Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

英文中文

Kosten informeller Pflege bei Menschen mit kognitiven Beeinträchtigungen: eine Kostenstudie aus dem Digitalen Demenzregister Bayern (digiDEM Bayern) [对认知障碍患者的非正式护理成本：基于巴伐利亚数字痴呆症登记处（digiDEM Bayern）的成本研究]。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-11-04 DOI: 10.1016/j.zefq.2025.10.001

Florian Weidinger , Jana Räbel , Elmar Gräßel , Thomas Ganslandt , Peter Kolominsky-Rabas , Martin Emmert

Background

Informal care costs account for the largest share of the total costs of dementia. The informal care costs of dementia have been well researched in Germany, but the group of family caregivers of people with MCI (“mild cognitive impairment”) has not been taken into account so far. The aim of this study is to evaluate the care time spent by family caregivers of people with cognitive impairment according to the severity of the disease and to estimate informal care costs.

Methods

The data is based on the multicenter, prospective registry study “Digital Dementia Regustry Bavaria – digiDEMBayern” (German title: “Digitales Demenzregister Bayern – digiDEM Bayern”). Information on informal care time was collected using the “Resource Utilization in Dementia Lite (RUD-Lite)” instrument. Informal care costs were calculated using the opportunity cost approach. Sensitivity analyses were used to determine a high and a low cost estimate and to compare them with each other. Severity-related differences were assessed using variance analyses.

Results

The survey results of 445 people with cognitive impairment and their informal caregivers were evaluated. The average care time to support activities of daily living significantly increased with greater severity (p = 0.005). The average cost of informal caregiving was between 15,057 and 30,994 EUR for people with mild cognitive impairment, between 19,785 and 38,747 EUR for people with mild dementia, and between 23,709 and 48,451 EUR for people with moderate dementia.

Discussion

Several earlier studies found an increase in the costs of informal caregiving with increasing cognitive decline in Germany. However, these studies differ in the methodologies used. There are various reasons why comparatively higher costs of informal care have been calculated in the present study.

Conclusion

It is likely that the annual costs of informal caregiving are in the range described, depending on the level of severity. The results indicate that people caring for family members with MCI bear a significant burden and that this leads to high social costs. The indirect costs of dementia increase the burden on society also from an economic perspective.

背景：非正式护理费用占痴呆症总费用的最大份额。在德国，痴呆症的非正式护理成本已经得到了很好的研究，但到目前为止，MCI（轻度认知障碍）患者的家庭照顾者群体还没有被考虑在内。本研究的目的是根据疾病的严重程度评估家庭照顾者对认知障碍患者的护理时间，并估计非正式护理费用。方法：数据基于多中心前瞻性登记研究“Digital Dementia registry Bavaria - digiDEMBayern”（德文标题：“Digitales Demenzregister Bayern - digiDEMBayern”）。使用“痴呆症生活资源利用”工具收集非正式护理时间的信息。非正式护理费用采用机会成本法计算。敏感性分析用于确定高成本和低成本估算，并相互比较。使用方差分析评估与严重程度相关的差异。结果：对445名认知障碍患者及其非正式照顾者的调查结果进行评价。支持日常生活活动的平均护理时间随着病情加重而显著增加（p = 0.005）。轻度认知障碍患者的平均非正式护理费用为15,057至30,994欧元，轻度痴呆患者的平均护理费用为19,785至38,747欧元，中度痴呆患者的平均护理费用为23,709至48,451欧元。讨论：早期的几项研究发现，在德国，随着认知能力的日益下降，非正式护理的成本也在增加。然而，这些研究在使用的方法上有所不同。在本研究中计算出相对较高的非正式护理成本有多种原因。结论：根据严重程度的不同，非正式护理的年度成本可能在描述的范围内。结果表明，照顾患有轻度认知障碍的家庭成员的人承担着很大的负担，这导致了很高的社会成本。从经济角度来看，痴呆症的间接成本也增加了社会负担。

