Hauswaldt, Johannes

[["dc.bibliographiccitation.firstpage","394"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Translational Medicine"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Bahls, Thomas"],["dc.contributor.author","Pung, Johannes"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Demmer, Iris"],["dc.contributor.author","Blumentritt, Arne"],["dc.contributor.author","Rau, Henriette"],["dc.contributor.author","Drepper, Johannes"],["dc.contributor.author","Wieder, Philipp"],["dc.contributor.author","Groh, Roland"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schlegelmilch, Falk"],["dc.date.accessioned","2020-10-29T15:25:39Z"],["dc.date.available","2020-10-29T15:25:39Z"],["dc.date.issued","2020"],["dc.description.abstract","Medical data from family doctors are of great importance to health care researchers but seem to be locked in German practices and, thus, are underused in research. The RADAR project (Routine Anonymized Data for Advanced Health Services Research) aims at designing, implementing and piloting a generic research architecture, technical software solutions as well as procedures and workflows to unlock data from family doctor's practices. A long-term medical data repository for research taking legal requirements into account is established. Thereby, RADAR helps closing the gap between the European countries and to contribute data from primary care in Germany."],["dc.identifier.doi","10.1186/s12967-020-02547-x"],["dc.identifier.pmid","33076938"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17623"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/68099"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation","RADARplus - Anonymisierte Routinedaten aus der ambulanten Versorgung für die Versorgungsforschung"],["dc.relation.issn","1479-5876"],["dc.relation.orgunit","Institut für Medizinische Informatik"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Designing and piloting a generic research architecture and workflows to unlock German primary care data for secondary use"],["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","22"],["dc.bibliographiccitation.journal","Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen"],["dc.bibliographiccitation.lastpage","31"],["dc.bibliographiccitation.volume","149"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Demmer, Iris"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Pung, Johannes"],["dc.contributor.author","Schlegelmilch, Falk"],["dc.contributor.author","Drepper, Johannes"],["dc.date.accessioned","2020-10-29T15:25:48Z"],["dc.date.available","2020-10-29T15:25:48Z"],["dc.date.issued","2019-12"],["dc.description.abstract","The use of primary care data gathered from electronic health records in local practices could be an important building block for the future of health services research. However, the risks and reservations associated with using this data for research purposes should not be underestimated. We show the data protection and privacy problems that may arise through secondary analysis of routine primary care data and describe the technical solutions that are available to address these concerns - as a trust-building measure."],["dc.identifier.doi","10.1016/j.zefq.2020.01.002"],["dc.identifier.pmid","32165110"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/68101"],["dc.language.iso","other"],["dc.relation","RADARplus - Anonymisierte Routinedaten aus der ambulanten Versorgung für die Versorgungsforschung"],["dc.relation.eissn","2212-0289"],["dc.relation.issn","1865-9217"],["dc.relation.orgunit","Institut für Medizinische Informatik"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 4.0"],["dc.title","Das Risiko von Re-Identifizierung bei der Auswertung medizinischer Routinedaten – Kritische Bewertung und Lösungsansätze"],["dc.title.alternative","The risk of re-identification when analyzing electronic health records: a critical appraisal and possible solutions"],["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","94"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T10:11:29Z"],["dc.date.available","2018-11-07T10:11:29Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: An increase in a patient's visits to doctors usually raises concerns and may be a 'red flag' for a patient's deterioration of health. The aim of this study was to analyze whether an increase of patient-physician contacts is a first sign of a malignancy in a patient's near future. Methods: This is a retrospective case-control study. From 153 German general practices' electronic patient records (EPR), cases with at least one new malignancy diagnosis and no-malignancy controls were matched for gender and age. We calculated (1) the number of contacts in the first quarter up to the sixth quarter before a malignancy diagnosis was made and (2) the inter-contact interval (ICI), i.e. the time lag between two consecutive patient-physician contacts measured in days. Differences between cases and controls were investigated in several analyses of variance, with group and time as main factors. Results: A total of 3,310 cases and 3,310 controls could be included. The number of contacts for cases in the six quarters before a malignancy diagnosis increased from 4.8 contacts (SD 4.3) to 5.5 contacts (SD 4.8). The number of contacts for controls increased only marginally from 4.3 contacts (SD 3.6) to 4.5 (SD 4.2). The factor 'group' (cases vs. controls) was highly significant in the analyses of variance, also 'time' and the interaction 'group time'. The effect size, however, was very small (R-2 being less than 0.02), which is the equivalent for about one additional contact per quarter in cases directly before a newly made malignancy diagnosis. Conclusion: An increase in contact frequency is a call for GPs to become more attentive towards these patients. It may raise the suspicion of an impending serious disease but the increase is not so dramatic and unique that it can be interpreted a reliable sign of a malignant diagnosis."],["dc.identifier.doi","10.1186/s12875-016-0477-0"],["dc.identifier.isi","000380281900001"],["dc.identifier.pmid","27456975"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13851"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/40055"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-2296"],["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 an increase in visits to general practice indicate a malignancy?