TY - JOUR A1 - Klemperer, David A1 - Bauer, Ullrich A1 - Francke, Robert A1 - Dierks, Marie-Luise A1 - Robra, Bernt-Peter A1 - Rosenbrock, Rolf A1 - Windeler, Jürgen T1 - Positionspapier zur Weiterentwicklung der Gesundheitsversorgungsforschung und zu Themen für künftige Ausschreibungen von Forschungsvorhaben JF - Public Health Forum Y1 - 2015 U6 - https://doi.org/10.1515/pubhef-2015-0019 VL - 23 IS - 1 SP - 47 EP - 50 PB - De Gruyter ER - TY - JOUR A1 - Curbach, Janina A1 - Lander, Jonas A1 - Dierks, Marie-Luise A1 - Grepmeier, Eva-Maria A1 - von Sommoggy, Julia T1 - How do health professionals translate evidence on early childhood allergy prevention into health literacy-responsive practice? BT - A protocol for a mixed-method study on the views of German health professionals JF - BMJ OPEN N2 - Introduction Paediatricians, general practitioners (GPs) and midwives in primary care are important sources of information for parents on early childhood allergy prevention (ECAP). Research has shown that preventive counselling by health professionals can be effective in improving patients' health literacy (HL) and health behaviour. Providing effective advice relies on two factors. First, health professionals need be up-to-date with research evidence on ECAP, to consider popular misconceptions and fears and to translate this knowledge into clear recommendations for parents (knowledge translation). Second, they need to know and apply counselling techniques and create a practice setting which accommodates parental HL needs (health literacy-responsive care). The objective of this study is to explore and assess how German health professionals take up and translate ECAP evidence into appropriate recommendations for parents, how they consider HL in counselling and practice organisation and what barriers and enablers they find in their performance of HL-responsive ECAP. Methods and analysis The study has a sequential mixed-method design, in two phases. In the first phase, qualitative semi-structured expert interviews will be conducted with health professionals (paediatricians, GPs and midwives) at primary care level and professional policy level. Data collection is ongoing until January 2022. In the second phase, based on the qualitative results, a standardised questionnaire will be developed, and pilot-tested in a wider population of German health professionals. The findings of both phases will be integrated. Ethics and dissemination The study has received ethical approval from the Ethics Committee of the University of Regensburg (18-1205-101). The results will be published in international peer-reviewed open access journals and via presentations at scientific conferences. The results will also be shared with German health professionals, decision-makers and potential funders of interventions. KW - FOOD ALLERGY KW - INTERVENTION KW - MINDLINES KW - PERCEPTIONS KW - PERSPECTIVES KW - PHYSICAL-ACTIVITY KW - preventive medicine KW - PRIMARY-CARE KW - public health KW - qualitative research KW - social medicine Y1 - 2021 U6 - https://doi.org/10.1136/bmjopen-2020-047733 N1 - Corresponding author: Janina Curbach VL - 11 SP - 1 EP - 8 PB - BMJ ER - TY - JOUR A1 - Haerter, Martin A1 - Dirmaier, Jörg A1 - Scholl, Isabelle A1 - Donner-Banzhoff, Norbert A1 - Dierks, Marie-Luise A1 - Eich, Wolfgang A1 - Mueller, Hardy A1 - Klemperer, David A1 - Koch, Klaus A1 - Bieber, Christiane T1 - The long way of implementing patient-centered care and shared decision making in Germany JF - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen N2 - The main focus of the paper is on the description of the development and current state of research and implementation of patient-centered care (PCC) and shared decision making (SDM) after fifteen years of substantial advances in health policy and health services research. What is the current state of SDM in health policy? The "Patients' Rights Act" from 2013 standardizes all rights and responsibilities within the framework of medical treatment for German citizens and legal residents. This comprises the right to informed decisions, comprehensive and comprehensible information for patients, and decisions based on a clinician-patient-partnership. What is the current state of SDM interventions and patient decision support tools? SDM training programs for healthcare professionals have been developed. Their implementation in medical schools has been successful. Several decision support tools - primarily with support from health insurance funds and other public agencies - are to be implemented in routine care, specifically for national cancer screening programs. What is the current state of research