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引用次数: 0

Editorial: Gesundheitsökonomische Evaluation komplexer Interventionen – Zeit den Horizont zu erweitern 编辑：复杂干预措施的卫生经济评估：是时候扩大视野了。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI: 10.1016/j.zefq.2025.09.001

Juliane Köberlein-Neu , Andrea Icks

引用次数: 0

Herausgeberkollegium / Editorial Board Herausgeberkollegium编委会

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1016/S1865-9217(25)00220-X

引用次数: 0

Inhaltsverzeichnis / Table of Contents 吸入物/目录

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1016/S1865-9217(25)00221-1

引用次数: 0

Versorgungsforschung als vielfältiges Beschäftigungsfeld in Deutschland: eine Dokumentenanalyse von Stellenanzeigen [作为就业市场的医疗服务研究：招聘广告的文献分析]。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-09-04 DOI: 10.1016/j.zefq.2025.07.002

Annika Queder , Lea Gölz , Michel Wensing , Charlotte Ullrich

Introduction

Since the mid-2010s, health services research (HSR) in Germany has been increasingly institutionalized. However, little is known about actual career paths within the field. The aim of this study was to describe the HSR job market in Germany, both in general terms and specifically for graduates of health services research master degree programs.

Methods

Over a period of three months in spring 2022, four employment websites and the websites of the German Network for HSR were searched for job advertisements containing the term “health services research”. Using document analysis, the job advertisements identified were analyzed with regard to a) employer characteristics, b) job characteristics, and c) significance of HSR.

Results

Of the 1,474 job advertisements identified, 360 were included in the analysis. These were mainly from hospitals (31.94 %, n = 115), companies (29.44 %, n = 106), and universities (23.33 %, n = 84). The majority of the positions offered required a Master’s degree or a higher qualification (57.22 %, n = 206), and for 76 positions (36.89 %) there was the additional requirement of a completed vocational training and/or main occupation in patient care. Most of the 91 job offers for graduates of a HSR master’s program were temporary (65.93 %, n = 60) and in the field of science and research (89.01 %, n = 81). About half were full-time positions (46.15 %, n = 42).

Discussion

The study shows an increasing number of job advertisements including the search term “health services research”, a broad understanding of the term and associated heterogeneous qualification requirements and job characteristics.

Conclusion

Our findings contribute to a better understanding of HSR as a professional field in Germany. The results provide guidance for students, graduates, and teachers in HSR.

导言：自2010年代中期以来，德国的卫生服务研究（HSR）日益制度化。然而，人们对该领域的实际职业道路知之甚少。本研究的目的是描述德国的高铁就业市场，包括一般术语和卫生服务研究硕士学位课程毕业生的具体情况。方法：在2022年春季的三个月时间里，对四个招聘网站和德国高铁网络网站进行搜索，搜索包含“卫生服务研究”一词的招聘广告。采用文献分析的方法，从a)雇主特征、b)工作特征和c)高铁的显著性三个方面对所识别的招聘广告进行了分析。结果：在确定的1474个招聘广告中，有360个被纳入了分析。这些是主要来自医院(31.94 %,n = 115),公司(29.44 % n = 106),和大学(23.33 % n = 84)。提供的大多数职位要求硕士学位或更高学历（57.22 %,n = 206），76个职位（36.89 %）还要求完成职业培训和/或主要职业是患者护理。高铁硕士项目毕业生获得的91份工作中，大部分是临时性的（65.93 %,n = 60）和科研领域的工作（89.01 %,n = 81）。大约一半是全职职位（46.15 %,n = 42）。讨论：研究表明，越来越多的招聘广告包括搜索词“卫生服务研究”，对术语的广泛理解以及相关的异构资格要求和工作特征。结论：我们的研究结果有助于更好地理解德国的高铁作为一个专业领域。研究结果可为高铁学生、毕业生和教师提供指导。