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","53"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","European Journal of General Practice"],["dc.bibliographiccitation.lastpage","56"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Barais, Marie"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Dinant, Geert-Jan"],["dc.contributor.author","van de Wiel, Margje"],["dc.contributor.author","Stolper, C. F."],["dc.contributor.author","van Royen, Paul"],["dc.date.accessioned","2018-11-07T10:28:39Z"],["dc.date.available","2018-11-07T10:28:39Z"],["dc.date.issued","2017"],["dc.description.abstract","The role of gut feelings in diagnostic reasoning is recognized by most GPs throughout Europe, and probably throughout the world. Studies on this topic have emerged from different countries but there is the risk that authors will use different terms for similar concepts. The European Expert Group on Cognitive and Interactive Processes in Diagnosis and Management in General Practice, COGITA for short, was founded in 2008 to conduct cross-border research in the area of non-analytical diagnostic reasoning. Academic GPs, PhD students, psychologists, linguists and students meet once a year to share their experiences, exchange results and initiate new studies on the topic. A milestone in their research is this publication of a short glossary of diagnostic reasoning terms relating to the gut feelings research topic. It was constructed by the COGITA group members following a literature review, which aimed to define salient terms used in their publications. They described the terms, cross-reviewed the wording and reached consensus within the group. Two sections were created: (1) a diagnostic reasoning section that describes concepts such as analytical and non-analytical reasoning, clinical mind lines, and intuition, and (2) a research methods section describing concepts such as linguistic validity and saturation. The glossary, including relevant literature, has been published on the website http://www.gutfeelingsingeneralpractice.eu. In the future, the glossary will be modified if necessary and completed by members of the COGITA group."],["dc.description.sponsorship","European General Practice Research Network (EGPRN)"],["dc.identifier.doi","10.1080/13814788.2016.1242569"],["dc.identifier.isi","000399576900009"],["dc.identifier.pmid","28271949"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/43470"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.relation.issn","1751-1402"],["dc.relation.issn","1381-4788"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","COGITA network has constructed a glossary of diagnostic reasoning terms"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","e25"],["dc.bibliographiccitation.journal","Primary Health Care Research and Development"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Schmalstieg-Bahr, Katharina"],["dc.contributor.author","Himmel, Wolfgang"],["dc.creator.author","Johannes Hauswaldt"],["dc.creator.author","Katharina Schmalstieg-Bahr"],["dc.creator.author","Wolfgang Himmel"],["dc.date.accessioned","2022-11-29T10:10:51Z"],["dc.date.available","2022-11-29T10:10:51Z"],["dc.date.issued","2022"],["dc.description.abstract","Multimorbidity is common among general practice patients and increases a general practitioner's (GP's) workload. But the extent of multimorbidity may depend on its definition and whether a time delimiter is included in the definition or not."],["dc.identifier.doi","10.1017/S146342362200010X"],["dc.identifier.pmid","35382922"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/117861"],["dc.language.iso","en"],["dc.relation.eissn","1477-1128"],["dc.relation.issn","1463-4236"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Different definitions of multimorbidity and their effect on prevalence rates: a retrospective study in German general practices"],["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","162"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","14"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T09:18:30Z"],["dc.date.available","2018-11-07T09:18:30Z"],["dc.date.issued","2013"],["dc.description.abstract","Background: Frequent attenders receive much attention in primary care research. Defining frequent attendance is crucial for an adequate view on this group of demanding patients. We aimed to develop a purely contact-based definition of \"frequent attendance\" and to apply it to real patients. Methods: From electronic records of 123 general practices in Germany, patients' inter-contact intervals (ICI) between two consecutive doctor-patient-contacts were calculated in this retrospective observational study. ICI less than 7 days were labelled \"frequent attendance\", patients with 60% or more of such intervals \"frequent attenders (new view)\". In contrast, patients having at least 24 contacts per calendar year were considered \" frequent attenders (traditional view)\". Both groups were analysed in their diseases and demands, using multiple logistic regression. Results: A total of 177,057 patients with at least 3 ICI in 1996 until 2006 yielded 4,408,033 ICI. One third were \"short\" ICI (less than 7 days), resulting in 19,759 (11.2%) frequent attenders (new). In contrast, 22,921 (12.9%) patients were frequent attenders (traditional). Compared to non-frequent attenders, frequent attenders (new) were more likely to have pneumonia (OR 1.66), stroke (OR 1.49), dementia (OR 1.46), or severe substance abuse (OR 1.44), also to need home visits or emergency attention. Frequent attenders (traditional) were more likely to have dementia (OR 2.76) or stroke (OR 2.06), and by far to need home visits (OR 5.43; all p < 0.001). Conclusions: A new measure, the interval in days of two consecutive face-to-face contacts (ICI), widens our perspective on frequent attenders in general practice. In many cases, their consultation behaviour and need for medical services seem to follow \"disease logic\"."