Kleinert, Evelyn

[["dc.bibliographiccitation.firstpage","1074"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Pharmacoepidemiology and Drug Safety"],["dc.bibliographiccitation.lastpage","1083"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Simmenroth, Anne"],["dc.date.accessioned","2021-06-01T09:42:24Z"],["dc.date.available","2021-06-01T09:42:24Z"],["dc.date.issued","2021"],["dc.description.abstract","Abstract Purpose Unnecessary and inappropriate use of antibiotics is a widespread problem in primary care. However, current data on the care of refugees and migrants in initial reception centers is pending. This article provides data on prescription frequencies of various antibiotics and associated diagnoses. Methods In this retrospective observational study, patient data of 3255 patients with 6376 medical contacts in two initial reception centers in Germany were analyzed. Patient data, collected by chart review, included sociodemographic characteristics, diagnoses, and prescriptions. Antibiotic prescription behavior and corresponding physician‐coded diagnoses were analyzed. Results Nineteen percent of all patients in our study received systemic antibiotics during the observation period, with children below the age of 10 years receiving antibiotics most frequently (24%). The most commonly prescribed antibiotics were penicillins (65%), macrolides (12%), and cephalosporins (7%). The most frequent diagnoses associated with antibiotic prescription were acute tonsillitis (26%), bronchitis (21%), infections of the upper respiratory tract (14%), and urinary tract infections (10%). In case of acute bronchitis 74% of the antibiotic prescriptions were probably not indicated. In addition, we found a significant number of inappropriate prescriptions such as amoxicillin for tonsillitis (67%), and ciprofloxacin and cotrimoxazol for urinary tract infections (49%). Conclusion Regarding inappropriate prescription of antibiotics in refugee healthcare, this study shows a rate ranging from 8% for upper respiratory tract infections to 75% for acute bronchitis. Unnecessary use of antibiotics is a global problem contributing to gratuitous costs, side effects, and antimicrobial resistance. This research contributes to the development of stringent antibiotic stewardship regiments in the particularly vulnerable population of migrants and refugees."],["dc.description.sponsorship","European Social Fund http://dx.doi.org/10.13039/501100004895"],["dc.description.sponsorship","German Centre for Infection Research at Hannover Medical School"],["dc.description.sponsorship","Land Niedersachsen"],["dc.description.sponsorship","Medizinischen Hochschule Hannover http://dx.doi.org/10.13039/501100005624"],["dc.description.sponsorship","Robert Bosch Stiftung http://dx.doi.org/10.13039/501100001646"],["dc.identifier.doi","10.1002/pds.5254"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85240"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.publisher","John Wiley \\u0026 Sons, Inc."],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1099-1557"],["dc.relation.issn","1053-8569"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-ND 4.0"],["dc.title","Prescription of antibiotics in the medical care of newly arrived refugees and migrants"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1368"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Chandra, Shivani"],["dc.contributor.author","Furaijat, Ghefar"],["dc.contributor.author","Kruse, Stefan"],["dc.contributor.author","Waligorski, Alexandra"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.date.accessioned","2020-12-10T18:47:08Z"],["dc.date.available","2020-12-10T18:47:08Z"],["dc.date.issued","2020"],["dc.description.sponsorship","European Social Fund"],["dc.description.sponsorship","Robert Bosch Stiftung"],["dc.identifier.doi","10.3390/ijerph17041368"],["dc.identifier.eissn","1660-4601"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78654"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.publisher","MDPI"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1934"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Vakilzadeh, Annabelle"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Ernst, Diana"],["dc.contributor.author","Schmidt, Reinhold"],["dc.contributor.author","Behrens, Georg"],["dc.contributor.author","Merkesdal, Sonja"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Jablonka, Alexandra"],["dc.date.accessioned","2020-12-10T18:47:07Z"],["dc.date.available","2020-12-10T18:47:07Z"],["dc.date.issued","2018"],["dc.identifier.doi","10.3390/ijerph15091934"],["dc.identifier.eissn","1660-4601"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78649"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Pregnancy Related Health Care Needs in Refugees — A Current Three Center Experience in Europe"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Health Services Research"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2020-12-10T18:38:58Z"],["dc.date.available","2020-12-10T18:38:58Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1186/s12913-020-05098-5"],["dc.identifier.eissn","1472-6963"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17212"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/77493"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Overcoming