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[The importance of health care research for the medical community from the perspective of the German Pain Society].
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-31 DOI: 10.1007/s00482-024-00840-y
Hans-Georg Schaible, Thomas Isenberg
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引用次数: 0
Mitteilungen der Deutschen Schmerzgesellschaft e.V.
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 DOI: 10.1007/s00482-025-00864-y
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引用次数: 0
[What is health services research?] [什么是医疗服务研究?]
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2024-10-15 DOI: 10.1007/s00482-024-00843-9
Neeltje van den Berg, Wolfgang Hoffmann

In health services research, the health care of the population is examined under everyday conditions. Scientific questions include medical, patient-oriented, system-, performance- and quality-related as well as health economics topics. In health services research, complex interventions, e.g., treatment concepts with multiple therapy components, and/or across multiple sectors, are often implemented. The design of studies in health services research is based on the research question, the setting, and the available data, which can come from a variety of sources.

在医疗服务研究中,研究对象是日常条件下的居民医疗保健。科学问题包括医疗、以患者为导向、系统、绩效和质量相关以及卫生经济学等方面。在医疗服务研究中,通常会实施复杂的干预措施,例如包含多种治疗成分和/或跨越多个部门的治疗概念。医疗服务研究的设计以研究问题、环境和可用数据为基础,这些数据可以来自多种来源。
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引用次数: 0
[How does an intervention work?-German Version. : Development of an effect model for a complex intervention to prevent recurring or persistent pain using the example of PAIN 2.0]. 干预是如何起作用的?——版本。[以pain2.0为例,为预防复发性或持续性疼痛的复杂干预制定效果模型]。
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-21 DOI: 10.1007/s00482-024-00854-6
Ulrike Kaiser, Leonie Schouten, Greta Hoffmann, Anke Preissler, Franziska Adler, Louise Zinndorf, Anne Kästner, Beatrice Metz-Oster, Enya Höfner, Gabriele Lindena, Thomas Kohlmann, Sandra Meyer-Moock, Daniel Szczotkowski, Christian Geber, Frank Petzke, Lena Milch, Anne Gärtner

In addition to the usual evaluation approach (usually a clinical randomized trial in the sense of the question: does an intervention work), complex interventions require further systematic investigations to prove their effectiveness. The role of the context in which the intervention is delivered is essential here, as is consideration of the question of why an intervention works (or does not work). Detailed recommendations exist for the planning and implementation of effectiveness studies on complex interventions, to which interdisciplinary multimodal pain therapy undoubtedly belongs. In an effectiveness model, concrete, verifiable assumptions are formulated as to how an intervention produces changes that are reflected in the endpoint. This article provides a brief introduction to methodological approaches to effectiveness research on complex interventions and uses the PAIN 2.0 project (01NVF20023) to describe in concrete terms what an effectiveness model for interdisciplinary multimodal pain therapy for the prevention of chronic pain in an outpatient setting might look like.

除了通常的评估方法(通常是临床随机试验,在问题的意义上:干预是否有效),复杂的干预措施需要进一步的系统调查来证明其有效性。在这里,提供干预的背景所起的作用是至关重要的,正如考虑干预为什么有效(或无效)的问题一样。对于复杂干预措施的有效性研究的规划和实施存在详细的建议,跨学科多模式疼痛治疗无疑属于此类。在有效性模型中,具体的、可验证的假设是关于干预如何产生反映在终点的变化。本文简要介绍了复杂干预措施有效性研究的方法学方法,并使用PAIN 2.0项目(01NVF20023)具体描述了在门诊环境中预防慢性疼痛的跨学科多模式疼痛治疗的有效性模型。
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引用次数: 0
[Interprofessional healthcare research-Now integral component of pain research].
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-31 DOI: 10.1007/s00482-024-00855-5
Nadja Nestler, Ulrike Kaiser, Jürgen Osterbrink
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引用次数: 0
Mitteilungen der Österreichischen Schmerzgesellschaft.
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 DOI: 10.1007/s00482-025-00866-w
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引用次数: 0
[Is health care research in an ivory tower?] [医疗保健研究是在象牙塔里吗?]
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.1007/s00482-024-00841-x
Ursula Marschall
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引用次数: 0
[Health services research in acute pain medicine : Where do we come from in Germany?] [急性疼痛医学的医疗服务研究:我们从德国哪里来?]
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2024-11-06 DOI: 10.1007/s00482-024-00845-7
Nadja Nestler, Christoph Maier, Jürgen Osterbrink

Background: Up to the early 2000s the need for optimization in the treatment of acute pain in hospitals was highlighted. Only a few successes were achieved in the optimization process. As the acute pain care in Germany remained persistently unsatisfactory, the first health services research projects in pain medicine were initiated. These were intended to achieve improvements in patient care.

Aim: To illustrate the beginnings of health services research in the field of pain medicine in Germany the research projects "Pain-free hospital" and "Action alliance pain-free City of Münster" as well as the certification initiative Certkom are described.

Material and methods: An analysis of the current state of pain care for patients and interdisciplinary pain management, the derivation of optimization measures, their implementation and subsequent evaluation were carried out in all the projects presented in the sense of a complex intervention.

Results: All the projects could achieve improvements in patient care through a systematic survey of the current situation, targeted planning and the introduction of optimization measures. Corresponding evaluations could demonstrate these results.

Conclusion: The systematic approach in the projects with the collation of scientific data in real-life care has achieved optimization in acute pain management. The foundations were laid for further healthcare research in pain treatment in Germany; however, the projects also revealed limitations in the inclusion of vulnerable patient groups.

背景:直到本世纪初,人们一直在强调优化医院急性疼痛治疗的必要性。在优化过程中只取得了少数成功。由于德国的急性疼痛治疗仍不尽如人意,因此启动了首个疼痛医学医疗服务研究项目。目的:为了说明德国疼痛医学领域医疗服务研究的开端,介绍了 "无痛医院 "和 "明斯特市无痛行动联盟 "研究项目以及 Certkom 认证倡议:材料和方法:对患者疼痛护理和跨学科疼痛管理的现状进行了分析,提出了优化措施,并对所有项目的实施和后续评估进行了综合干预:结果:通过对现状的系统调查、有针对性的规划和优化措施的引入,所有项目都能改善对病人的护理。相应的评估可以证明这些成果:结论:项目中的系统性方法以及对实际护理中科学数据的整理实现了急性疼痛管理的优化。为德国进一步开展疼痛治疗方面的医疗保健研究奠定了基础;然而,这些项目也暴露出在纳入弱势病人群体方面的局限性。
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引用次数: 0
Der Schmerz dankt den Gutachterinnen und Gutachtern 2024. “2018年世界职业棒球大赛评委名单”。
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 DOI: 10.1007/s00482-024-00862-6
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引用次数: 0
[Better understanding of neuropathic pain in multiple sclerosis and cancer]. [更好地理解多发性硬化症和癌症中的神经性疼痛]。
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2025-02-01 Epub Date: 2025-01-03 DOI: 10.1007/s00482-024-00861-7
Miriam Sonnet
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引用次数: 0
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