Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Physiotherapeutische Forschungsaktivitäten an den deutschen Universitätskliniken: eine Online-Umfrage unter den Leitungen der physiotherapeutischen Abteilungen","authors":"Erik J. Ehlers ,&nbsp;Franziska Feldmann ,&nbsp;Judith Gartmann ,&nbsp;Carolin Kraushaar ,&nbsp;Annalena Paus ,&nbsp;Isabelle Stickdorn ,&nbsp;Susanne G.R. Klotz","doi":"10.1016/j.zefq.2025.02.006","DOIUrl":"10.1016/j.zefq.2025.02.006","url":null,"abstract":"<div><h3>Introduction</h3><div>German university hospitals, with their three pillars of research, teaching, and care, enjoy a special status in the health care and science system. Alongside care and teaching, the research pillar has also become increasingly relevant for physiotherapy at university hospitals. Nevertheless, there has been no comprehensive study to date of the status of physiotherapy research activities at German university hospitals. This study aims to provide an overview of research activities and their framework conditions.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted among the heads of physiotherapy departments at all 36 German university hospitals in order to collect data on physiotherapy research activities. The questionnaire used for this purpose was developed in advance with the help of a systematic literature review and an expert survey. The survey was analyzed descriptively.</div></div><div><h3>Results</h3><div>With a response rate of 58%, eight of the 21 university hospitals included in the survey have been conducting physiotherapy research, in some cases for over a decade. The most frequently reported obstacles to research are lack of financial resources (n = 10) and lack of interest or appreciation from other professions (n = 7). Most frequently, research projects are conducted in the medical specialties of orthopedics and trauma surgery (n = 10), intensive care medicine (n = 8), pediatrics (n = 6), and the outpatient sector (n = 6). Clinical research accounts for 58% (n = 18) of research activities. Interprofessional research is more common (n = 13, 72%) than intraprofessional research (n = 5, 28%). In addition to the CRediT roles of resources (n = 6) and investigation (n = 6), the role of conceptualization in the research process (n = 6) is also among the most common. Over the two-year period, a median of three articles was published with first or last authorship assigned to physiotherapists.</div></div><div><h3>Conclusion</h3><div>The online survey shows that there is little physiotherapy research activity at German university hospitals. In order to strengthen physiotherapy research, changes in professional and scientific policy and financial support are needed.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 8-16"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(25)00108-4","DOIUrl":"10.1016/S1865-9217(25)00108-4","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Page OBC"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plädoyer für ein nachhaltigeres Gesundheitssystem – die Rolle der Technologiebewertung","authors":"Matthias Perleth ,&nbsp;Barbara Buchberger ,&nbsp;Peter Kolominsky-Rabas","doi":"10.1016/j.zefq.2025.03.003","DOIUrl":"10.1016/j.zefq.2025.03.003","url":null,"abstract":"<div><div>Health Technology Assessment (HTA) is established as a tool for evidence-based decision support in the health care sector. HTA aims to determine the value of a health technology at different points in its life cycle and to promote an equitable, efficient and high-quality health care system.</div><div>The health care sector is estimated to be responsible for 5% of greenhouse gas emissions and raw material consumption. Buildings, anesthetic gases, metered dose inhalers, pharmaceuticals and medical devices are important drivers of these emissions.</div><div>So far, sustainability as (according to Brundtland) a development that meets the needs of the present without compromising the ability of future generations to meet their own needs, has not played a role as a decision-making criterion in the introduction and provision of health care technologies. The concept of sustainability could extend HTA to the entire life cycle (the ‘first’ and the ‘last’ mile) and thus establish the ecological footprint as a further dimension in the assessment process. Despite international efforts to achieve climate neutrality in the health care sector, there are as yet no concrete strategies for implementation in Germany and Europe, with the exception of the UK. The political mood is even moving in the direction of climate policy regression.</div><div>A sustainability strategy could draw on a large number of national and European regulations outside the health care sector and integrate them into existing methodological approaches, such as the incremental carbon footprint effectiveness ratio. At the practical level, these findings could be incorporated into climate-sensitive health counseling. The future federal government, professional associations and health care professionals should take urgent action.