer our study questions, we conducted a qualitative study with GPs in Bavaria, Germany, by using semi-structured guided interviews. The analysis of the data was conducted using the documentary method according to Ralf Bohnsack. The transcripts were subdivided into categories. Analyzing each part by reflective interpretation, first manually, secondly with the help of RQDA, we extracted the most representative citations and main messages from the interviews. Results The term acute bronchitis seems to be applied when there is neither certainty of the diagnosis common cold, nor of pneumonia. It seems it bridges the gap of uncertainty between supposedly harmless clinical pictures (common cold/viral), to the more serious ones (pneumonia/bacterial). The conceptual transitions between common cold and acute bronchitis on the one side, and acute bronchitis and pneumonia on the other are fluid. The diagnosis acute bronchitis cannot solve the problem of uncertainty but seems to be a label to overcome it by offering a way to include different factors such as severity of symptoms, presumed signs of bacterial secondary infection, comorbidities, and presumed expectations of patients. It seems to solve the pathophysiologic riddle of bacterial or viral and of decision making in prescribing antibiotics. 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.

Research paper thumbnail of The patient satisfaction in primary care consultation—Questionnaire (PiC): An instrument to assess the impact of patient-centred communication on patient satisfaction

PLOS ONE, Jul 16, 2021

Primary care consultation is significantly influenced by communication between the General Practi... more Primary care consultation is significantly influenced by communication between the General Practitioner (GP) and their patients. Hypothesising that patient satisfaction can be tested based on an expectation-experience comparison, the aim of this article is to discuss the influence of communication on patient satisfaction. A standardised questionnaire was developed striving for a universal primary care survey tool that focuses on patient satisfaction in the context of patient-centred-communication. The sample consisted of 14 German GPs with 80 patients each (n = 1120). Due to the inclusion in an overarching cluster-randomised-study (CRT), the medical practices to be examined were divided into intervention and control groups. The intervention was developed as a reflective training on patient-centred communication. The results in the present sample show no correlation between patient-centred-communication and patient satisfaction. There are also no significant differences between the intervention and control group. The results raise the question to what extent patient satisfaction can be shaped significantly through patient-centred-communication. The presented project represents part of the basic research in general medical care research and contributes to the transparent processing of theoretical assumptions. With the results described here, communication models with a focus on patient centredness can be evaluated with regard to their practical relevance and transferability.

Research paper thumbnail of 10 Ideas, concerns and expectations (ICE) in general practice consultations – report of a mixed methods study

10 Ideas, concerns and expectations (ICE) in general practice consultations – report of a mixed methods study

Objectives In General Practice consultations the patient’s agenda frequently remains hidden. ICE ... more Objectives In General Practice consultations the patient’s agenda frequently remains hidden. ICE (Ideas, Concerns and Expectations) is a concept in consultation skills training to elicit the patient’s agenda. It has been shown to reduce overdiagnosis and overtreatment. The objective of this study was to implement ICE as a tool for practicing patient-centered-communication and to test its effect on prescribing and referral. Acute low back pain causes a high level of suffering putting pressure on physicians to act. We aim to answer the following questions: Does a Training Intervention of ICE in General Practice have an effect on medical overdiagnosis or overtreatment in the care of patients with low back pain? What is the perception of General Practitioners (GP) on Patient–centeredness? Is there an effect on patients‘ satisfaction when General Practitioners adopt Patient–centered–communication by eliciting ICE? Method In a cluster-randomized trial we planned to test a training intervention on consultation skills using ICE. The planned outcome was the number of referrals for imaging or secondary care of patients with low back pain. The training included a self-reflection on participants’ consultation skills as well as their usual diagnostic and treatment procedures of patients with acute low back pain. Within the training the perception of patient-centeredness of practitioners in daily practice was observed by using the qualitative ethnographic method of participatory observation. Accompanying the RCT we conducted a patient and doctor’s survey for testing satisfaction with patient-centeredness using an expectation-experience-comparison. Results The RCT as originally planned failed due to high recruitment problems (15 instead of 48 practitioners). Therefore we decided to strengthen the qualitative part of the study also for explaining these difficulties. The participatory observation showed that practitioners attribute patients’ satisfaction only with the fulfillment of patients’ expectations, even if the following procedures lead to medical overdiagnosis and overtreatment. Furthermore, the reflection of practitioners showed more important influencing factors on the outcome of the consultation. The practitioners’ needs in daily practice were possibly not met by a seemingly good idea of how to better consult. Conclusions In the light of the results, we want to discuss whether medical care of patients (with acute low back pain) is changeable by using a patient-centered communication technique like ICE or is patient-centered communication overestimated in its potency of effects on the outcome of a consultation in general practice.

