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Simmenroth, Anne
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Simmenroth, Anne
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Simmenroth, Anne
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Simmenroth, A.
Simmenroth-Nayda, Anne
Simmenroth-Nayda, A.
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2007Journal Article Research Paper [["dc.bibliographiccitation.firstpage","1032"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Medical Education"],["dc.bibliographiccitation.lastpage","1038"],["dc.bibliographiccitation.volume","41"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Koch, Alexandra"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Emmert, Birgit"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T10:57:15Z"],["dc.date.available","2018-11-07T10:57:15Z"],["dc.date.issued","2007"],["dc.description.abstract","CONTEXT The dissemination of objective structured clinical examinations (OSCEs) is hampered by requirements for high levels of staffing and a significantly higher workload compared with multiple-choice examinations. Senior medical students may be able to support faculty staff to assess their peers. The aim of this study is to assess the reliability of student tutors as OSCE examiners and their acceptance by their peers. METHODS Using a checklist and a global rating, teaching doctors (TDs) and student tutors (STs) simultaneously assessed students in basic clinical skills at 4 OSCE stations. The inter-rater agreement between TDs and STs was calculated by kappa values and paired t-tests. Students then completed a questionnaire to assess their acceptance of student peer examiners. RESULTS All 214 Year 3 students at the University of Gottingen Medical School were evaluated in spring 2005. Student tutors gave slightly better average grades than TDs (differences of 0.02-0.20 on a 5-point Likert scale). Inter-rater agreement at the stations ranged from 0.41 to 0.64 for checklist assessment and global ratings; overall inter-rater agreement on the final grade was 0.66. Most students felt that assessment by STs would result in the same grades as assessment by TDs (64%) and that it would be similarly objective (69%). Nearly all students (95%) felt confident that they could evaluate their peers themselves in an OSCE. CONCLUSIONS On the basis of our results, STs can act as examiners in summative OSCEs to assess basic medical skills. The slightly better grades observed are of no practical concern. Students accepted assessment performed by STs."],["dc.identifier.doi","10.1111/j.1365-2923.2007.02895.x"],["dc.identifier.isi","000251278600003"],["dc.identifier.pmid","17973763"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50197"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0308-0110"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Can student tutors act as examiners in an objective structured clinical examination?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2016Journal Article Research Paper [["dc.bibliographiccitation.artnumber","Doc42"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","GMS Journal for Medical Education"],["dc.bibliographiccitation.volume","33"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Lorkowski, Thorsten"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-08-26T14:45:43Z"],["dc.date.available","2021-08-26T14:45:43Z"],["dc.date.issued","2016"],["dc.description.abstract","Persons who simulate patients during medical education understand the routines and the underlying script of medical consultations better. We aimed to explore how simulated patients (SPs) integrated this new understanding into their daily life, how this work affected their private life as patients, and what we can learn from these changes for concepts of empowerment."],["dc.identifier.doi","10.3205/zma001041"],["dc.identifier.pmid","27275507"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88871"],["dc.language.iso","en"],["dc.relation.eissn","2366-5017"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Working as simulated patient has effects on real patient life - Preliminary insights from a qualitative study"],["dc.title.alternative","Hat die Tätigkeit von Simulationspatienten Effekte auf deren realen Patienten-Alltag? Eine qualitative Interviewstudie"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC2012Journal Article Research Paper [["dc.bibliographiccitation.artnumber","Doc55"],["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.lastpage","12"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Hilbert, Nadine"],["dc.contributor.author","Chenot, Jean-François"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Ortner, Tuulia"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Wedeken, Sven"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:54:39Z"],["dc.date.available","2019-07-09T11:54:39Z"],["dc.date.issued","2012"],["dc.description.abstract","AIMS: Negative experiences during the course of medical education have been reported in many countries, but little is known about the perceived severity of these experiences. We studied for the first time how often students at a medical university in Germany have had negative experiences, and how severe they perceive these to be. METHOD: We asked medical students in an online survey whether they felt adequately appreciated, had experienced peer rivalry, verbal abuse by their mentors, physical abuse or mistreatment, sexual harassment, racial or ethnic discrimination, or any other kind of mistreatment. RESULTS: Of 391 students, 56% stated that they felt insufficiently appreciated, 51% had experienced rivalry, and 34% had suffered verbal abuse. Fifty-nine percent of the students felt highly aggrieved because of verbal abuse, while 46% were aggrieved by the ongoing rivalry and 32% by the lack of appreciation. Significantly fewer students felt upset because they were passed over or ignored (21%). Generally, female students felt more often aggrieved by these negative experiences than their male colleagues. CONCLUSION: Of the possible negative experiences, the less prominent ones such as lack of appreciation or verbal abuse are not only frequent, they are also perceived as very upsetting. Medical teachers should reflect this more in their day-to-day dealings with students and aim to improve on their contact with the students accordingly."],["dc.identifier.doi","10.3205/zma000825"],["dc.identifier.fs","592279"],["dc.identifier.pmid","22916081"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9541"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60705"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Adult"],["dc.subject.mesh","Attitude of Health Personnel"],["dc.subject.mesh","Data Collection"],["dc.subject.mesh","Education, Medical"],["dc.subject.mesh","Female"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Human Rights Abuses"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Interpersonal Relations"],["dc.subject.mesh","Male"],["dc.subject.mesh","Mentors"],["dc.subject.mesh","Peer Group"],["dc.subject.mesh","Prejudice"],["dc.subject.mesh","Questionnaires"],["dc.subject.mesh","Sexual Harassment"],["dc.subject.mesh","Students, Medical"],["dc.title","Wie häufig und belastend sind negative Erfahrungen im Medizinstudium?"],["dc.title.alternative","Frequency and perceived severity of negative experiences during medical education in Germany--results of an online-survery of medical students"],["dc.title.subtitle","Ergebnisse einer Online-Befragung von Medizinstudierenden"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC2008-04-02Journal Article Research Paper [["dc.bibliographiccitation.artnumber","Doc02"],["dc.bibliographiccitation.journal","GMS Psycho-Social Medicine"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Ahrens, Dirk"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2021-09-14T13:26:41Z"],["dc.date.available","2021-09-14T13:26:41Z"],["dc.date.issued","2008-04-02"],["dc.description.abstract","Psychosocial symptoms are common in patients with heart failure. Little research, however, has been done to determine which psychosocial factors influence primary care patients' consultation frequency in the case of heart failure."],["dc.identifier.pmid","19742279"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89395"],["dc.language.iso","en"],["dc.relation.issn","1860-5214"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.title","Psychosocial determinants for frequent primary health care utilisation in patients with heart failure"],["dc.title.alternative","Psychosoziale Determinanten für häufige Hausarztkontakte bei Patienten mit Herzinsuffizienz"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details PMID PMC2011Journal Article Research Paper [["dc.bibliographiccitation.firstpage","468"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Patient Education and Counseling"],["dc.bibliographiccitation.lastpage","474"],["dc.bibliographiccitation.volume","85"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Witte, Nicole"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Kuehnel, Steffen"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2018-11-07T08:49:14Z"],["dc.date.available","2018-11-07T08:49:14Z"],["dc.date.issued","2011"],["dc.description.abstract","Objective: To gain deep insight into what it means for patients to live with drug-treated hypertension and to understand the implications for the doctors' influence on patients' adherence. Methods: Group discussions with 43 drug-treated hypertensive patients. Documentary method was used for interpretative analysis. Results: Four basic phenomena were identified (fear, ignorance, reluctance to discuss matters with the doctor, impact of illness experiences), which resulted in different types of action patterns: (1) the assertive actor, (2) the unconscious avoider, and (3) the inconsistent actor. The types of action patterns do not refer to any implications for adherence. The patients' action does not indicate their preferred model of doctor-patient interaction or their acceptance of taking medication. Conclusion: Adherence must not be seen as meaningless behaviour, which can simply be learned, but rather as the result of subjective experiences on living with hypertension and the ability to accept the diagnosis and its treatment. Practice implications: It is premature to initiate therapy straight after the diagnosis, before the patient is prepared to take the tablets. Supporting adherence means to stay in dialogue and to give the time, privacy and patience to enable patients to overcome their inhibitions of asking and to accept the therapy. (C) 2011 Elsevier Ireland Ltd. All rights reserved."],["dc.description.sponsorship","German Federal Ministry of Education and Research"],["dc.identifier.doi","10.1016/j.pec.2011.04.011"],["dc.identifier.isi","000298219800020"],["dc.identifier.pmid","21600724"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/21410"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0738-3991"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Accepting the unacceptable: Medication adherence and different types of action patterns among patients with high blood pressure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2006Journal Article Research Paper [["dc.bibliographiccitation.firstpage","705"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Medizinische Klinik"],["dc.bibliographiccitation.lastpage","710"],["dc.bibliographiccitation.volume","101"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Ledig, Thomas"],["dc.contributor.author","Jansen, Rolf"],["dc.contributor.author","Niebling, Wilhelm"],["dc.contributor.author","Bjerre, Lise M."],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T09:15:29Z"],["dc.date.available","2018-11-07T09:15:29Z"],["dc.date.issued","2006"],["dc.description.abstract","Background