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引用次数: 0

Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations 附属机构名单

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1016/S1865-9217(25)00231-4

引用次数: 0

„Übersichtlich an Daten kommen, die spezifisch für die Region sind“ – Implementierung und Evaluation einer Onlineplattform für Forschungsdaten der Metropolregion Rheinland am Beispiel der Versorgungsforschung im letzten Lebensjahr [“获取特定区域的清晰数据”：莱茵兰大都市区研究数据在线平台的实施和评估，以生命最后一年的医疗保健研究为例]。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.zefq.2025.08.002

Kathleen Boström , Katja Blaschke , Thomas Dojan , Ingo Meyer , Kerstin Kremeike

Introduction

Healthcare research results often do not find their way into practice due to missing or under-utilized communication channels. Consequently, these results fail to impact the healthcare system. To bridge this “translation gap,” solutions tailored to the needs and habits of users are required.

Methods

We conceptualized and implemented an online platform to communicate the results of two completed healthcare research projects to both professionals and the public in Cologne. This was achieved using a co-design approach with end users. The platform was evaluated for user satisfaction, efficiency, effectiveness, conformity with expectations, and usage through participant observation, an online survey, and web statistics analysis. A final redesign was conducted based on the evaluation.

Results

The platform was implemented according to the co-design concept. Most online survey participants found the site easy to use and engaging in terms of content. However, criticisms included the lack of multimedia and interactive content, the large amount of text used, and the absence of specific expected information.

Discussion

After the redesign, the platform met part of the requirements emerging from the evaluation. Nonetheless, improvements are needed in multimedia and interactive content presentation, as identified in the evaluation. The lack of specific expected content highlights unanswered research questions of the underlying projects.

Conclusion

The developed platform has been online since the end of the development phase and continues to be used. The study demonstrated that a co-design approach can yield usable results in the field of science.

导读：由于缺少或未充分利用沟通渠道，医疗保健研究成果往往无法付诸实践。因此，这些结果无法影响医疗保健系统。为了弥合这种“翻译差距”，需要针对用户的需求和习惯量身定制解决方案。方法：我们构思并实施了一个在线平台，将两个已完成的医疗保健研究项目的结果传达给科隆的专业人员和公众。这是通过与最终用户的协同设计方法实现的。通过参与观察、在线调查和网络统计分析，对该平台的用户满意度、效率、有效性、与预期的一致性和使用情况进行了评估。最后在评估的基础上进行了重新设计。结果：平台按照协同设计理念实现。大多数在线调查参与者发现，该网站易于使用，内容引人入胜。然而，批评包括缺乏多媒体和互动内容，使用大量文本，以及缺乏具体的预期信息。讨论：重新设计之后，平台满足了评估中出现的部分需求。尽管如此，在评价中指出的多媒体和交互式内容表示方面仍需改进。缺乏具体的预期内容突出了基础项目未解决的研究问题。结论：开发的平台在开发阶段结束后已经上线，并继续使用。该研究表明，协同设计方法可以在科学领域产生可用的结果。

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引用次数: 0

Ambulante psychotherapeutische Versorgung von Patient*innen mit chronischer körperlicher und gleichzeitig vorliegender psychischer Erkrankung – die Sicht von Psychotherapeut*innen und Hausärzt*innen 【对慢性身体状况和精神疾病共病患者的门诊心理治疗护理——心理治疗师和全科医生的观点】。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.zefq.2025.09.005

Milena Borchers , Martin Hegelow , Lisa Leikeim , Beate Wild , Gereon Heuft , Hanna Kampling , Johannes Kruse , Hans-Christoph Friederich , Mechthild Hartmann

Background

Patients with both mental illness and chronic physical conditions (medically complex patients) represent a large (more than 5 million people in Germany) and particularly burdened group of patients. This study describes how psychotherapists and general practitioners perceive the current care for these patients and the impact of the 2017 structural reform of psychotherapy guidelines for patients with complex disorders.

Methods

We used a nationwide survey to assess the perceptions of psychotherapists (N = 2,015) and general practitioners (N = 1,364) regarding psychotherapeutic care for complex patients.