Research paper thumbnail of Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centred communication to improve the management of acute back pain in primary care. A study protocol

BMJ Open, Oct 1, 2019

Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centr... more Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centred communication to improve the management of acute back pain in primary care.

Research paper thumbnail of Process evaluation in practice based research networks: a study protocol for a mixed-methods implementation study

BMJ Open

IntroductionGeneral practitioners often criticise clinical trials for their poor applicability in... more IntroductionGeneral practitioners often criticise clinical trials for their poor applicability in primary care, which may at least partially explain why their engagement in primary care research remains limited. In order to enhance primary care research, the German government has funded six regional practice based research networks (PBRNs). Within the Bavarian PBRN (BayFoNet), two cluster-randomised pilot trials will be conducted. This paper presents the protocol of the process evaluation accompanying both trials, which aims to explore relevance, feasibility, acceptability and credibility of clinical research in primary care from the perspectives of BayFoNet researchers, general practitioners, and patients.Methods and analysisThe BayFoNet will be established by recruiting general practices (GPs) as prospective research collaborators in two cluster randomised pilot trials. Research teams will provide training in good clinical practice, and support practices in patient recruitment, da...

Research paper thumbnail of The conceptualization of acute bronchitis in general practice – a fuzzy problem with consequences? A qualitative study in primary care

BMC Primary Care

Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically... more Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically, it is conceptualized as a viral infection. Still, general practitioners (GPs) often prescribe antibiotics for acute bronchitis. The explanation for this discrepancy may lie in a different conceptualization of acute bronchitis. Therefore, we wanted to know, how GPs conceptualize acute bronchitis, and how they differentiate it from common cold and pneumonia. Furthermore, we tried to find out the GPs’ reasons for prescribing antibiotics in those cases. Methods To answer our study questions, we conducted a qualitative study with GPs in Bavaria, Germany, by using semi-structured guided interviews. The analysis of the data was conducted using the documentary method according to Ralf Bohnsack. The transcripts were subdivided into categories. Analyzing each part by reflective interpretation, first manually, secondly with the help of RQDA, we extracted the most representative citations and main...

Research paper thumbnail of “What else to say?”–Primary health care in times of COVID-19 from the perspective of German general practitioners: An exploratory analysis of the open text field in the PRICOV-19 study

PLOS ONE

Background The international collaboration study PRICOV-19 –Primary Health Care in times of COVID... more Background The international collaboration study PRICOV-19 –Primary Health Care in times of COVID-19 aims to assess the impact of the COVID-19 pandemic on the organisation of primary health care. The German part focuses on the subjective perceptions of general practitioners on primary health care and the impact of political measures during the second wave of the COVID-19 pandemic. Within this survey, the “open text field” of the questionnaire was utilised remarkably frequently and extensively by the respondents. It became clear that the content that was named needed to be analysed in an exploratory manner. Accordingly, this paper addresses the following question: What preoccupies general practitioners in Germany during COVID-19 that we have not yet asked them enough? Methods The data collection took place throughout Germany from 01.02.2021 to 28.02.2021with a quantitative online questionnaire consisting of 53 items arranged across six topics as well as an “open text field” for furth...

Research paper thumbnail of Partizipation in der Palliativforschung

Partizipation in der Palliativforschung

Pflegezeitschrift

Research paper thumbnail of Patient Satisfaction in Primary Care Consultation—Questionnaire

Patient Satisfaction in Primary Care Consultation—Questionnaire

PsycTESTS Dataset

Research paper thumbnail of PRICOV-19: Primary care in times of Covid-19 – Darstellung der subjektiven Wahrnehmung deutscher Hausärzt*innen in der Covid-19-Pandemie

PRICOV-19: Primary care in times of Covid-19 – Darstellung der subjektiven Wahrnehmung deutscher Hausärzt*innen in der Covid-19-Pandemie