and routine implementation? The German government and other public institutions are constantly funding research programs in which patient-centered care and shared decision-making are important topics. The development and implementation of decision tools for patients and professionals as well as the implementation of CME trainings for healthcare professionals require future efforts. What does the future look like? With the support of health policy and scientific evidence, transfer of PCC and SDM to practice is regarded as meaningful. Research can help to assess barriers, facilitators, and needs, and subsequently to develop and evaluate corresponding strategies to successfully implement PCC and SDM in routine care, which remains challenging. KW - COMMUNICATION KW - DISORDERS KW - health policy KW - implementation KW - INFORMATION KW - MANAGEMENT KW - MULTIPLE-SCLEROSIS KW - NEEDS KW - patient involvement KW - patient-centered care KW - PHYSICIANS KW - PSYCHOMETRIC PROPERTIES KW - QUESTIONNAIRE KW - SATISFACTION KW - shared decision making Y1 - 2017 U6 - https://doi.org/10.1016/j.zefq.2017.05.006 VL - 123 SP - 46 EP - 51 PB - Elsevier ER - TY - JOUR A1 - Hahlweg, Pola A1 - Bieber, Christiane A1 - Brütt, Anna Levke A1 - Dierks, Marie-Luise A1 - Dirmaier, Jörg A1 - Donner-Banzhoff, Norbert A1 - Eich, Wolfgang A1 - Geiger, Friedemann A1 - Klemperer, David A1 - Koch, Klaus A1 - Körner, Mirjam A1 - Müller, Hardy A1 - Scholl, Isabelle A1 - Härter, Martin T1 - Moving towards patient-centered care and shared decision-making in Germany JF - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen N2 - The main focus of this paper is to describe the development and current state of policy, research and implementation of patient-centered care (PCC) and shared decision-making (SDM) in Germany. What is the current state in health policy? Since 2013, the Law on Patients' Rights has standardized all rights and responsibilities regarding medical care for patients in Germany. This comprises the right to informed decisions, comprehensive and comprehensible information, and decisions based on a clinician-patient partnership. In addition, reports and action plans such as the German Ethics Council's report on patient well-being, the National Health Literacy Action Plan, or the National Cancer Plan emphasize and foster PCC and SDM on a policy level. There are a number of public organizations in Germany that support PCC and SDM. How are patients and the public involved in health policy and research? Publishers and funding agencies increasingly demand patient and public involvement. Numerous initiatives and organizations are involved in publicizing ways to engage patients and the public. Also, an increasing number of public and research institutions have established patient advisory boards. How is PCC and SDM taught? Great progress has been made in introducing SDM into the curricula of medical schools and other health care providers' (HCPs) schools (e.g., nursing, physical therapy). What is the German research agenda? The German government and other public institutions have constantly funded research programs in which PCC and SDM are important topics. This yielded several large-scale funding initiatives and helped to develop SDM training programs for HCPs in different fields of health care and information materials. Recently, two implementation studies on SDM have been conducted. What is the current uptake of PCC and SDM in routine care, and what implementation efforts are underway? Compared to the last country report from 2017, PCC and SDM efforts in policy, research and education have been intensified. However, many steps are still needed to reliably implement SDM in routine care in Germany. Specifically, the further development and uptake of decision tools and countrywide SDM trainings for HCPs require further efforts. Nevertheless, an increasing number of decision support tools - primarily with support from health insurance funds and other public agencies - are to be implemented in routine care. Also, recent implementation efforts are promising. For example, reimbursement by health insurance companies of hospital-wide SDM implementation is being piloted. A necessary next step is to nationally coordinate the gathering and provision of the many PCC and SDM resources available. KW - Patientenorientierte Krankenpflege KW - Entscheidungsfindung KW - Patient KW - Deutschland KW - Gesundheitswesen KW - Patient-centered care KW - Patient involvement KW - Shared decision-making KW - Health policy KW - Implementation Y1 - 2022 U6 - https://doi.org/10.1016/j.zefq.2022.04.001 SN - 1865-9217 VL - 171 SP - 49 EP - 57 PB - Elsevier ER -