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Open AccessInnovationsausschuss des Gemeinsamen Bundesausschusses (G-BA) fördert neue und alte DEGAM-Leitlinien
Leitlinien (LL) sind ein wichtiges Instrument der Qualitätsförderung – auch in der hausärztlichen Versorgung. Seit Jahren erstellen hochmotivierte Mitglieder der Deutschen Gesellschaft für Allgemeinmedizin und...
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Open AccessState-wide implementation of patient-reported outcome measures (PROMs) in specialized outpatient palliative care teams (ELSAH): A mixed-methods evaluation and implications for their sustainable use
Such patient-reported outcome measures (PROMs) and patient-centered outcome measures as the Integrated Palliative Care Outcome Scale (IPOS), Phase of Illness, and IPOS Views on Care (IPOS VoC), facilitate pati...
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Open AccessIntegrating patient- and caregiver-reported outcome measures into the daily care routines of specialised outpatient palliative care: a qualitative study (ELSAH) on feasibility, acceptability and appropriateness
The use of patient-reported outcome measures (PROM) and caregiver-reported outcome measures can raise the patient centeredness of treatment and improve the quality of palliative care. Nevertheless, the everyda...
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Article
Open AccessPrevalence, aetiologies and prognosis of the symptom cough in primary care: a systematic review and meta-analysis
Cough is a relevant reason for encounter in primary care. For evidence-based decision making, general practitioners need setting-specific knowledge about prevalences, pre-test probabilities, and prognosis. Acc...
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Open AccessCoughing children in family practice and primary care: a systematic review of prevalence, aetiology and prognosis
For evidence-based decision making, primary care physicians need to have specific and reliable information on the pre-test probabilities of underlying diseases and a symptom’s course. We performed a systematic...
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Article
Open AccessRegret among primary care physicians: a survey of diagnostic decisions
Experienced and anticipated regret influence physicians’ decision-making. In medicine, diagnostic decisions and diagnostic errors can have a severe impact on both patients and physicians. Little empirical rese...
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Open AccessStudy protocol: evaluation of specialized outpatient palliative care in the German state of Hesse (ELSAH study) – work package I: assessing the quality of care
In Germany, patients suffering from life-limiting conditions are eligible for specialized outpatient palliative care (SOPC). Evaluation of the quality of this service lacks currently integration of patient-rel...
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Article
Open AccessPrevalence, aetiologies and prognosis of the symptom dizziness in primary care – a systematic review
Dizziness is a common reason for consulting a general practitioner and there is a broad range of possible underlying aetiologies. There are few evidence-based data about prevalence, aetiology and prognosis in ...
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Article
Neue DEGAM-S3 Leitlinie „Hausärztliche Beratung zur kardiovaskulären Prävention“
Kardiovaskuläre Erkrankungen sind trotz fallender Tendenz weiterhin die häufigste Todesursache in Deutschland. Bei der Entstehung wirken meist mehrere Risikofaktoren zusammen. Durch eine gemeinsame Bewertung d...
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Article
Open AccessThe differential diagnosis of tiredness: a systematic review
Tiredness is one of the most frequent complaints in primary care. Although often self-limiting and frequently associated with psychosocial stress, patients but also their physicians are often uncertain regardi...
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Open AccessStudies of the symptom dyspnoea: A systematic review
To deal with patients suffering from dyspnoea, it is crucial for general practitioners to know the prevalences of different diseases causing dyspnoea in the respective area and season, the likelihood of avoida...
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Article
Evaluation eines Gemeindeschwesterprojekts in einer kleinen, ländlichen Gemeinde
Vor dem Hintergrund limitierter Ressourcen für die gesundheitliche Versorgung im ländlichen Raum wurde im Frühjahr 2012 in einem Dorf in Mittelhessen aufgrund einer kommunalen Initiative ein Gemeindeschwesterp...
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Article
Open AccessChest pain in primary care: is the localization of pain diagnostically helpful in the critical evaluation of patients? - A cross sectional study
Chest pain is a common complaint and reason for consultation in primary care. Traditional textbooks still assign pain localization a certain discriminative role in the differential diagnosis of chest pain. The...
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Article
Prüfarztschulung für klinische Arzneimittelstudien in der Allgemeinmedizin
Ärzte, die als Prüfarzt an klinischen Arzneimittelstudien teilnehmen möchten, müssen eine Zertifizierung durch eine Schulung über die geltenden Regeln der guten klinischen Praxis (ICH-GCP-Schulung) vorweisen. ...
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Article
Open AccessIn-vivo-validation of a cardiovascular risk prediction tool: the arriba-pro study
Calculation of individual risk is the cornerstone of effective cardiovascular prevention. arriba is a software to estimate the individual risk to suffer a cardiovascular event in 10 years. Prognosis and the absol...
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Article
Unsicherheit in der Allgemeinmedizin
Mit dem von Shannon und Weaver entwickelten Begriff der Entropie lässt sich die Unsicherheit in der Allgemeinmedizin modellhaft erfassen. Allgemeinärzte sind an der Schnittstelle von Lebenswelt und Gesundheits...
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Open AccessCoronary heart disease in primary care: accuracy of medical history and physical findings in patients with chest pain – a study protocol for a systematic review with individual patient data
Chest pain is a common complaint in primary care, with coronary heart disease (CHD) being the most concerning of many potential causes. Systematic reviews on the sensitivity and specificity of symptoms and sig...
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Open AccessDevelopment and validation of a clinical prediction rule for chest wall syndrome in primary care
Chest wall syndrome (CWS), the main cause of chest pain in primary care practice, is most often an exclusion diagnosis. We developed and evaluated a clinical prediction rule for CWS.
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Open AccessDo guidelines on first impression make sense? Implementation of a chest pain guideline in primary care: a systematic evaluation of acceptance and feasibility
Most guidelines concentrate on investigations, treatment, and monitoring instead of patient history and clinical examination. We developed a guideline that dealt with the different aetiologies of chest pain by...
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Open AccessGender bias revisited: new insights on the differential management of chest pain
Chest pain is a common complaint and reason for consultation in primary care. Few data exist from a primary care setting whether male patients are treated differently than female patients. We examined whether ...