Hintergrund: Die hausärztliche Versorgung nimmt während der Covid-19-Pandemie eine Schlüsselrolle... more Hintergrund: Die hausärztliche Versorgung nimmt während der Covid-19-Pandemie eine Schlüsselrolle ein: der hausärztliche Notdienst wird für Covid-19-Testungen eingesetzt, gesonderte Infektionssprechstunden werden implementiert und Covid-19-Impfungen sollen fortan in den hausärztlichen [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of PRICOV-19: primary care in times of Covid-19 – GP's subjective perception of their role during the Covid-19 pandemic

PRICOV-19: primary care in times of Covid-19 – GP's subjective perception of their role during the Covid-19 pandemic

Background and international state of the art: Primary Care (PC) plays a key role during the Covi... more Background and international state of the art: Primary Care (PC) plays a key role during the Covid-19 pandemic. For example, the GP's emergency service is used for Covid-19 tests, separate infection consultation hours are implemented and GPs are now supposed to vaccinate in their practices. GP [for full text, please go to the a.m. URL]

Research paper thumbnail of PRO VISION-19: PRimary care for Older people during coVId-19 within three health systems: an ethnographic exploration

PRO VISION-19: PRimary care for Older people during coVId-19 within three health systems: an ethnographic exploration

Background: The COVID-19 pandemic poses major challenges to health systems around the world. The ... more Background: The COVID-19 pandemic poses major challenges to health systems around the world. The supplied resources are becoming scarce everywhere, leading to problems in maintaining effective care in parts. Since especially older people and those with multimorbidities have been identified as at-risk [for full text, please go to the a.m. URL]

Research paper thumbnail of Preventing Overdiagnosis in Primary Care. Ein Forschungsnetzwerk zur Identifikation und Verhinderung von Überversorgung im ambulanten Gesundheitswesen

Preventing Overdiagnosis in Primary Care. Ein Forschungsnetzwerk zur Identifikation und Verhinderung von Überversorgung im ambulanten Gesundheitswesen

Hintergrund: Neben der Verschwendung begrenzter Ressourcen unseres Gesundheitswesens schadet Über... more Hintergrund: Neben der Verschwendung begrenzter Ressourcen unseres Gesundheitswesens schadet Überversorgung dem individuellen Patienten. In Anbetracht des Nachwuchsmangels an jungen Hausärzten und angesichts der Herausforderungen des demografischen Wandels wird die Fehlallokation von Ressourcen[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of PiK – Ein Instrument zur Messung von Patientenzufriedenheit in der hausärztlichen Konsultation

PiK – Ein Instrument zur Messung von Patientenzufriedenheit in der hausärztlichen Konsultation

Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Ko... more Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Konsultationsverlauf beigemessen. Folgt man diesem Ansatz, lässt sich konstatieren, dass die hausärztliche Konsultation maßgeblich durch Kommunikation mit dem Patienten in Form von Beratung,[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten Interventionsstudie

Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten Interventionsstudie

Hintergrund: Cluster-randomisierte Interventionsstudien (cRCT) gelten als Goldstandard medizinisc... more Hintergrund: Cluster-randomisierte Interventionsstudien (cRCT) gelten als Goldstandard medizinisch-klinischer Forschung. Der Beleg von Funktionalität verschiedener überprüfter Interventionen lässt sich durch eine entsprechend aufgebaute Kontrollgruppe herstellen, so die Annahme. [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Womit haben wir es eigentlich zu tun?" – Reflexion verschiedener Studiendesigns in der allgemeinmedizinischen Versorgungsforschung

Womit haben wir es eigentlich zu tun?" – Reflexion verschiedener Studiendesigns in der allgemeinmedizinischen Versorgungsforschung

Namen der Moderierenden sowie der Vortragenden: Vortragende: Larissa Burggraf Nikoletta Lippert; ... more Namen der Moderierenden sowie der Vortragenden: Vortragende: Larissa Burggraf Nikoletta Lippert; Julia Gollnick Piet van der Keylen Johanna Tomandl Einzelbeiträge: Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Patientenzufriedenheit in der hausärztlichen Konsultation (PiK) – Entwicklung und Durchführung eines Instrumentes zur Erfassung des Einflusses von ärztlicher Kommunikation auf die Patientenzufriedenheit

Patientenzufriedenheit in der hausärztlichen Konsultation (PiK) – Entwicklung und Durchführung eines Instrumentes zur Erfassung des Einflusses von ärztlicher Kommunikation auf die Patientenzufriedenheit