and Purpose: Switching brand-name drugs to generics is reasonable and desired for economic reasons. Few data exist about problems, if any, during the switching in general practice. In this survey, the view of general practitioners (GPs) should be ascertained. Methods: GPs in five counties in the German federal states Thuringen and Baden-Wurttemberg, who took part in a study on generic drug prescribing, were asked to complete a questionnaire about experiences and attitudes toward generic drug prescription. Results: A total of 195 (84%) of 233 GPs answered the questionnaire. Two thirds (127/195) stated, that brands and generics are pharmacologically equivalent. Many of these GPs estimated to prescribe generic drugs in > 50% of instances; fewer doctors did so, if they had doubts as to the equivalence of generics (65% vs. 46%; p < 0.05). Nearly 8% reported generics being less effective, and 10% observed new adverse effects after switching. Many GPs appointed the following barriers: cooperation with hospitals and colleagues (86%), GP's lack of time (68%), and communication problems with the patient (50%). GPs estimated that > 10% of patients strictly reject generic drugs. Conclusion: An optimized cooperation between GPs and hospital physicians could facilitate the consumption of generic potential in pharmacotherapy. Reasons for the obvious contrast between the proven pharmacological equivalence of brand-name and generic drugs and the problems encountered after switching reported by GPs should be further studied."],["dc.identifier.doi","10.1007/s00063-006-1097-6"],["dc.identifier.isi","000241282600001"],["dc.identifier.pmid","16977394"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/27702"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0723-5003"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Verordnung von Generika in der hausärztlichen Praxis"],["dc.title.subtitle","Ergebnisse einer Befragung von Hausärzten"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2012Journal Article Research Paper [["dc.bibliographiccitation.artnumber","486"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Research Notes"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Weiss, Cora"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:53:57Z"],["dc.date.available","2019-07-09T11:53:57Z"],["dc.date.issued","2012"],["dc.description.abstract","Background Although it is taken for granted that history-taking and communication skills are learnable, this learning process should be confirmed by rigorous studies, such as randomized pre- and post-comparisons. The purpose of this paper is to analyse whether a communication course measurably improves the communicative competence of third-year medical students at a German medical school and whether technical or emotional aspects of communication changed differently. Method A sample of 32 randomly selected students performed an interview with a simulated patient before the communication course (pre-intervention) and a second interview after the course (post-intervention), using the Calgary-Cambridge Observation Guide (CCOG) to assess history taking ability. Results On average, the students improved in all of the 28 items of the CCOG. The 6 more technically-orientated communication items improved on average from 3.4 for the first interview to 2.6 in the second interview (p < 0.0001), the 6 emotional items from 2.7 to 2.3 (p = 0.023). The overall score for women improved from 3.2 to 2.5 (p = 0.0019); male students improved from 3.0 to 2.7 (n.s.). The mean interview time significantly increased from the first to the second interview, but the increase in the interview duration and the change of the overall score for the students’ communication skills were not correlated (Pearson’s r = 0.03; n.s.). Conclusions Our communication course measurably improved communication skills, especially for female students. These improvements did not depend predominantly on an extension of the interview time. Obviously, “technical” aspects of communication can be taught better than “emotional” communication skills."],["dc.identifier.doi","10.1186/1756-0500-5-486"],["dc.identifier.fs","592278"],["dc.identifier.pmid","22947372"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8276"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60535"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Do communication training programs improve students' communication skills? - a follow-up study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC2014Journal Article Research Paper [["dc.bibliographiccitation.firstpage","212"],["dc.bibliographiccitation.journal","International Journal of Medical Education"],["dc.bibliographiccitation.lastpage","218"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Nolte, Catharina"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:41:30Z"],["dc.date.available","2019-07-09T11:41:30Z"],["dc.date.issued","2014"],["dc.description.abstract","OBJECTIVE: The aim of this study was to analyse the psychometric properties of the short version of the Calgary Cambridge Guides and to decide whether it can be recommended for use in the assessment of communications skills in young undergraduate medical students. METHODS: Using a translated version of the Guide, 30 members from the Department of General Practice rated 5 videotaped encounters between students and simulated patients twice. Item analysis should detect possible floor and/or ceiling effects. The construct validity was investigated using exploratory factor analysis. Intra-rater reliability was measured in an interval of 3 months, inter-rater reliability was assessed by the intraclass correlation coefficient. RESULTS: The score distribution of the items showed no ceiling or floor effects. Four of the five factors extracted from the factor analysis represented important constructs of doctor-patient communication The ratings for the first and second round of assessing the