Himmel, Wolfgang

[["dc.bibliographiccitation.firstpage","e121"],["dc.bibliographiccitation.issue","13"],["dc.bibliographiccitation.journal","Deutsche medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","e126"],["dc.bibliographiccitation.volume","141"],["dc.contributor.author","Weiß, V."],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Nau, R."],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2021-08-26T13:16:49Z"],["dc.date.available","2021-08-26T13:16:49Z"],["dc.date.issued","2016-07"],["dc.description.abstract","Aim "],["dc.identifier.doi","10.1055/s-0042-102618"],["dc.identifier.pmid","27359319"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88837"],["dc.language.iso","other"],["dc.relation.eissn","1439-4413"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Benzodiazepine und Z-Substanzen als Schlaf- und Beruhigungsmittel in einem Krankenhaus"],["dc.title.alternative","The use of benzodiazepines and Z-drugs for patients with sleeping problems - A survey among hospital doctors and nurses"],["dc.title.subtitle","Anwendung aus der Sicht des ärztlichen und pflegerischen Personals"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","496"],["dc.bibliographiccitation.journal","Journal of General Internal Medicine"],["dc.bibliographiccitation.lastpage","502"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Dieterich, Anja"],["dc.contributor.author","Kochen, Michael M."],["dc.date.accessioned","2021-08-16T09:36:52Z"],["dc.date.available","2021-08-16T09:36:52Z"],["dc.date.issued","2000"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88714"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Will German patients accept their family physician to function as gatekeeper?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","e022642"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMJ Open"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Palant, Alexander"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-08-26T14:00:20Z"],["dc.date.available","2021-08-26T14:00:20Z"],["dc.date.issued","2019"],["dc.description.abstract","Social support is considered an important resource in coping with chronic conditions. By conducting a series of interviews with people who suffer from inflammatory bowel disease (IBD), we received the impression that social support in face-to-face or online communication could also be a source of stress and strain. The aim of our study was to better understand and describe possible negative effects of social support."],["dc.identifier.doi","10.1136/bmjopen-2018-022642"],["dc.identifier.pmid","30670504"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/16455"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88847"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","2044-6055"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc/4.0"],["dc.title","Are there also negative effects of social support? A qualitative study of patients with inflammatory bowel disease"],["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","905"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","International Journal of Clinical Pharmacology and Therapeutics"],["dc.bibliographiccitation.lastpage","910"],["dc.bibliographiccitation.volume","55"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-08-26T14:46:04Z"],["dc.date.available","2021-08-26T14:46:04Z"],["dc.date.issued","2017-12"],["dc.description.abstract","A chart review at a mid-sized German general hospital found a high usage of benzodiazepines among older patients. Therefore, all doctors and nurses of this hospital were surveyed about the benefits and risks of benzodiazepines that they considered to be the strongest and their own overall assessment of the risk-benefit ratio for their patients Response rate was 54% (63/116) for doctors and 30% (73/243) for nurses. \"Reduced fear or agitation\" was perceived by many doctors (71%) and nurses (49%) to be a strong benefit of benzodiazepines. With regards to the overall risk-benefit ratio, doctors who indicated that \"falls\" and/or \"craving\" often occur in combination with benzodiazepines were more likely to estimate that the risks of benzodiazepines outweigh the benefits. For nurses, \"confusion\" strongly influenced their overall assessment of the risk-benefit ratio. The results of this study will be incorporated into interventions for reducing benzodiazepine prescriptions.