Hintergrund: Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwe... more Hintergrund: Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Erfolg des Konsultationsverlaufs beigemessen. Folgt man diesem Ansatz, lässt sich konstatieren, dass die hausärztliche Konsultation maßgeblich durch Kommunikation mit dem Patienten[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Welche Evidenz beschreibt die benötigte Evidenz – Erfahrungen aus einer Cluster-randomisierten Interventionsstudie zu Patienten-zentrierter Kommunikation

Welche Evidenz beschreibt die benötigte Evidenz – Erfahrungen aus einer Cluster-randomisierten Interventionsstudie zu Patienten-zentrierter Kommunikation

Hintergrund/Fragestellung: Patienten-zentrierte Kommunikation (PCC) gilt in der Forschung als ers... more Hintergrund/Fragestellung: Patienten-zentrierte Kommunikation (PCC) gilt in der Forschung als erstrebenswert. PCC will dabei Ärzte und Patienten in einem gemeinsamen evidenz-orientierten Handeln unterstützen. Schulungsinterventionen sollen Ärzte in die Lage versetzen, patienten-zentriert[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Die Bedeutung von Patientenzentrierung in der hausärztlichen Konsultation

Die Bedeutung von Patientenzentrierung in der hausärztlichen Konsultation

Hintergrund: Im wissenschaftlichen Diskurs gewinnt der Begriff der Patientenzentrierung und der p... more Hintergrund: Im wissenschaftlichen Diskurs gewinnt der Begriff der Patientenzentrierung und der partizipativen Entscheidungsfindung zunehmend an Gewicht. Praktiken des shared-decision-makings werden ausprobiert, gelehrt und weiterentwickelt. Im angelsächsischen und skandinavischen Raum wird diesem[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Partizipation in der Palliativforschung

Partizipation in der Palliativforschung

Pflege Zeitschrift, Nov 1, 2022

Research paper thumbnail of The conceptualization of acute bronchitis in general practice – a fuzzy problem with consequences? A qualitative study in primary care

BMC Primary Care, Apr 6, 2023

Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically... more Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically, it is conceptualized as a viral infection. Still, general practitioners (GPs) often prescribe antibiotics for acute bronchitis. The explanation for this discrepancy may lie in a different conceptualization of acute bronchitis. Therefore, we wanted to know, how GPs conceptualize acute bronchitis, and how they differentiate it from common cold and pneumonia. Furthermore, we tried to find out the GPs' reasons for prescribing antibiotics in those cases. Methods To answer our study questions, we conducted a qualitative study with GPs in Bavaria, Germany, by using semi-structured guided interviews. The analysis of the data was conducted using the documentary method according to Ralf Bohnsack. The transcripts were subdivided into categories. Analyzing each part by reflective interpretation, first manually, secondly with the help of RQDA, we extracted the most representative citations and main messages from the interviews. Results The term acute bronchitis seems to be applied when there is neither certainty of the diagnosis common cold, nor of pneumonia. It seems it bridges the gap of uncertainty between supposedly harmless clinical pictures (common cold/viral), to the more serious ones (pneumonia/bacterial). The conceptual transitions between common cold and acute bronchitis on the one side, and acute bronchitis and pneumonia on the other are fluid. The diagnosis acute bronchitis cannot solve the problem of uncertainty but seems to be a label to overcome it by offering a way to include different factors such as severity of symptoms, presumed signs of bacterial secondary infection, comorbidities, and presumed expectations of patients. It seems to solve the pathophysiologic riddle of bacterial or viral and of decision making in prescribing antibiotics. 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.

Research paper thumbnail of The patient satisfaction in primary care consultation—Questionnaire (PiC): An instrument to assess the impact of patient-centred communication on patient satisfaction

PLOS ONE, Jul 16, 2021

Primary care consultation is significantly influenced by communication between the General Practi... more Primary care consultation is significantly influenced by communication between the General Practitioner (GP) and their patients. Hypothesising that patient satisfaction can be tested based on an expectation-experience comparison, the aim of this article is to discuss the influence of communication on patient satisfaction. A standardised questionnaire was developed striving for a universal primary care survey tool that focuses on patient satisfaction in the context of patient-centred-communication. The sample consisted of 14 German GPs with 80 patients each (n = 1120). Due to the inclusion in an overarching cluster-randomised-study (CRT), the medical practices to be examined were divided into intervention and control groups. The intervention was developed as a reflective training on patient-centred communication. The results in the present sample show no correlation between patient-centred-communication and patient satisfaction. There are also no significant differences between the intervention and control group. The results raise the question to what extent patient satisfaction can be shaped significantly through patient-centred-communication. The presented project represents part of the basic research in general medical care research and contributes to the transparent processing of theoretical assumptions. With the results described here, communication models with a focus on patient centredness can be evaluated with regard to their practical relevance and transferability.