Results

Most psychotherapists and general practitioners agree that complex patients are still undersupplied with psychotherapy (>80 % agreement). The structural reform of the German psychotherapy guideline in 2017 has led to merely small improvements of care. From the perspective of care providers, further structural changes, such as the expansion of group therapy services, the consolidation of video-assisted therapy services, and the billability of consultative case discussions, could improve care.

Conclusion

Even after the structural reform, providers continue to consider the care provided to patients with complex disorders to be inadequate. Psychotherapists show a great willingness to meet the special needs of these patients. Nevertheless, further low-threshold services and networking between the professional groups involved are required. Given the size of the group of complex patients, we need to focus more on improving care structures.

背景：同时患有精神疾病和慢性身体状况的患者（医学上复杂的患者）是一个很大的（在德国超过500万人）和负担特别重的患者群体。本研究描述了心理治疗师和全科医生如何看待当前对这些患者的护理，以及2017年复杂障碍患者心理治疗指南结构性改革的影响。方法：我们采用一项全国性的调查来评估心理治疗师（N = 2015）和全科医生（N = 1364）对复杂患者心理治疗护理的看法。结果：大多数心理治疗师和全科医生都认为，复杂的患者仍然缺乏心理治疗（bbb80 %同意）。2017年德国心理治疗指南的结构性改革只带来了很小的改善。从护理提供者的角度来看，进一步的结构变化，如扩大团体治疗服务，整合视频辅助治疗服务，以及咨询案例讨论的可收费性，可以改善护理。结论：即使在结构改革后，提供者仍然认为对复杂疾病患者提供的护理不足。心理治疗师表现出极大的意愿来满足这些病人的特殊需求。不过，需要进一步提供低门槛的服务，并在有关专业团体之间建立联系。考虑到复杂患者群体的规模，我们需要更多地关注改善护理结构。

{"title":"Ambulante psychotherapeutische Versorgung von Patient*innen mit chronischer körperlicher und gleichzeitig vorliegender psychischer Erkrankung – die Sicht von Psychotherapeut*innen und Hausärzt*innen","authors":"Milena Borchers , Martin Hegelow , Lisa Leikeim , Beate Wild , Gereon Heuft , Hanna Kampling , Johannes Kruse , Hans-Christoph Friederich , Mechthild Hartmann","doi":"10.1016/j.zefq.2025.09.005","DOIUrl":"10.1016/j.zefq.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Patients with both mental illness and chronic physical conditions (medically complex patients) represent a large (more than 5 million people in Germany) and particularly burdened group of patients. This study describes how psychotherapists and general practitioners perceive the current care for these patients and the impact of the 2017 structural reform of psychotherapy guidelines for patients with complex disorders.</div></div><div><h3>Methods</h3><div>We used a nationwide survey to assess the perceptions of psychotherapists (N = 2,015) and general practitioners (N = 1,364) regarding psychotherapeutic care for complex patients.</div></div><div><h3>Results</h3><div>Most psychotherapists and general practitioners agree that complex patients are still undersupplied with psychotherapy (>80 % agreement). The structural reform of the German psychotherapy guideline in 2017 has led to merely small improvements of care. From the perspective of care providers, further structural changes, such as the expansion of group therapy services, the consolidation of video-assisted therapy services, and the billability of consultative case discussions, could improve care.</div></div><div><h3>Conclusion</h3><div>Even after the structural reform, providers continue to consider the care provided to patients with complex disorders to be inadequate. Psychotherapists show a great willingness to meet the special needs of these patients. Nevertheless, further low-threshold services and networking between the professional groups involved are required. Given the size of the group of complex patients, we need to focus more on improving care structures.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 35-44"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423131","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}

引用次数: 0

Wir brauchen weniger, dafür bessere systematische Reviews! Ein Aufruf zum Handeln 我们需要更少但更好的系统评价！行动的号召]。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.zefq.2025.10.008

Cordula Braun , Kathrin Grummich , Ralph Möhler , Corinna Schaefer , Dawid Pieper