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 17-20"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barrieren und Förderfaktoren der Inanspruchnahme von Präventionsprogrammen zur Förderung der seelischen Gesundheit bei Kindern im Vor- und Grundschulalter","authors":"Max Weniger ,&nbsp;Josephine Kümpfel ,&nbsp;Katja Beesdo-Baum ,&nbsp;Julia Zink ,&nbsp;Cornelia Beate Siegmund ,&nbsp;Patricia Theresa Porst ,&nbsp;Maria McDonald ,&nbsp;Veit Roessner ,&nbsp;Susanne Knappe","doi":"10.1016/j.zefq.2024.11.002","DOIUrl":"10.1016/j.zefq.2024.11.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and Aims&lt;/h3&gt;&lt;div&gt;Emotional and behavioural problems occur frequently in childhood and are usually associated with burdens on children, families, and society. Preventive interventions could reduce these burdens, but are rarely used despite their availability and effectiveness. The aim was to identify general, individual, structural, and family-related barriers/facilitators to potential and actual participation in prevention programs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;As part of a prospective implementation study, n = 3,231 project folders were handed out to parents in 28 paediatric practices in Dresden and surrounding area during routine health check-ups (U9–U11) for children aged 5 to 10 years. In addition to screening for mental health problems, a questionnaire was used to identify potential barriers/facilitators to participation in prevention programs. Of n = 2,844 families agreeing to participate in the study n = 2,122 (74.6 %) completed the questionnaire at least partially. Regression analyses were used to test associations between potential barriers/facilitators and actual participation in (a) a pre-intervention interview (PII; in order to check indications with the program provider) or (b) the prevention program among children with a prevention recommendation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of the participating families, 1.8 % reported that they had already participated in a prevention program to improve mental health or had received a recommendation for it before. 59.5 % of the families expressed their general interest in such programs, and 95.7 % would participate if their paediatrician recommended it. At the structural level, a lack of knowledge about mental health prevention programs was identified as a barrier to potential participation; as only 9.2 % of the families were aware of such programs before participating in the study. 65.8 % of all the families considered full reimbursement of the participation fees after paying in advance a prerequisite for their potential program participation, and 56.7 % wanted to receive a voucher from their health insurance fund entitling them to participate without prepayment. At the individual level, the parents’ attitude towards the usefulness of prevention programs predicted the actual utilisation of the PII after the paediatrician's recommendation. At the structural level, the acceptance of longer travel times (up to 60 minutes) as well as the assumption/reimbursement of the entire course fees were relevant predictors. Furthermore, male sex (of the children) and higher screening scores were also important predictors at the family-related level. After the PII, the only factor associated with actual participation in prevention programs was efficient public transport accessibility.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;In order to increase participation in prevention programs, funding to cover participation fees should be secured through health insurance funds. In addit","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 94-107"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practitioner-based interventions to reduce hospital admissions in patients with multimorbidity living at home – A rapid review","authors":"Julia Nothacker ,&nbsp;Stefanie Butz ,&nbsp;Dagmar Lühmann ,&nbsp;Paula Duwe ,&nbsp;Marjan van den Akker ,&nbsp;Ulrich Thiem ,&nbsp;Martin Scherer ,&nbsp;Ingmar Schäfer","doi":"10.1016/j.zefq.2025.01.005","DOIUrl":"10.1016/j.zefq.2025.01.005","url":null,"abstract":"<div><h3>Background</h3><div>Multimorbidity is a common health problem among patients treated in GP practices and often associated with an increased risk of hospitalization. The aim of this review was to identify GP-based interventions to reduce hospitalization in patients with multimorbidity who were evaluated in randomized controlled trials.</div></div><div><h3>Methods</h3><div>For the rapid review, the databases Medline and CENTRAL were systematically searched for randomized controlled trials evaluating an effect of GP-based interventions on the duration or frequency of hospitalization in adult patients with multimorbidity living at home. The interventions and their effects were described narratively.