language barriers in paramedic care: a study protocol of the interventional trial ‘DICTUM rescue’ evaluating an app designed to improve communication between paramedics and foreign-language patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","4415"],["dc.bibliographiccitation.issue","22"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Dopfer, Christian"],["dc.contributor.author","Ernst, Diana"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Vakilzadeh, Annabelle"],["dc.contributor.author","Hellms, Susanne"],["dc.contributor.author","Evlampidou, Iro"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Schmidt, Reinhold E."],["dc.contributor.author","Behrens, Georg M. N."],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Wetzke, Martin"],["dc.contributor.author","Jablonka, Alexandra"],["dc.date.accessioned","2020-12-10T18:47:08Z"],["dc.date.available","2020-12-10T18:47:08Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.3390/ijerph16224415"],["dc.identifier.eissn","1660-4601"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17106"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78652"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","770"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Trials"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Götze, Kornelia"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Feddersen, Berend"],["dc.contributor.author","Fuchs, Angela"],["dc.contributor.author","Hot, Amra"],["dc.contributor.author","Icks, Andrea"],["dc.contributor.author","Kirchner, Änne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Klosterhalfen, Stephanie"],["dc.contributor.author","Kolbe, Henrike"],["dc.contributor.author","Laag, Sonja"],["dc.contributor.author","Langner, Henriette"],["dc.contributor.author","Lezius, Susanne"],["dc.contributor.author","Meyer, Gabriele"],["dc.contributor.author","Montalbo, Joseph"],["dc.contributor.author","Reisinger, Christine"],["dc.contributor.author","Rieder, Nicola"],["dc.contributor.author","Schildmann, Jan"],["dc.contributor.author","Schunk, Michaela"],["dc.contributor.author","Vogel, Christiane"],["dc.contributor.author","Wegscheider, Karl"],["dc.contributor.author","Marckmann, Georg"],["dc.contributor.author","in der Schmitten, Jürgen"],["dc.contributor.author","Albert, Annika"],["dc.contributor.author","Alheid, Cornelia"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Bruene, Manuela"],["dc.contributor.author","Calles, Christian"],["dc.contributor.author","Camci, Havva"],["dc.contributor.author","Daubmann, Anne"],["dc.contributor.author","Dahlke, Sophie"],["dc.contributor.author","Enger, Stephanie"],["dc.contributor.author","Feddersen, Berend"],["dc.contributor.author","Felder, Gerd"],["dc.contributor.author","Fluck, Carsten"],["dc.contributor.author","Freienstein, Andreas"],["dc.contributor.author","Freytag, Theresa"],["dc.contributor.author","Fuchs, Angela"],["dc.contributor.author","Icks, Andrea"],["dc.contributor.author","in der Schmitten, Jürgen"],["dc.contributor.author","Hensel, Lena"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Hot, Amra"],["dc.contributor.author","Kirchner, Änne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Klosterhalfen, Stephanie"],["dc.contributor.author","Kolbe, Henrike"],["dc.contributor.author","Laag, Sonja"],["dc.contributor.author","Langner, Henriette"],["dc.contributor.author","Lezius, Susanne"],["dc.contributor.author","Marckmann, Georg"],["dc.contributor.author","Meyer, Gabriele"],["dc.contributor.author","Montalbo, Jospeh"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Nguyen, Thuy"],["dc.contributor.author","Nowak, Andre"],["dc.contributor.author","Ossenberg, Malte"],["dc.contributor.author","Reisinger, Christine"],["dc.contributor.author","Reuter, Sophia"],["dc.contributor.author","Rieder, Nicola"],["dc.contributor.author","Riester, Tanja"],["dc.contributor.author","Rosu, Irina"],["dc.contributor.author","Rösgen, Holger"],["dc.contributor.author","Salanta, Katharina"],["dc.contributor.author","Sassi, Zeinep"],["dc.contributor.author","Schildmann, Jan"],["dc.contributor.author","Schulenberg, Thomas"],["dc.contributor.author","Schunk, Michaela"],["dc.contributor.author","Sommer, Daniela"],["dc.contributor.author","Stanze, Henrikje"],["dc.contributor.author","Stöhr, Andreas"],["dc.contributor.author","Theuerkauf, Anke"],["dc.contributor.author","Thilo, Nancy"],["dc.contributor.author","Tönjann, Jessica"],["dc.contributor.author","Partowinia-Peters, Mahnaz"],["dc.contributor.author","Prommersberger, Sebastian"],["dc.contributor.author","Przybylla, Susanne"],["dc.contributor.author","Vogel, Christiane"],["dc.contributor.author","Vomhof, Markus"],["dc.contributor.author","Wilken, Janka"],["dc.contributor.author","Zapf, Antonia"],["dc.contributor.author","Zimprich, Jennifer"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Stanze, Henrikje"],["dc.contributor.author","Zapf, Antonia"],["dc.date.accessioned","2022-09-12T11:00:43Z"],["dc.date.available","2022-09-12T11:00:43Z"],["dc.date.issued","2022"],["dc.date.updated","2022-09-18T03:12:10Z"],["dc.description.abstract","Abstract\r\nBackground: According to recent legislation, facilitated advance care planning (ACP) for nursing home (NH) resi-\r\ndents is covered by German sickness funds. However, the effects of ACP on patient-relevant outcomes have not been studied in Germany yet. This study investigates whether implementing a complex regional ACP intervention improves care consistency with care preferences in NH residents.