20 Result(s)
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Ulrike Junius-Walker
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Article
Open AccessThe role of qualification and quality management in the prescription of antipsychotics and potentially inappropriate medication (PIM) in nursing home residents in Germany: results of the HIOPP-3-iTBX study
Nursing home residents (NHR) show high rates of polypharmacy. The HIOPP-3-iTBX study is the first cRCT on medication optimization in nursing homes (NH) in Germany. The intervention did not result in a reductio...
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Article
Open AccessMediQuit – an electronic deprescribing tool: a pilot study in German primary care; GPs’ and patients’ perspectives
General practitioners (GPs) are the central coordinators for patients with multimorbidity and polypharmacy in most health care systems. They are entrusted with the challenging task of deprescribing when inappr...
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Open AccessMediQuit, an Electronic Deprescribing Tool for Patients on Polypharmacy: Results of a Feasibility Study in German General Practice
Deprescribing is an important task for general practitioners (GPs) in the face of risky polypharmacy. The electronic tool “MediQuit” was developed to guide GPs and patients through a deprescribing consultation...
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Article
Post-discharge adjustment of medication in geriatric patients
Little is known to what extent general practitioners (GP) change hospital discharge medications in older patients.
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Article
Open AccessProfessional roles of general practitioners, community pharmacists and specialist providers in collaborative medication deprescribing - a qualitative study
Collaborative care approaches between general practitioners (GPs) and pharmacists have received international recognition for medication optimization and deprescribing efforts. Although specialist providers ha...
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Article
Open AccessEuropean Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty—a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS)
Interprofessional collaborative practice (ICP) is currently recommended for the delivery of high-quality integrated care for older people. Frailty prevention and management are key elements to be tackled on a ...
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Open AccessHow older patients prioritise their multiple health problems: a qualitative study
Patients with multimorbidity often receive diverse treatments; they are subjected to polypharmacy and to a high treatment burden. Hence it is advocated that doctors set individual health and treatment prioriti...
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Article
Sicheres Medikamentenmanagement im Pflegeheim
Heimbewohner (HBW) sind häufig von einer Polypharmazie betroffen und nehmen häufiger poten-ziell inadäquate Medikamente (PIM) ein, mit negativen Auswirkungen auf die Arzneimitteltherapiesicherheit. Auch eine u...
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Article
Open AccessMultidisciplinary intervention to improve medication safety in nursing home residents: protocol of a cluster randomised controlled trial (HIOPP-3-iTBX study)
Medication safety is an important health issue for nursing home residents (NHR). They usually experience polypharmacy and often take potentially inappropriate medications (PIM) and antipsychotics. This, couple...
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Article
Identifying time trends in multimorbidity—defining multimorbidity in times of changing diagnostic practices
Time trends in multimorbidity have rarely been examined and no criteria have been developed to measure the development of multimorbidity over time. Against the backdrop of increasing numbers of diagnoses a rob...
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Article
Patientenseitiger Gesprächsbedarf nach einem geriatrischen Assessment in Hausarztpraxen
Der Gesprächsbedarf (GB) hausärztlicher Patienten wird anlassorientiert erhoben und bearbeitet. Ein geriatrisches Assessment zielt auf eine ganzheitliche Erfassung des Gesundheits- und Funktionszustands und er...
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Article
Was tun Hausärzte und Medizinische Fachangestellte, wenn sie selbst erkältet sind?
Hausärzte empfehlen ihren Patienten verschiedene Behandlungsmaßnahmen zur Linderung der Beschwerden einer Erkältungskrankheit. Unklar ist jedoch, welche Maßnahmen Hausärzte und Medizinische Fachangestellte (MF...
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Article
Geeignete Patienten für das „Geriatrische Assessment” auswählen: ein Praxistest zur Leitlinie
Für das geriatrische Assessment gibt es aus Kliniken gute Belege, dass damit negative gesundheitliche Folgen abgewendet werden können. Im hausärztlichen Bereich ist jedoch unklar, welche Patienten von dieser a...
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Article
Reducing Polypharmacy from the Perspectives of General Practitioners and Older Patients: A Synthesis of Qualitative Studies
Polypharmacy, common in elderly multimorbid adults, leads to increased iatrogenic health risks. Yet, no consistent approach to stop** medicines exists in primary healthcare.
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Article
Open AccessA geriatric assessment in general practice: prevalence, location, impact and doctor-patient perceptions of pain
To investigate what a geriatric assessment in general practice adds towards previous findings of prevalence, location, impact and the dyadic doctor-patient perception of pain in this age group.
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Article
Open Access“It’s MAGIC” - development of a manageable geriatric assessment for general practice use
Geriatric assessments are established tools in institutional care since they enable standardized detection of relevant age-related disorders. Geriatric assessments could also be helpful in general practice. Ho...
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Article
Open AccessWhat is important, what needs treating? How GPs perceive older patients’ multiple health problems: a mixed method research study
GPs increasingly deal with multiple health problems of their older patients. They have to apply a hierarchical management approach that considers priorities to balance competing needs for treatment. Yet, the p...
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Article
Anrufen ohne Ende? Über das Gewinnen hausärztlicher Praxen für ein Versorgungsforschungsprojekt
Das erfolgreiche Anwerben hausärztlicher Praxen zur Teilnahme an einem Forschungsprojekt stellt einen entscheidenden Faktor insbesondere bei versorgungsnahen Projekten dar. Bisher gibt es nur wenige Daten zur ...
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Article
A three-group comparison of acute-onset dizzy, long-term dizzy and non-dizzy older patients in primary care
Background and aims: The hypothesis of increased cardiovascular risk contributing to chronic dizziness has been discussed controversially so far. We investigated older patients suffering from acu...
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Article
Zur Gesundheitsuntersuchung in deutschen Hausarztpraxen — eine sekundäre Analyse von Versorgungsdaten 1996 bis 2006
Um die Häufigkeit der durchgeführten Gesundheitsuntersuchung gemäß § 25 Absatz (1) SGB V bei den Anspruchsberechtigen der GKV seit 1996 zu ermitteln, wurden hausärztliche Behandlungs- und Abrechnungsdaten, gew...