Research paper thumbnail of 10 Ideas, concerns and expectations (ICE) in general practice consultations – report of a mixed methods study

10 Ideas, concerns and expectations (ICE) in general practice consultations – report of a mixed methods study

Objectives In General Practice consultations the patient’s agenda frequently remains hidden. ICE ... more Objectives In General Practice consultations the patient’s agenda frequently remains hidden. ICE (Ideas, Concerns and Expectations) is a concept in consultation skills training to elicit the patient’s agenda. It has been shown to reduce overdiagnosis and overtreatment. The objective of this study was to implement ICE as a tool for practicing patient-centered-communication and to test its effect on prescribing and referral. Acute low back pain causes a high level of suffering putting pressure on physicians to act. We aim to answer the following questions: Does a Training Intervention of ICE in General Practice have an effect on medical overdiagnosis or overtreatment in the care of patients with low back pain? What is the perception of General Practitioners (GP) on Patient–centeredness? Is there an effect on patients‘ satisfaction when General Practitioners adopt Patient–centered–communication by eliciting ICE? Method In a cluster-randomized trial we planned to test a training intervention on consultation skills using ICE. The planned outcome was the number of referrals for imaging or secondary care of patients with low back pain. The training included a self-reflection on participants’ consultation skills as well as their usual diagnostic and treatment procedures of patients with acute low back pain. Within the training the perception of patient-centeredness of practitioners in daily practice was observed by using the qualitative ethnographic method of participatory observation. Accompanying the RCT we conducted a patient and doctor’s survey for testing satisfaction with patient-centeredness using an expectation-experience-comparison. Results The RCT as originally planned failed due to high recruitment problems (15 instead of 48 practitioners). Therefore we decided to strengthen the qualitative part of the study also for explaining these difficulties. The participatory observation showed that practitioners attribute patients’ satisfaction only with the fulfillment of patients’ expectations, even if the following procedures lead to medical overdiagnosis and overtreatment. Furthermore, the reflection of practitioners showed more important influencing factors on the outcome of the consultation. The practitioners’ needs in daily practice were possibly not met by a seemingly good idea of how to better consult. Conclusions In the light of the results, we want to discuss whether medical care of patients (with acute low back pain) is changeable by using a patient-centered communication technique like ICE or is patient-centered communication overestimated in its potency of effects on the outcome of a consultation in general practice.

Research paper thumbnail of Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centred communication to improve the management of acute back pain in primary care. A study protocol

BMJ Open, Oct 1, 2019

Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centr... more Referrals for uncomplicated lower back pain: a cluster parallel randomised trial of patient-centred communication to improve the management of acute back pain in primary care.

Research paper thumbnail of Process evaluation in practice based research networks: a study protocol for a mixed-methods implementation study

BMJ Open

IntroductionGeneral practitioners often criticise clinical trials for their poor applicability in... more IntroductionGeneral practitioners often criticise clinical trials for their poor applicability in primary care, which may at least partially explain why their engagement in primary care research remains limited. In order to enhance primary care research, the German government has funded six regional practice based research networks (PBRNs). Within the Bavarian PBRN (BayFoNet), two cluster-randomised pilot trials will be conducted. This paper presents the protocol of the process evaluation accompanying both trials, which aims to explore relevance, feasibility, acceptability and credibility of clinical research in primary care from the perspectives of BayFoNet researchers, general practitioners, and patients.Methods and analysisThe BayFoNet will be established by recruiting general practices (GPs) as prospective research collaborators in two cluster randomised pilot trials. Research teams will provide training in good clinical practice, and support practices in patient recruitment, da...