."],["dc.identifier.doi","10.5414/CP203104"],["dc.identifier.pmid","29092732"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88877"],["dc.language.iso","en"],["dc.relation.issn","0946-1965"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Searching for factors that may reduce the use of benzodiazepines in hospitals - a survey of hospital doctors and nurses
"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Kölner Zeitschrift für Soziologie und Sozialpsychologie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-10-01T09:58:56Z"],["dc.date.available","2021-10-01T09:58:56Z"],["dc.date.issued","2021"],["dc.identifier.doi","10.1007/s11577-021-00797-1"],["dc.identifier.pii","797"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/90178"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-469"],["dc.relation.eissn","1861-891X"],["dc.relation.haserratum","/handle/2/113413"],["dc.relation.issn","0023-2653"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Stadtsoziologie"],["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","194"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Psychiatrische Praxis"],["dc.bibliographiccitation.lastpage","197"],["dc.bibliographiccitation.volume","35"],["dc.contributor.author","Rogausch, Anja"],["dc.contributor.author","Kapmeyer, Anja"],["dc.contributor.author","Tenbieg, Anke"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T11:15:48Z"],["dc.date.available","2018-11-07T11:15:48Z"],["dc.date.issued","2008"],["dc.description.abstract","Objective To explore the view of schizophrenic patients regarding the role of general practitioners (GPs) in outpatient psychiatric care. Methods Semi-structured interviews with 20 schizophrenic patients were tape-recorded. Using the software Atlas.ti, the data were analysed according to the model of inductive category development (Mayring, 1995). Results Nearly all patients regarded the GPs as doctors \"for the body\" and - in contrast - the psychiatrists as doctors \"for the soul\". At the same time, an appointment with a GP was perceived as less embarrassing and stigmatising. Patients consulted their GP mainly because of somatic complaints or to receive follow-up prescriptions for their antipsychotic medication. They liked to get a \"second opinion\" regarding medical decisions by GPs. Some patients wished to have more consultation time with their GP to discuss psychological problems. Conclusions Schizophrenic patients appreciate the distinction, and the choice, between different medical specialties. Primary care offers services with an exceptionally low threshold for schizophrenic patients because consultations with a GP are to a lesser degree perceived as embarrassing or stigmatising."],["dc.identifier.doi","10.1055/s-2007-986286"],["dc.identifier.isi","000256380900010"],["dc.identifier.pmid","18506658"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54447"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0303-4259"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Die Rolle des Hausarztes in der ambulanten Schizophreniebehandlung aus Sicht von Patienten"],["dc.title.alternative","Role of the general practitioner in outpatient care for schizophrenic patients from the patients' perspective"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","810"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Medical Decision Making"],["dc.bibliographiccitation.lastpage","818"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Fischer, Susanne"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T11:09:39Z"],["dc.date.available","2018-11-07T11:09:39Z"],["dc.date.issued","2008"],["dc.description.abstract","Background. The influence of patient characteristics on family practitioners' (FPs') diagnostic decision making has mainly been investigated using indirect methods such as vignettes or questionnaires. Direct observation-borrowed from social and cultural anthropology-may be an alternative method for describing FPs' real-life behavior and may help in gaining insight into how FPs diagnose respiratory tract infections, which are frequent in primary care. Objective. To clarify FPs' diagnostic processes when treating patients suffering from symptoms of respiratory tract infection. Methods. This direct observation study was performed in 30 family practices using a checklist for patient complaints, history taking, physical examination, and diagnoses. The influence of patients' symptoms and complaints on the FPs' physical examination and diagnosis was calculated by logistic regression analyses. Dummy variables based on combinations of symptoms and complaints were constructed and tested against saturated (full) and backward regression models. Results. In total, 273 patients (median age 37 years, 51% women) were included. The median number of symptoms described was 4 per patient, and most information was provided at the patients' own initiative. Multiple logistic regression analysis showed a strong association between patients' complaints and the physical examination. Frequent diagnoses were upper respiratory tract infection (URTI)/common cold (43%), bronchitis (26%), sinusitis (12%), and tonsillitis (11%). There were no significant statistical differences between \"simple heuristic'' models and saturated regression models in the diagnoses of bronchitis, sinusitis, and tonsillitis, indicating that simple heuristics are probably used by the FPs, whereas \"URTI/common cold'' was better explained by the full model. Conclusion. FPs tended to make their diagnosis based on a few patient symptoms and a limited physical examination. Simple heuristic models were almost as powerful in explaining most diagnoses as saturated models. Direct observation allowed for the study of decision making under real conditions, yielding both quantitative data and \"qualitative'' information about the FPs' performance. It is important for investigators to be aware of the specific disadvantages of