\r\nMethods: This is a parallel-group cluster-randomized controlled trial (cRCT) with 48 NHs (≈ 3840 resident beds)\r\nbetween 09/2019 and 02/2023. The intervention group will receive a complex, regional ACP intervention aiming at sustainable systems redesign at all levels (individual, institutional, regional). The intervention comprises comprehensive training of ACP facilitators, implementation of reliable ACP processes, organizational development in the NH and other relevant institutions of the regional healthcare system, and education of health professionals caring for the residents. Control group NHs will deliver care as usual.Primary outcome is the hospitalization rate during the 12-months observation period. Secondary outcomes include\r\nthe rate of residents whose preferences were known and honored in potentially life-threatening events, hospital days,\r\nindex treatments like resuscitation and artificial ventilation, advance directives, quality of life, psychological burden on\r\nbereaved families, and costs of care.\r\nThe NHs will provide anonymous, aggregated data of all their residents on the primary outcome and several second-\r\nary outcomes (data collection 1). For residents who have given informed consent, we will evaluate care consistency\r\nwith care preferences and further secondary outcomes, based on chart reviews and short interviews with residents,\r\nsurrogates, and carers (data collection 2). Process evaluation will aim to explain barriers and facilitators, economic\r\nevaluation the cost implications.\r\nDiscussion: This study has the potential for high-quality evidence on the effects of a complex regional ACP intervention on NH residents, their families and surrogates, NH staff, and health care utilization in Germany. It is the first cRCT investigating a comprehensive regional ACP intervention that aims at improving patient-relevant clinical outcomes, addressing and educating multiple institutions and health care providers, besides qualification of ACP facilitators. Thereby, it can generate evidence on the potential of ACP to effectively promote patient-centered care in the vulnerable population of frail and often chronically ill elderly.\r\n\r\nTrial registration: Clini calTrials. gov ID NCT04 333303. Registered 30 March 2020.\r\n\r\nKeywords: Advance care planning, Nursing homes, ACP facilitation, Complex intervention, Cluster-randomized\r\ncontrolled trial, Study protocol, Patient-centered care"],["dc.identifier.citation","Trials. 2022 Sep 12;23(1):770"],["dc.identifier.doi","10.1186/s13063-022-06576-3"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/114205"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/114250"],["dc.language.iso","en"],["dc.relation","BEVOR Patienten-relevante Auswirkungen von Behandlung im Voraus planen: cluster-randomisierte Interventionsstudie in Seniorenpflegeeinrichtungen"],["dc.relation.doi","10.1186/s13063-022-06576-3"],["dc.relation.issn","1745-6215"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Advance care planning"],["dc.subject","Nursing homes"],["dc.subject","ACP facilitation"],["dc.subject","Complex intervention"],["dc.subject","Cluster-randomized controlled trial"],["dc.subject","Study protocol"],["dc.subject","Patient-centered care"],["dc.title","Effectiveness of a complex regional advance care planning intervention to improve care consistency with care preferences: study protocol for a multi-center, cluster-randomized controlled trial focusing on nursing home residents (BEVOR trial)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","1413"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Health Services Research"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Mohacsi, Laura"],["dc.contributor.author","Heim, Susanne"],["dc.contributor.author","Hummers, Eva"],["dc.date.accessioned","2022-12-01T08:31:23Z"],["dc.date.available","2022-12-01T08:31:23Z"],["dc.date.issued","2022"],["dc.date.updated","2022-11-28T08:12:55Z"],["dc.description.abstract","Abstract\r\n \r\n Background\r\n This study is conducted by a subproject of the DFG research group \"Medicine, Time and the Good Life\" FOR 5022 (FOR TiMed_Life) and investigates the care preferences of individuals of advanced age and the care priorities of medical and nursing professionals in times of increasing medical options and more complex decision-making processes, especially for elderly patients. We assume that the preference for or rejection of medical treatment is shaped by individual and social age patterns and by the awareness of the finiteness of life. Just like older people themselves, professionals are also influenced by societal images of age(ing) and associated notions of age-appropriate health. These concepts are subject to constant change, which means that what was considered to be a 'normal' symptom of older age 100 years ago is now treated medically as a disease. The aim of the study is to identify the underlying perceptions of ageing and their influence on medical decisions.