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1.
Patient Prefer Adherence ; 9: 1573-9, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26604710

RESUMO

BACKGROUND: Patients' evaluation of medical care is an essential dimension of quality of care and an important aspect of the feedback cycle for health care providers. The aim of this study was to document how patients with a Turkish background evaluate primary care in Germany and determine which aspects of care are associated with language abilities. METHODS: The study was based on an observational design. Patients with a Turkish background from German primary care practices completed the EUROPEP (European Project on Patient Evaluation of General Practice Care) questionnaire consisting of 23 items. Seventeen primary care practices were involved with either German (n=8) or Turkish (n=9) general practitioners (GPs). RESULTS: A convenience sample of 472 patients with a Turkish background from 17 practices participated in the study (response rate 39.9%). Practices with a German GP had a lower response rate (19.6%) than those with a Turkish GP (57.5%). Items evaluated the highest were "keeping data confidential" (73.4%) and "quick services for urgent health problems" (69.9%). Subgroup analysis showed lower evaluation scores from patients with good or excellent German language abilities. Patients who consulted a Turkish GP had higher evaluation scores. CONCLUSION: The evaluation from patients with a Turkish background living in Germany with either Turkish or German GPs showed lower scores than patients in other studies in Europe using EUROPEP. However, our results had higher evaluation scores than those of Turkish patients evaluating GPs in Turkey. Therefore, different explanation models for these findings should be explored in future studies.

2.
Int Wound J ; 10(1): 52-6, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22372599

RESUMO

The aim of the study was to determine the demand on health service utilisation and to estimate the therapeutical costs caused by patients with chronic leg ulcer (CLU) in German primary care. A population-based case-control study was conducted using electronic medical records of 116 059 patients extracted from the CONTENT primary care database of Heidelberg, Germany, between April 2007 and March 2010. The drug and non drug prescription rates among patients with CLU were analysed by means of a unified German identification key and compared with those of patients with chronic venous insufficiency (CVI) without CLU. In the 3-year-contact group, CLU patients had significantly more patient-doctor encounters (55·9 versus 40·3; p < 0·0001), more referrals to home-care services (6·12 versus 3·08; p < 0·0001), and more admissions to hospitals (0·9 versus 0·4; p < 0·0001) than CVI patients, but no difference in referrals to specialists. The annual treatment costs for drugs and non drugs in CLU patients were substantially higher than in CVI patients (1645·75 € versus 1188·17 €; p < 0·0001). Wound dressings were identified as the most cost-enlarging factor. Summarising, CLU patients in primary care settings place a higher demand on health service utilisation and need nearly one-third higher therapeutical costs compared to venous patients without ulceration.


Assuntos
Gastos em Saúde , Serviços de Saúde/estatística & dados numéricos , Úlcera Varicosa/economia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bandagens/economia , Estudos de Casos e Controles , Criança , Doença Crônica , Custos e Análise de Custo , Feminino , Alemanha , Serviços de Saúde/economia , Serviços de Assistência Domiciliar/economia , Serviços de Assistência Domiciliar/estatística & dados numéricos , Humanos , Masculino , Análise por Pareamento , Pessoa de Meia-Idade , Admissão do Paciente/economia , Atenção Primária à Saúde/economia , Encaminhamento e Consulta/economia , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Úlcera Varicosa/terapia
3.
GMS Z Med Ausbild ; 29(3): Doc43, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22737198

RESUMO

BACKGROUND: Since 2008 the Verbundweiterbildung(plus) programme of the Competence Centre General Practice Baden-Wuerttemberg offers continual improvement with regards to content and structure of general practice training. The programme uses the didactical concept of the CanMEDs competencies, which were developed in Canada, as a postgraduate medical training framework. Train the trainer (TTT)-programmes are an additional important element of these contentual optimisations of postgraduate training. Within this article we describe the conception and evaluation of the first TTT-workshop within the programme Verbundweiterbildung(plus). METHODS: The conception of the first TTT-workshop was influenced by results of a survey of general practitioner (GP) trainers and by experiences with teaching GP trainers involved in medical undergraduate teaching. A questionnaire was designed to get a self-assessment about organisational and didactic aspects oriented on the CanMEDs competencies of postgraduate medical training. In addition, the workshop was evaluated by the participants. RESULTS: The workshop lasted 12 teaching units and included the following elements: introduction into the CanMEDs competencies, feedback training, fault management, legal and organisational aspects of post graduate training. From the 29 participating trainers 76% were male and on average 57 years old. The evaluation showed a good to very good acceptance of the workshop. Initial self-rating showed the need of improving in the fields of determining learning objectives, providing formative feedback and incorporation of a trainee. Most trainers rated themselves as very good in procure CanMEDs competencies with the exclusion of the competencies "Manager" and "Scholar". CONCLUSION: A TTT-programme is an important method to improve GP training which has not been used in Germany so far. Such a GP TTT-programme should highlight especially training in providing feedback and teaching in management aspects. Results of this article add information that can be used for developing TTT-programmes also in other specialties.


Assuntos
Educação Médica Continuada , Educação , Medicina Geral/educação , Software , Ensino , Escolha da Profissão , Competência Clínica , Currículo , Avaliação Educacional , Retroalimentação , Alemanha , Humanos , Motivação , Projetos Piloto
4.
Z Evid Fortbild Qual Gesundhwes ; 105(10): 743-50, 2011.
Artigo em Alemão | MEDLINE | ID: mdl-22176983

RESUMO

Patients with little knowledge of the German language have a special need for information. Due to language barriers they behave more passively in medical encounter, have a poorer knowledge about their disease and are generally less satisfied with their medical care. Foreign language patient information material could bridge the gap between medical consultation and the patients' self-responsibility and involve patients more actively in the treatment process. Based on extensive research in several areas (internet, clinic and practice leaflets, drug patient information leaflets) the present article illustrates that in all these areas foreign language patient information is very poorly available compared to German material. The reinforcement of the development of such material could lead to a higher involvement of immigrant patients' in the decision-making process, higher rates of patient safety and satisfaction and, overall, to a better quality of care for all patient groups in Germany.


Assuntos
Barreiras de Comunicação , Informação de Saúde ao Consumidor/normas , Emigrantes e Imigrantes/educação , Multilinguismo , Folhetos , Atenção à Saúde/estatística & dados numéricos , Rotulagem de Medicamentos/normas , Medicina Geral , Alemanha , Hospitalização , Humanos , Internet/estatística & dados numéricos , Avaliação das Necessidades , Participação do Paciente/estatística & dados numéricos , Prática de Saúde Pública , Revisão da Utilização de Recursos de Saúde/estatística & dados numéricos
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