Research paper thumbnail of The conceptualization of acute bronchitis in general practice – a fuzzy problem with consequences? A qualitative study in primary care

BMC Primary Care

Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically... more Background Acute bronchitis is one of the most frequent diagnoses in primary care. Scientifically, it is conceptualized as a viral infection. Still, general practitioners (GPs) often prescribe antibiotics for acute bronchitis. The explanation for this discrepancy may lie in a different conceptualization of acute bronchitis. Therefore, we wanted to know, how GPs conceptualize acute bronchitis, and how they differentiate it from common cold and pneumonia. Furthermore, we tried to find out the GPs’ reasons for prescribing antibiotics in those cases. Methods To answer our study questions, we conducted a qualitative study with GPs in Bavaria, Germany, by using semi-structured guided interviews. The analysis of the data was conducted using the documentary method according to Ralf Bohnsack. The transcripts were subdivided into categories. Analyzing each part by reflective interpretation, first manually, secondly with the help of RQDA, we extracted the most representative citations and main...

Research paper thumbnail of “What else to say?”–Primary health care in times of COVID-19 from the perspective of German general practitioners: An exploratory analysis of the open text field in the PRICOV-19 study

PLOS ONE

Background The international collaboration study PRICOV-19 –Primary Health Care in times of COVID... more Background The international collaboration study PRICOV-19 –Primary Health Care in times of COVID-19 aims to assess the impact of the COVID-19 pandemic on the organisation of primary health care. The German part focuses on the subjective perceptions of general practitioners on primary health care and the impact of political measures during the second wave of the COVID-19 pandemic. Within this survey, the “open text field” of the questionnaire was utilised remarkably frequently and extensively by the respondents. It became clear that the content that was named needed to be analysed in an exploratory manner. Accordingly, this paper addresses the following question: What preoccupies general practitioners in Germany during COVID-19 that we have not yet asked them enough? Methods The data collection took place throughout Germany from 01.02.2021 to 28.02.2021with a quantitative online questionnaire consisting of 53 items arranged across six topics as well as an “open text field” for furth...

Research paper thumbnail of Partizipation in der Palliativforschung

Partizipation in der Palliativforschung

Pflegezeitschrift

Research paper thumbnail of Patient Satisfaction in Primary Care Consultation—Questionnaire

Patient Satisfaction in Primary Care Consultation—Questionnaire

PsycTESTS Dataset

Research paper thumbnail of PRICOV-19: Primary care in times of Covid-19 – Darstellung der subjektiven Wahrnehmung deutscher Hausärzt*innen in der Covid-19-Pandemie

PRICOV-19: Primary care in times of Covid-19 – Darstellung der subjektiven Wahrnehmung deutscher Hausärzt*innen in der Covid-19-Pandemie

Hintergrund: Die hausärztliche Versorgung nimmt während der Covid-19-Pandemie eine Schlüsselrolle... more Hintergrund: Die hausärztliche Versorgung nimmt während der Covid-19-Pandemie eine Schlüsselrolle ein: der hausärztliche Notdienst wird für Covid-19-Testungen eingesetzt, gesonderte Infektionssprechstunden werden implementiert und Covid-19-Impfungen sollen fortan in den hausärztlichen [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of PRICOV-19: primary care in times of Covid-19 – GP's subjective perception of their role during the Covid-19 pandemic

PRICOV-19: primary care in times of Covid-19 – GP's subjective perception of their role during the Covid-19 pandemic

Background and international state of the art: Primary Care (PC) plays a key role during the Covi... more Background and international state of the art: Primary Care (PC) plays a key role during the Covid-19 pandemic. For example, the GP's emergency service is used for Covid-19 tests, separate infection consultation hours are implemented and GPs are now supposed to vaccinate in their practices. GP [for full text, please go to the a.m. URL]

Research paper thumbnail of PRO VISION-19: PRimary care for Older people during coVId-19 within three health systems: an ethnographic exploration

PRO VISION-19: PRimary care for Older people during coVId-19 within three health systems: an ethnographic exploration

Background: The COVID-19 pandemic poses major challenges to health systems around the world. The ... more Background: The COVID-19 pandemic poses major challenges to health systems around the world. The supplied resources are becoming scarce everywhere, leading to problems in maintaining effective care in parts. Since especially older people and those with multimorbidities have been identified as at-risk [for full text, please go to the a.m. URL]