\r\n \r\n \r\n Methods\r\n By means of semi-structured focus group discussions and supplementary individual interviews with older people and medical and nursing professionals, the subproject investigates the perception of ageing processes and the resulting care preferences and priorities of these three groups. The evaluation of the interview material is carried out in two stages: First, the recorded group discussions are pre-structured using knowledge mapping. Based on the mapping results, the interview passages are selected, transcribed, and analysed in detail based on qualitative content analysis.\r\n \r\n \r\n Discussion\r\n Because the nature of the research question is exploratory, qualitative methods provide a suitable approach. The mapping technique provides early initial results that are used by the other subprojects. Within the research group, the results of the interviews provide an empirical basis for ethical discourses on the influence of medicine on ideas of a good life, and in particular, on successful ageing.\r\n \r\n \r\n Trial registration\r\n German Clinical Trials Register: DRKS00027076, 05/11/2021."],["dc.description.sponsorship"," Deutsche Forschungsgemeinschaft http://dx.doi.org/10.13039/501100001659"],["dc.description.sponsorship"," Georg-August-Universität Göttingen 501100003385"],["dc.identifier.citation","BMC Health Services Research. 2022 Nov 24;22(1):1413"],["dc.identifier.doi","10.1186/s12913-022-08731-7"],["dc.identifier.pii","8731"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/118159"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-621"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1472-6963"],["dc.rights.holder","The Author(s)"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject","Old age"],["dc.subject","Medical decision making"],["dc.subject","Good life"],["dc.subject","Medical and nursing professionals"],["dc.subject","Focus group discussions"],["dc.title","Medicine in older age—perception and assessment of ageing processes by older people and medical and nursing professionals: study protocol for a qualitative focus group design (FOR TiMed_Life)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","39"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Conflict and Health"],["dc.bibliographiccitation.volume","13"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Müller, Frank Ulrich"],["dc.contributor.author","Furaijat, Ghefar"],["dc.contributor.author","Hillermann, Nele"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Happle, Christine"],["dc.contributor.author","Simmenroth, Anne"],["dc.date.accessioned","2019-09-24T07:52:53Z"],["dc.date.available","2019-09-24T07:52:53Z"],["dc.date.issued","2019"],["dc.description.abstract","Providing adequate healthcare to newly arrived refugees is considered one of the significant challenges for the German healthcare system. These refugees can be classified mainly into two groups: asylum seekers (who have applied for asylum after arrival in Germany and are waiting for the refugee-status decision) and resettlement refugees (who have already been granted asylum status before arriving in Germany). Whereas earlier studies have explored the health status of asylum seekers especially in terms of mental and behavioural disorders and infectious diseases without distinguishing between these two groups, our study aims to evaluate possible relationships of asylum status and medical needs of these two groups with a special focus on mental and behavioural disorders and infectious diseases."],["dc.identifier.doi","10.1186/s13031-019-0223-z"],["dc.identifier.pmid","31452677"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/16367"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/62445"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.issn","1752-1505"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Does refugee status matter? Medical needs of newly arrived asylum seekers and resettlement refugees - a retrospective observational study of diagnoses in a primary care setting"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","Doc38"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","GMS Journal for Medical Education"],["dc.bibliographiccitation.volume","38"],["dc.contributor.author","Demmer, Iris"],["dc.contributor.author","Borgmann, S."],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Lohne, Anne"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schlegelmilch, Falk"],["dc.date.accessioned","2021-08-16T08:54:48Z"],["dc.date.available","2021-08-16T08:54:48Z"],["dc.date.issued","2021"],["dc.description.abstract","Aim: The Masterplan Medizinstudium 2020 (Masterplan for Medical Studies 2020) focuses on practice-oriented undergraduate training with increased involvement of rural teaching practices. The demand for teaching practices for the final year will increase at all medical faculties in Germany. The project medPJplus at the University Medical Center Göttingen (UMG) presents an approach for successfully acquiring general medical teaching practices in local rural areas. Project outline: The project medPJplus implemented eight