</div></div><div><h3>Results</h3><div>From 2,260 hits in the database searches, 15 studies could be included. The interventions identified included, amongst others, interdisciplinary cooperation, training of GPs and other practice staff, and increased patient centeredness. Hospital admissions were reported in 13 studies, and the number of days spent in hospital was reported in six studies. Two studies found a significant reduction in hospitalization.</div></div><div><h3>Conclusions</h3><div>While most interventions were not effective, there were also two GP-based interventions for patients with multimorbidity which focused on the patients’ individual situation and contributed to avoiding hospitalization. However, more studies are needed to make reliable statements on the effectiveness of various measures.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 74-85"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Versorgungsnahe Daten zur Bewertung der vergleichenden Effektivität von medizinischen Behandlungen: eine Bestandsaufnahme der verfügbaren Datenquellen in Deutschland unter besonderer Berücksichtigung von Registern","authors":"Malik Cakir ,&nbsp;Paula Starke ,&nbsp;Alexandra Nolting ,&nbsp;Wendi Qu ,&nbsp;Dawid Pieper ,&nbsp;Tim Mathes","doi":"10.1016/j.zefq.2025.01.008","DOIUrl":"10.1016/j.zefq.2025.01.008","url":null,"abstract":"<div><div>Using real-world data (RWD) for comparative effectiveness research has gained increasing attention. Real-world data is usually not collected with the primary aim of answering questions about the comparative effectiveness of medical interventions. Therefore, data collection is often not optimally designed for this purpose. For this reason, using it can be associated with several data-related or analysis-related problems.</div><div>This article has two aims: First of all, we will outline the basic requirements for comparative non-randomized studies based on RWD. In addition, the advantages and disadvantages of potentially eligible RWD in Germany will be considered. In particular, the use of registry data will be discussed, as these currently appear to be the most suitable for comparing the effectiveness of interventions.</div><div>There are now various databases in Germany that contain RWD and can potentially be used for comparative effectiveness research. If they contain all the necessary information and if the data are of sufficient quality, they could offer a timely and efficient way of determining the effectiveness of medical interventions. However, our analysis shows that the use of this data is sometimes associated with considerable limitations. RWD is often highly aggregated and thus may not be sufficiently detailed to select the subjects precisely or to emulate the intervention or control interventions satisfactorily. In addition, many data sources only encompass a limited set of variables and limited time horizons (e.g., only hospitalization) according to their intended purpose (e.g., billing). Therefore, it is often questionable whether this includes all endpoints on benefit and harm that are important for the assessment and whether sufficiently long observation horizons/follow-up periods are given. Similarly, it is often questionable whether all necessary data to avoid bias are included. Furthermore, it is often difficult to assess suitability in advance due to the lack of available information.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(25)00104-7","DOIUrl":"10.1016/S1865-9217(25)00104-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Page ii"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemmende und fördernde Faktoren für die Integration akademischer Pflegerollen in die psychiatrische Versorgungspraxis: Teilergebnisse der AkaPP-Studie","authors":"Stefan Scheydt ,&nbsp;André Nienaber ,&nbsp;Martin Holzke","doi":"10.1016/j.zefq.2025.01.002","DOIUrl":"10.1016/j.zefq.2025.01.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;The integration of academically qualified nurses into psychiatric care is crucial to the quality of patient care and the professional satisfaction of nurses. Despite its increasing importance and political demand, the integration of academic nursing roles into (psychiatric) care practice appears to be progressing slowly. This study therefore examines how academically qualified nurses who work in direct psychiatric nursing practice, practice development or nursing research perceive the integration of their academic nursing role into psychiatric care practice and which contextual factors promote or inhibit the integration of academic nursing roles into psychiatric nursing and care practice.