Research paper thumbnail of Preventing Overdiagnosis in Primary Care. Ein Forschungsnetzwerk zur Identifikation und Verhinderung von Überversorgung im ambulanten Gesundheitswesen

Preventing Overdiagnosis in Primary Care. Ein Forschungsnetzwerk zur Identifikation und Verhinderung von Überversorgung im ambulanten Gesundheitswesen

Hintergrund: Neben der Verschwendung begrenzter Ressourcen unseres Gesundheitswesens schadet Über... more Hintergrund: Neben der Verschwendung begrenzter Ressourcen unseres Gesundheitswesens schadet Überversorgung dem individuellen Patienten. In Anbetracht des Nachwuchsmangels an jungen Hausärzten und angesichts der Herausforderungen des demografischen Wandels wird die Fehlallokation von Ressourcen[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of PiK – Ein Instrument zur Messung von Patientenzufriedenheit in der hausärztlichen Konsultation

PiK – Ein Instrument zur Messung von Patientenzufriedenheit in der hausärztlichen Konsultation

Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Ko... more Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Konsultationsverlauf beigemessen. Folgt man diesem Ansatz, lässt sich konstatieren, dass die hausärztliche Konsultation maßgeblich durch Kommunikation mit dem Patienten in Form von Beratung,[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten Interventionsstudie

Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten Interventionsstudie

Hintergrund: Cluster-randomisierte Interventionsstudien (cRCT) gelten als Goldstandard medizinisc... more Hintergrund: Cluster-randomisierte Interventionsstudien (cRCT) gelten als Goldstandard medizinisch-klinischer Forschung. Der Beleg von Funktionalität verschiedener überprüfter Interventionen lässt sich durch eine entsprechend aufgebaute Kontrollgruppe herstellen, so die Annahme. [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Womit haben wir es eigentlich zu tun?" – Reflexion verschiedener Studiendesigns in der allgemeinmedizinischen Versorgungsforschung

Womit haben wir es eigentlich zu tun?" – Reflexion verschiedener Studiendesigns in der allgemeinmedizinischen Versorgungsforschung

Namen der Moderierenden sowie der Vortragenden: Vortragende: Larissa Burggraf Nikoletta Lippert; ... more Namen der Moderierenden sowie der Vortragenden: Vortragende: Larissa Burggraf Nikoletta Lippert; Julia Gollnick Piet van der Keylen Johanna Tomandl Einzelbeiträge: Auswirkung des Forschungsfeldes auf die Funktionalität des Studiendesigns am Beispiel einer Cluster-randomisierten[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Patientenzufriedenheit in der hausärztlichen Konsultation (PiK) – Entwicklung und Durchführung eines Instrumentes zur Erfassung des Einflusses von ärztlicher Kommunikation auf die Patientenzufriedenheit

Patientenzufriedenheit in der hausärztlichen Konsultation (PiK) – Entwicklung und Durchführung eines Instrumentes zur Erfassung des Einflusses von ärztlicher Kommunikation auf die Patientenzufriedenheit

Hintergrund: Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwe... more Hintergrund: Der Arzt-Patienten-Kommunikation wird in der aktuellen Forschung ein hoher Stellenwert für den Erfolg des Konsultationsverlaufs beigemessen. Folgt man diesem Ansatz, lässt sich konstatieren, dass die hausärztliche Konsultation maßgeblich durch Kommunikation mit dem Patienten[zum vollständigen Text gelangen Sie über die oben angegebene URL]

Research paper thumbnail of Welche Evidenz beschreibt die benötigte Evidenz – Erfahrungen aus einer Cluster-randomisierten Interventionsstudie zu Patienten-zentrierter Kommunikation

Welche Evidenz beschreibt die benötigte Evidenz – Erfahrungen aus einer Cluster-randomisierten Interventionsstudie zu Patienten-zentrierter Kommunikation

Hintergrund/Fragestellung: Patienten-zentrierte Kommunikation (PCC) gilt in der Forschung als ers... more Hintergrund/Fragestellung: Patienten-zentrierte Kommunikation (PCC) gilt in der Forschung als erstrebenswert. PCC will dabei Ärzte und Patienten in einem gemeinsamen evidenz-orientierten Handeln unterstützen. Schulungsinterventionen sollen Ärzte in die Lage versetzen, patienten-zentriert[zum vollständigen Text gelangen Sie über die oben angegebene URL]