Suchergebnisse

BACKGROUND: Telemedicine offers additional ways of delivering medical care, e.g., in primary care in rural areas. During the last decades, projects including telemedicine are being implemented worldwide. However, implementation of telemedicine is in some countries, e.g., Germany somewhat slower compared to northern European countries. One important part of successful implementation is to include the citizen perspective. The aims of this study were to explore the perception of representatives of the local government regarding telemedicine in the context of a perceived GP shortage and to tailor future telemedicine offers according to these perceived needs. METHODS: Considering the multidisciplinary assessment suggested by the Model for Assessment of Telemedicine a questionnaire with 19 questions was developed by identifying determinants of telemedicine out the literature. After pre-testing, the questionnaire was sent to all 2199 mayors from the federal states of Schleswig-Holstein (North Germany) and Baden-Württemberg (South Germany) as representatives of the citizens (cross- sectional study; full population survey). The final questionnaire contained sections for socio-demographic data, telemedicine and perceived GP shortage. All responses from November 2018 until 2019 were included and analyzed descriptively. RESULTS: The response rate was 32% (N = 699), of which 605 were included in the analysis. A majority of the participants stated they live in a rural area and 46% were in the office for up to 8 years. The mayors had predominantly a positive perception about telemedicine (60%) and 76% of them stated, their community would benefit from telemedicine. A GP shortage was reported by 39% of the participants. The highest risk of telemedicine was seen in misdiagnosing. In case of an emergency situation 291 (45%) of the participants considered data privacy as not as relevant. Mayors from a community with a perceived GP shortage had a more negative perception regarding telemedicine. CONCLUSION: The acceptance of ...

BACKGROUND: A growing demand for physicians exists worldwide. Due to political changes, economic incentives and new workplace expectations a trend from single-handed practices to group practices has been noticed in many countries over the last years. In view of this background, our study aimed to identify determinants for success or failure of inter-physician collaboration in order to positively influence future collaboration in anticipation of the important role group practices may play in future health care delivery. METHODS: We chose a qualitative study design, using semi-structured phone interviews to collect data from physicians and non-physician consultants with experience in inter-physician collaboration that were analysed using content analysis. Eleven physicians with experience in collaborative working and fourteen non-physician consultants specializing in advice to health care professionals participated. RESULTS: Education in entrepreneurial skills as well as implementation of good practice management in preparation for collaboration are crucial modifiable facilitators for successful inter-physician collaboration. Furthermore, open communication and realistic insight into the mode of acquaintance, moral concept and degree of specialisation of the colleagues involved play major roles for the success of inter-physician collaboration in group practices. CONCLUSIONS: There are several underlying themes beyond clinical expertise concerning success or failure of group practices. To influence future collaboration positively, it is important to focus on management and communication skills as well as to address basic understanding of economics.

Zusammenfassung
Hintergrund
Das Freizeitverhalten hat für Mediziner*innen einen wichtigen Einfluss auf die Lebensplanung und die psychische Gesundheit. Ein positives Freizeitverhalten stärkt die Resilienz. Damit kann Burnout und Depression entgegenwirkt werden. Wie (lange) der Beruf als Arzt oder Ärztin ausgeübt wird, kann somit beeinflusst werden. Wie gestalten zukünftige Ärzt*innen ihre Freizeit? Spielt sie eine Rolle in der Frage für eine Tätigkeit im ländlichen Raum?

Methode
Nach Literaturrecherche, Ergebnissen einer Vorstudie und Erfahrungen der Autoren wurde ein Fragebogen zum Thema Freizeitverhalten erstellt. Dieser wurde von 11/2020 bis 03/2021 per Online-Befragung an Medizinstudierende in Deutschland gesendet. Neben einer deskriptiven Analyse wurden die Einflussfaktoren durch eine binäre Regressionsanalyse auf den Ort des geplanten Praktizierens basierend auf dem Statistikprogramm SPSS 27.0 berechnet.

Ergebnisse
Aus 23 medizinischen Fakultäten nahmen 1553 Studierende (61 % weiblich, Alter [Mittelwert (MW)]: 24 [Standardabweichung [SD] 4,1] Jahre, Semester [MW]: 6,4 [SD 3,2]) an der Umfrage teil. Ländlich zu praktizieren konnten sich 21,0 % (n = 331) der Teilnehmenden vorstellen. Besuche von Restaurants, Freunden oder Fitnessstudios fanden wesentlich häufiger statt als Theater‑, Opern- oder Kinobesuche. Die Bereitschaft, Zeit für verschiedene Freizeitaktivitäten zu investieren war sehr hoch, angeführt davon, sich mit Freunden zu treffen. Die Wahrscheinlichkeit sich ländlich niederzulassen war mit Merkmalen wie geringere Restaurant- oder Kinobesuche (Odds Ratio [OR] 0,78; 95%-Konfidenzintervall [KI] 0,66; 0,95 bzw. OR 0,69; 95 %-KI 0,55; 0,86) assoziiert.

Schlussfolgerungen
Die Ergebnisse liefern wichtige Hinweise für die Nachwuchsgewinnung im ländlichen Raum und können für die Förderung und den Erhalt der psychischen Gesundheit beitragen. Bei den Strategien gegen den Landarztmangel wird das Freizeitangebot als Entscheidungsfaktor überschätzt.

Background: Although demands on family physicians (FP) are to a large extent similar in the European Union, uniform assessment standards for family medicine (FM) specialty training and assessment do not exist. Aim of this pilot study was to elicit and compare the different modalities and assessment methods of FM specialty training in five European countries.