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data collection for the nationwide AkaPP study took place between August and November 2020 using a specially developed online questionnaire. The target population of the study was academically qualified nurses working in psychiatric settings (n = 185). The subgroup of academically qualified nurses working in direct psychiatric nursing practice, practice development or nursing research (n = 100) was analyzed as part of this sub-study. Data analysis was performed using descriptive statistical methods as well as appropriate statistical procedures to test the correlation between certain variables of role development or role integration and the rating of role integration (Chi-square test, Cramer’s &lt;em&gt;V&lt;/em&gt;, Spearman’s rank correlation). Qualitative data (free text data) were analyzed using qualitative content analysis. Reporting was based on the STROBE checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Overall, role integration is rated as less successful (&lt;em&gt;MV&lt;/em&gt; = 2.62; &lt;em&gt;SD&lt;/em&gt; = 1.309). The results show that time resources for extended tasks (&lt;em&gt;V&lt;/em&gt; = .554, &lt;em&gt;p&lt;/em&gt; &lt; .000) and for exchange and networking (&lt;em&gt;V&lt;/em&gt; = .570, &lt;em&gt;p&lt;/em&gt; &lt; .001) correlate significantly with satisfaction with role integration. A specific description of tasks and activities (&lt;em&gt;V&lt;/em&gt; = .522, &lt;em&gt;p&lt;/em&gt; &lt; .000) and for research activities (&lt;em&gt;V&lt;/em&gt; = .453, &lt;em&gt;p&lt;/em&gt; &lt; .001) are also moderately to strongly associated with a positive assessment of role integration. On the other hand, induction concepts, trainee programs, and specific training courses do not show a strong statistical correlation with role integration. The use of systematic concepts such as the PEPPA framework was described by only a small group but tended to show a higher level of satisfaction. The main obstacles to successful role integration were lack of acceptance by members of one’s own discipline (68.2%) or lack of appropriate differentiation of tasks and activities (60.5%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;In order to successfully integrate academically qualified nurses into psychiatric nursing practice, nursing management, educational institutions, and policy makers should pay more attention to the provision of ","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 64-73"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abschlusseditorial","authors":"Susanne Knappe ,&nbsp;Ute Lewitzka ,&nbsp;Anna Kuehne ,&nbsp;Arne Bürger","doi":"10.1016/j.zefq.2025.02.005","DOIUrl":"10.1016/j.zefq.2025.02.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 108-109"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue bei Krebs: Wie (gut) sind Betroffene an onkologischen Einrichtungen in Deutschland versorgt?","authors":"Anna S. Wagner ,&nbsp;Marlena Milzer ,&nbsp;Senta Kiermeier ,&nbsp;Martina E. Schmidt ,&nbsp;Truong D. Nguyen ,&nbsp;Karen Steindorf ,&nbsp;Imad Maatouk","doi":"10.1016/j.zefq.2025.02.003","DOIUrl":"10.1016/j.zefq.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>One of the most common sequelae of cancer and/or its treatment is cancer-related fatigue (CRF). For those affected, CRF is often accompanied by considerable, even long-term impairment. This makes it all the more important to examine how care is provided in Germany and to what extent guideline recommendations are implemented in clinical practice.</div></div><div><h3>Methods</h3><div>In a Germany-wide questionnaire survey, inpatient and outpatient oncological cancer care facilities were asked to describe their approach to CRF (information and education, screening, diagnostics), local treatment options, and clinical trials.</div></div><div><h3>Results</h3><div>A total of 145 facilities participated, including 11 comprehensive cancer centers, 35 organ-specific cancer centers, 22 hospitals with a (hemato-)oncology unit, 29 outpatient (hemato-)oncology practices, 48 outpatient cancer counseling units. Nearly all the facilities reported that patients are provided verbal health information (per groups: 90.9%, 88.6%, 90.9%, 96.9%, 72.9%); less frequently in written form (90.9%, 54.3%, 59.1%, 48.3%, 87.5%). A systematic screening for CRF is conducted in up to one-third of the facilities (per groups: 27.3%, 20.0%, 31.8%, 17.2%, 8.3%). A standardized procedure for further clarification of CRF is available at a small number of institutions (0%, 11.4%, 13.6%, 6.9%, 2.1%). Exercise (90.9%, 82.9%, 72.7%, 79.3%, 89.6%) and psychotherapeutic services (90.9%, 68.6%, 86.4%, 62.1%, 68.8%) are most frequently actively recommended to patients with CRF across the facility groups.</div></div><div><h3>Discussion</h3><div>With regard to the systematization of screening and diagnosis of CRF as well as the provision of information material, there is a clear discrepancy between guideline recommendations and everyday clinical practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 40-47"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}