measures in cooperation with medical students, interested general practitioners, and regional players in the surrounding districts to attract new teaching practices: we established public relations, accredited practices, organized the didactic training of participating general practitioners, created a digital platform for students that is linked to the nationwide PJ-Portal, and organized information events, workshops, and feedback reports to regional actors. Results: Within one year, a total of 40 new teaching practices with 57 new teachers in the local rural area joined the project in southern Lower Saxony. A three-stage didactic training concept for general practitioners was established at the UMG. A digital platform enhances the visibility of general practitioners and their activities for students. The teaching practices can now be found on the nationwide PJ-Portal. Fourteen students have currently completed their period of the final year in family medicine there. Conclusions: It is possible to acquire rural general medical teaching practices for the final year. This depends on four core elements: addressing and didactic training of interested general practitioners, networking of medical students with teaching physicians and regional actors, digitally presenting teaching practices, and developing solutions for mobility and living space during the final year."],["dc.identifier.doi","10.3205/zma001434"],["dc.identifier.pmid","33763523"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88708"],["dc.language.iso","en"],["dc.relation","medPJ+ – Medizinisch Praktisches Jahr in einer Hausarztpraxis in Südniedersachsen"],["dc.relation.eissn","2366-5017"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","medPJplus - development and implementation of a concept for the acquisition and qualification of teaching practices for the final year in family medicine at the University Medical Center Göttingen"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","103"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Health Services Research"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Furaijat, Ghefar"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2019-07-09T11:49:56Z"],["dc.date.available","2019-07-09T11:49:56Z"],["dc.date.issued","2019"],["dc.description.abstract","Abstract Background Language barriers play a decisive role in determining the outcomes of medical consultations between healthcare providers and their foreign patients. This issue is a significant challenge to the German healthcare system, especially with the rising number of refugees in recent years. The communication gap between healthcare professionals and their non-German speaking patients sometimes leads to unnecessary medical re-admission, insufficient medical history, incorrect diagnosis, and treatment plans. In this study, we aim to assess the usability and accuracy of a novel digital translation tool in collecting medical history from patients in their native language and to check its effects on healthcare outcomes. Methods The study aims to monitor the implementation of a new digital communication assistance tool (DCAT) and to investigate its impact on the mutual understanding between refugee patients and their German general practitioners (GPs). In the first study phase, an action-oriented approach is used to implement DCAT. In the second study phase, DCAT use will be evaluated with a mixed methods design. The main outcome assesses the re-consultation rates of patients before and after using DCAT. Secondary outcomes include the usability of the tool, its acceptance and perceived quality by patients, the accuracy of the information collected as determined from analysing the reasons for the consultation (ICPC-2 codes), and diagnosis (ICD-10 codes). The acceptance by patients, socio-demographic factors and native language are also taken into account. The research designs for both study phases include questionnaires, semi-structured interviews, non-participant observation and analysis of collected patients’ data. All the collected data is pseudonymised. Discussion The DCAT study is one of the new research projects in primary healthcare investigating the usability, accuracy, and acceptance of digital translation tools during medical encounters. We aim to eliminate significant communication errors and misunderstandings in medical consultations, thereby improving the quality of healthcare outcomes. By applying an action research design, we will attain a more comprehensive evaluation of DCAT scopes and limits. The results of this study are expected to give an in-depth understanding of possible applications and benefits of digital translation tools for patient care. Trial registration German Clinical Trials Register DRKS00013076 , 29/09/2017."],["dc.identifier.doi","10.1186/s12913-019-3928-1"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15811"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59660"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Implementing a digital communication assistance tool to collect the medical history of refugee patients: DICTUM Friedland - an action-oriented mixed methods study protocol"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]