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2013"],["dc.identifier.doi","10.1186/1471-2296-14-162"],["dc.identifier.isi","000327451300001"],["dc.identifier.pmid","24152427"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9465"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/28427"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-2296"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","The inter-contact interval: a new measure to define frequent attenders in primary care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","54"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Barais, Marie"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Hausmann, Daniel"],["dc.contributor.author","Czachowski, Slawomir"],["dc.contributor.author","Sowinska, Agnieszka"],["dc.contributor.author","Van Royen, Paul"],["dc.contributor.author","Stolper, Erik"],["dc.date.accessioned","2019-07-09T11:43:22Z"],["dc.date.available","2019-07-09T11:43:22Z"],["dc.date.issued","2017"],["dc.description.abstract","Abstract Background Physicians’ clinical decision-making may be influenced by non‐analytical thinking, especially when perceiving uncertainty. Incidental gut feelings in general practice have been described, namely, as “a sense of alarm” and “a sense of reassurance”. A Dutch Gut Feelings Questionnaire (GFQ) was developed, validated and afterwards translated into English following a linguistic validation procedure. The aims were to translate the GFQ from English into French, German and Polish; to describe uniform elements as well as differences and difficulties in the linguistic validation processes; to propose a procedural scheme for future GFQ translations into other languages. Methods We followed a structured, similar and equivalent procedure. Forward and backward-translations, repeated consensus procedures and cultural validations performed in six steps. Exchanges between the several research teams, the authors of the Dutch GFQ, and the translators involved continued throughout the procedure. Results 12 translators, 52 GPs and 8 researchers in the field participated to the study in France, Germany, Switzerland and Poland. The collaborating research teams created three versions of the 10-item GFQ. Each research team found and agreed on compromises between comparability and similarity on one hand, and linguistic and cultural specificities on the other. Conclusions The gut feeling questionnaire is now available in five European languages: Dutch, English, French, German and Polish. The uniform procedural validation scheme presented, and agreed upon by the teams, can be used for the translation of the GFQ into other languages. Comparing results of research into the predictive value of gut feelings and into the significance of the main determinants in five European countries is now possible."],["dc.identifier.doi","10.1186/s12875-017-0626-0"],["dc.identifier.pmid","28521742"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14458"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58869"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","The linguistic validation of the gut feelings questionnaire in three European languages"],["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","814"],["dc.bibliographiccitation.issue","47"],["dc.bibliographiccitation.journal","Deutsches Ärzteblatt international"],["dc.bibliographiccitation.lastpage","820"],["dc.bibliographiccitation.volume","109"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Junius-Walker, Ulrike"],["dc.date.accessioned","2018-11-07T09:03:17Z"],["dc.date.available","2018-11-07T09:03:17Z"],["dc.date.issued","2012"],["dc.description.abstract","Background: Little or no longitudinal data have been available to date on the utilization of primary care physicians' services, particularly by chronically ill and multimorbid patients and by those who see their primary care physician often (\"frequent attenders\"). Methods: We collected anonymous data on 305 896 patients from 155 primary care practices over the period 1996-2006 and analyzed them with descriptive statistics, correlations, and multiple logistic regression. Results: Over the period of the study, patients visited their primary care physicians about 7 times per year on average. Frequent attendance, defined as 24 or more contacts per year, was not strongly associated with chronic illness or multimorbidity (r=0.19 and r=0.24, respectively) but was found to be linked to time-consuming medical services, such as detailed counseling (adjusted odds ratio [OR], 5.8) and house calls (OR, 3.5). Chronically ill patients utilized their primary care physicians' services less than we had expected. Chronic illness and multimorbidity were more common with increasing age; also correlated with age were the utilization of medical services, the number of visits to the primary care physician, and the number of visits to the primary care physician among frequent attenders. Discussion: Although in Germany visits to physicians of all types (both primary care physicians and specialists) in private practice became more frequent in total over the period of this study, visits to primary care physicians alone did not. Frequent attenders do not necessarily have chronic illness or multimorbidity but seem to constitute a particularly problematic group. Chronic illness is not a predictor for greater utilization of primary care physicians' services. Cite this as: Hauswaldt J, Hummers-Pradier E, Junius-Walker U: Health service use among patients with chronic or multiple illnesses, and frequent attenders-secondary analysis of routine primary care data from 1996 to 2006. Dtsch Arztebl Int 2012; 109(47): 814-20. DOI: 10.3238/arztebl.2012.0814"],["dc.identifier.doi","10.3238/arztebl.2012.0814"],["dc.identifier.isi","000312578000002"],["dc.identifier.pmid","23248711"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9542"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/24874"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1866-0452"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Leistungsansprüche von chronisch Kranken, Multimorbiden und Häufignutzern"],["dc.title.subtitle","Sekundäranalyse von Routinedaten aus Hausarztpraxen, der Jahre 1996 bis 2006"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]