videos correlated at 0.75 (p<0.0001). Intraclass correlation coefficients for each item ranged were moderate and ranged from 0.05 to 0.57. CONCLUSIONS: Reasonable score distributions of most items without ceiling or floor effects as well as a good test-retest reliability and construct validity recommend the C-CG as an instrument for assessing communication skills in undergraduate medical students. Some deficiencies in inter-rater reliability are a clear indication that raters need a thorough instruction before using the C-CG."],["dc.identifier.doi","10.5116/ijme.5454.c665"],["dc.identifier.fs","608012"],["dc.identifier.pmid","25480988"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12155"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58447"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","2042-6372"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/3.0"],["dc.subject.mesh","Clinical Competence"],["dc.subject.mesh","Communication"],["dc.subject.mesh","Education, Medical, Undergraduate"],["dc.subject.mesh","Educational Measurement"],["dc.subject.mesh","Factor Analysis, Statistical"],["dc.subject.mesh","Female"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Male"],["dc.subject.mesh","Observer Variation"],["dc.subject.mesh","Psychometrics"],["dc.subject.mesh","Reproducibility of Results"],["dc.subject.mesh","Students, Medical"],["dc.title","Psychometric properties of the Calgary Cambridge guides to assess communication skills of undergraduate medical students."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI PMID PMC2007Journal Article Research Paper [["dc.bibliographiccitation.firstpage","397"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Medical Teacher"],["dc.bibliographiccitation.lastpage","399"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T11:07:03Z"],["dc.date.available","2018-11-07T11:07:03Z"],["dc.date.issued","2007"],["dc.description.abstract","Background: It is generally unknown which clinical skills students acquire during medical education and which factors influence their levels of competence. Methods: We asked German medical students how competent they felt in performing individual clinical skills. Results: Third year students evaluated their competence in clinical skills, on average, not better than 4.7 on a Likert scale ranging from 1 ('excellent') to 6 ('insufficient'). The average score for fifth year students was 4.1, for final-year students 3.3. Deficits in all groups of students were most prominent in communication skills and diagnostic skills. Conclusions: These results are a plea for a structured curriculum including training courses to practice clinical skills."],["dc.identifier.doi","10.1080/01421590701316563"],["dc.identifier.isi","000249285500021"],["dc.identifier.pmid","17786759"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52463"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0142-159X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Learning core clinical skills - a survey at 3 time points during medical education"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2005Journal Article Research Paper [["dc.bibliographiccitation.firstpage","472"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","International Journal of Clinical Pharmacology and Therapeutics"],["dc.bibliographiccitation.lastpage","479"],["dc.bibliographiccitation.volume","43"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Niebling, W."],["dc.contributor.author","Ledig, Thomas"],["dc.contributor.author","Jansen, R. D."],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Gleiter, Christoph H."],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T10:55:21Z"],["dc.date.available","2018-11-07T10:55:21Z"],["dc.date.issued","2005"],["dc.description.abstract","Objective: To examine the attitude of patients towards generic drugs and prescriptions containing generic drugs as an alternative, to brand-name products, with a special focus on information on patients attitude to generic drugs provided by their general practitioners (GPs). Methods: A total of 804 patients in 31 general practices were surveyed using a self-questionnaire. The influence of age, sex, education, disease, knowledge of generic drugs, experience with generic substitution and information provided by the GP on patient attitudes towards generic drugs and substitutions were examined. Results: Nearly two thirds of the patients (509/804) stated that they knew of the difference between brand-name drugs and generics; of these, one third were not satisfied with the information given by their GPs and 37% of patients expressed general skepticism towards generic drugs because of their lower price. This attitude was more frequent among those who felt that generic prescribing was \"invented\" to solve the financial crisis in the German health insurance system at their expense (odds ratio (OR): 6.2; 95% confidence interval: 4.0 - 9.8) and those who had not been confronted personally with a generic substitution (OR: 1.8; 1.3 - 3.0). Patients who had been skeptical when first confronted with a generic substitution were more frequently among those who considered inexpensive drugs to be inferior (OR: 4.5; 2.0 - 10.4) and they were frequently not satisfied with the information on substitution provided by their GP (OR: 2.7; 1.2 - 5.9). Conclusion: GPs are in an ideal position to inform their patients adequately about the equivalence of brand-name and generic drugs. However, the patient view that inexpensive drugs must be inferior may be difficult to rectify in the short term."],["dc.identifier.isi","000232283000002"],["dc.identifier.pmid","16240704"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/49766"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0946-1965"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","What do primary care patients think about generic drugs?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]Details PMID PMC WOS