the method (e. g., a possible observer effect)."],["dc.identifier.doi","10.1177/0272989X08315254"],["dc.identifier.isi","000261037800003"],["dc.identifier.pmid","18448702"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13099"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53054"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Sage Publications Inc"],["dc.publisher.place","Thousand oaks"],["dc.relation.conference","25th Annual Meeting of the Society-for-Medical-Decision-Making"],["dc.relation.eventlocation","Chicago, IL"],["dc.relation.issn","0272-989X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Family Practitioners' Diagnostic Decision-Making Processes Regarding Patients with Respiratory Tract Infections: An Observational Study"],["dc.type","conference_paper"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","115"],["dc.bibliographiccitation.lastpage","124"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Gemperli, Armin"],["dc.contributor.author","Rogausch, Anja"],["dc.contributor.editor","Friede, Tim"],["dc.contributor.editor","Hilgers, Reinhard"],["dc.contributor.editor","Minkenberg, Ralf"],["dc.date.accessioned","2021-09-08T06:15:53Z"],["dc.date.available","2021-09-08T06:15:53Z"],["dc.date.issued","2014"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89308"],["dc.publisher","Shaker"],["dc.publisher.place","Aachen"],["dc.relation.conference","18. Konferenz der SAS-Anwender in Forschung und Entwicklung"],["dc.relation.eventend","2014-03-28"],["dc.relation.eventlocation","Göttingen"],["dc.relation.eventstart","2014-03-26"],["dc.relation.isbn","978-3-8440-3086-0"],["dc.relation.ispartof","KSFE 2014: Proceedings"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Arbeitsplatz-basiertes Assessment im Medizinstudium: Ist eine Multilevel-Analyse sinnvoll?"],["dc.type","conference_paper"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","e28"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Das Gesundheitswesen"],["dc.bibliographiccitation.lastpage","e32"],["dc.bibliographiccitation.volume","72"],["dc.contributor.author","Scherer, M."],["dc.contributor.author","Zitterbart, S."],["dc.contributor.author","Mildenstein, K."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2021-08-26T13:16:18Z"],["dc.date.available","2021-08-26T13:16:18Z"],["dc.date.issued","2010-05"],["dc.description.abstract","Most episodes of headache are not presented to doctors but are treated by self-management. Especially in these cases, the Internet has become an increasingly important source of health-care information. The aim of this study was to investigate the questions and needs of persons who sought help for their headache in an internet expert forum."],["dc.identifier.doi","10.1055/s-0029-1234128"],["dc.identifier.pmid","19790037"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88830"],["dc.language.iso","other"],["dc.relation.eissn","1439-4421"],["dc.relation.issn","0941-3790"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Mit welchen Fragen gehen Kopfschmerzpatienten ins Internet? Inhaltsanalyse eines Web-Expertenrates"],["dc.title.alternative","What questions do headache patients pose in the internet? Content analysis of an internet expert forum"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","174"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","European Journal of General Practice"],["dc.bibliographiccitation.lastpage","180"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Wermeling, Matthias"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Behrens, Gesa"],["dc.contributor.author","Ahrens, Dirk"],["dc.date.accessioned","2018-11-07T09:36:00Z"],["dc.date.available","2018-11-07T09:36:00Z"],["dc.date.issued","2014"],["dc.description.abstract","Background: Inappropriate prescriptions of Proton pump inhibitors (PPIs) initiated in hospitals are frequently continued in primary care. No research has explored why general practitioners (GPs) continue or discontinue inappropriate drug therapy. Objectives: This study aims to describe factors and motives associated with the continuation of inappropriate prescriptions of PPIs in primary care. Methods: Semi-structured qualitative interviews on basis of a purposive sampling of five GPs who often continued inappropriate prescriptions and five GPs who frequently discontinued inappropriate drug therapy with PPIs (10 GPs total, of which four were female and six male). Results: Although all GPs enrolled in the study were enthusiastic about the effectiveness of PPIs, differences between the continuing and discontinuing GPs exists in three areas: The two groups varied (1) in awareness of indications and general attitudes towards prescribing (2) in perception of the hospital physicians' competence in prescribing and (3) appreciation of general prescribing conditions in hospitals. Conclusion: Differences between the continuing and discontinuing GPs were found in their level of knowledge and their perceptions of the hospital physicians' competence and the threshold to prescribing in hospitals. Financial pressure and possible adverse effects demand a more balanced and evidence-based prescribing of PPIs. Attempts to change behaviour should focus on the GPs 'awareness of indications for PPIs, NSAID risks, and prescribing approaches in hospitals. Default prescribing in hospital demands critical examination."],["dc.description.sponsorship","German Federal Ministry of Education and Research [01GK0711]"],["dc.identifier.doi","10.3109/13814788.2013.844787"],["dc.identifier.isi","341289100004"],["dc.identifier.pmid","24219345"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32512"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1751-1402"],["dc.relation.issn","1381-4788"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Why do GPs continue inappropriate hospital prescriptions of proton pump inhibitors? A qualitative study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]