Systematic reviews (SR) are an important source for evidence-informed decision-making in the context of health-related questions. Examples of their use include acting as the evidence base for guidelines and health information products, for planning clinical studies, and informing health policy decisions. Accordingly, it is crucial that SR provide trustworthy, reliable summaries of the available evidence. This is why they need to be of high quality in terms of both methods and content. SR suffering from quality deficiencies carry the risk of delivering biased or erroneous and therefore untrustworthy results. For years, the international research literature has highlighted problems with the quantity and quality of SR that undermine their “usefulness”, including “mass production” of SR and evidence that a large proportion of all SR is untrustworthy. This poses a considerable challenge to users searching for and selecting suitable SR. In consequence, SR are commonly used uncritically, and health-relevant decisions are made on the basis of biased or erroneous results. This prompts an important question to everyone involved in the production of SR: Why are so many flawed SR being produced and published? The aim of this paper is to point out the importance of SR and the requirements for producing high-quality SR to inform evidence-informed healthcare, to describe the key problems with their quantity and quality, to specify possible reasons for these problems, and to outline approaches to solutions. There is an urgent need for action to make SR “useful” (again).

在健康相关问题的背景下，系统评价（SR）是循证决策的重要来源。使用它们的例子包括作为指南和卫生信息产品的证据基础，用于规划临床研究，以及为卫生政策决定提供信息。因此，至关重要的是，SR提供可信赖的、可靠的现有证据摘要。这就是为什么他们需要在方法和内容方面都有高质量。遭受质量缺陷的SR有可能提供有偏见或错误的结果，因此不值得信赖。多年来，国际研究文献强调了SR的数量和质量问题，这些问题削弱了它们的“有用性”，包括SR的“大规模生产”，以及有证据表明大部分SR是不可信的。这对搜索和选择合适的SR的用户构成了相当大的挑战。因此，SR通常不加批判地使用，并且根据有偏见或错误的结果做出与健康相关的决定。这给每个参与SR制作的人提出了一个重要的问题：为什么有这么多有缺陷的SR被制作和发布？本文的目的是指出SR的重要性以及为循证医疗保健提供高质量SR的要求，描述其数量和质量的关键问题，指定这些问题的可能原因，并概述解决方案的方法。迫切需要采取行动，使SR（再次）“有用”。

{"title":"Wir brauchen weniger, dafür bessere systematische Reviews! Ein Aufruf zum Handeln","authors":"Cordula Braun , Kathrin Grummich , Ralph Möhler , Corinna Schaefer , Dawid Pieper","doi":"10.1016/j.zefq.2025.10.008","DOIUrl":"10.1016/j.zefq.2025.10.008","url":null,"abstract":"<div><div>Systematic reviews (SR) are an important source for evidence-informed decision-making in the context of health-related questions. Examples of their use include acting as the evidence base for guidelines and health information products, for planning clinical studies, and informing health policy decisions. Accordingly, it is crucial that SR provide trustworthy, reliable summaries of the available evidence. This is why they need to be of high quality in terms of both methods and content. SR suffering from quality deficiencies carry the risk of delivering biased or erroneous and therefore untrustworthy results. For years, the international research literature has highlighted problems with the quantity and quality of SR that undermine their “usefulness”, including “mass production” of SR and evidence that a large proportion of all SR is untrustworthy. This poses a considerable challenge to users searching for and selecting suitable SR. In consequence, SR are commonly used uncritically, and health-relevant decisions are made on the basis of biased or erroneous results. This prompts an important question to everyone involved in the production of SR: Why are so many flawed SR being produced and published? The aim of this paper is to point out the importance of SR and the requirements for producing high-quality SR to inform evidence-informed healthcare, to describe the key problems with their quantity and quality, to specify possible reasons for these problems, and to outline approaches to solutions. There is an urgent need for action to make SR “useful” (again).</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558054","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}

引用次数: 0

Evaluation of a brief didactics training for peer teachers of medical history taking 对同辈医学史教师简短教学训练的评价。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen

Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.zefq.2025.09.002

Jonas Nagel , Christine Zelenak , Stella Fangauf , Corinna Seemann , Lena Bläsing , Holger Kappe , Iris Demmer , Christoph Herrmann-Lingen

Objectives

The practical training of communicative competences in medical education is staff-intensive. We evaluate a brief didactics training for peer teachers (advanced students instructing fellow students from lower course levels) intended to efficiently enhance their teaching skills.

Methods

In a 9-hour didactics training, N = 139 peer teachers were prepared for instructing practical medical history taking exercises in small groups of undergraduate medical students. We assessed the participants’ satisfaction with the training, their subjective increase in didactic skills, and their evaluation of the peer teachers (compared to how the same students evaluated experienced lecturers).

Results

Participants evaluated the training positively and reported an increase in key didactic skills immediately after the training (0.17 ≤ r ≤ 0.20) and after their first term of teaching (0.12 ≤ r ≤ 0.20). Before the introduction of the training, students had rated their peer teachers less favorably than their faculty lecturers, but this gap disappeared after the introduction of the training (contribution to learning success: d = –0.84; quality of feedback: d = –0.43). Peer teachers were also perceived to be more activating in teaching compared to faculty lecturers (d = 0.34).

Conclusions

With a brief didactics training, peer teachers can become effective instructors for practical exercises of medical history taking interviews.

目的：医学教育中交际能力的实训是教师密集型的。我们评估了一项针对同辈教师的简短教学培训，旨在有效地提高他们的教学技能。方法：在9小时的教学训练中，N = 准备了139名同伴教师，以小组形式指导医学本科生的实用病史练习。我们评估了参与者对培训的满意度，他们在教学技巧上的主观提高，以及他们对同行教师的评价（与这些学生对有经验的讲师的评价相比）。结果：参与者对培训进行了积极的评价，并在培训后立即（0.17 ≤ r ≤ 0.20）和第一学期教学后（0.12 ≤ r ≤ 0.20）报告了关键教学技能的提高。在引入培训之前，学生对同行教师的评价不如对教师讲师的评价，但在引入培训后，这种差距消失了（对学习成功的贡献：d = -0.84；反馈质量：d = -0.43）。与教师讲师相比，同伴教师也被认为在教学中更活跃（d = 0.34）。结论：通过简单的教学训练，同伴教师可以成为病史访谈实践练习的有效指导教师。

{"title":"Evaluation of a brief didactics training for peer teachers of medical history taking","authors":"Jonas Nagel , Christine Zelenak , Stella Fangauf , Corinna Seemann , Lena Bläsing , Holger Kappe , Iris Demmer , Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.09.002","DOIUrl":"10.1016/j.zefq.2025.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The practical training of communicative competences in medical education is staff-intensive. We evaluate a brief didactics training for peer teachers (advanced students instructing fellow students from lower course levels) intended to efficiently enhance their teaching skills.</div></div><div><h3>Methods</h3><div>In a 9-hour didactics training, <em>N</em> = 139 peer teachers were prepared for instructing practical medical history taking exercises in small groups of undergraduate medical students. We assessed the participants’ satisfaction with the training, their subjective increase in didactic skills, and their evaluation of the peer teachers (compared to how the same students evaluated experienced lecturers).</div></div><div><h3>Results</h3><div>Participants evaluated the training positively and reported an increase in key didactic skills immediately after the training (0.17 ≤ <em>r</em> ≤ 0.20) and after their first term of teaching (0.12 ≤ <em>r</em> ≤ 0.20). Before the introduction of the training, students had rated their peer teachers less favorably than their faculty lecturers, but this gap disappeared after the introduction of the training (contribution to learning success: <em>d</em> = –0.84; quality of feedback: <em>d</em> = –0.43). Peer teachers were also perceived to be more activating in teaching compared to faculty lecturers (<em>d</em> = 0.34).</div></div><div><h3>Conclusions</h3><div>With a brief didactics training, peer teachers can become effective instructors for practical exercises of medical history taking interviews.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 92-99"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259608","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}

引用次数: 0

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