Heike Hansen
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View article: Association between patient characteristics and recommendations by medical on-call service 116117 in Germany: a cross sectional observational study
Association between patient characteristics and recommendations by medical on-call service 116117 in Germany: a cross sectional observational study Open
Background: Use of emergency departments has increased in recent years. Different efforts address this problem, eg, medical on-call services. The DEMAND intervention is based on a computer-assisted initial telephone assessment implemented …
Validation of patient- and GP-reported core sets of quality indicators for older adults with multimorbidity in primary care: results of the cross-sectional observational MULTIqual validation study Open
Background Older adults with multimorbidity represent a growing segment of the population. Metrics to assess quality, safety and effectiveness of care can support policy makers and healthcare providers in addressing patient needs. However,…
View article: The effect of COVID-19 pandemic and lockdown on consultation numbers, consultation reasons and performed services in primary care: results of a longitudinal observational study
The effect of COVID-19 pandemic and lockdown on consultation numbers, consultation reasons and performed services in primary care: results of a longitudinal observational study Open
Objectives The aims of our study were to describe the effect of the COVID-19 pandemic and lockdown on primary care in Germany regarding the number of consultations, the prevalence of specific reasons for consultation presented by the patie…
Regional differences in the patient population of general practices in northern Germany: results of a mixed-methods study Open
Objectives The aim of our study was to explore patient types in general practitioner (GP) practices and to quantify the regional differences of the frequencies of these patient types in northern Germany. Design and setting We conducted a m…
Regional and patient-related factors influencing the willingness to use general practitioners as coordinators of the treatment in northern Germany - results of a cross-sectional observational study Open
Background:In most countries, the general practitioner (GP) is the first point of contact in the healthcare system and coordinator of healthcare. However, in Germany it is possible to consult an outpatient specialist even without referral.…
Regional differences in reasons for consultation and general practitioners’ spectrum of services in northern Germany – results of a cross-sectional observational study Open
Background Among other factors, the patients’ consultation reasons and GPs’ spectrum of services determine the process and outcome of the medical treatment. So far, however, there has been little information on differences in reasons for c…
Regional differences in reasons for consultation and general practitioners’ spectrum of services in Northern Germany – Results of a cross-sectional observational study Open
Background Among other factors, the patients’ consultation reasons and GPs’ spectrum of services determine the process and outcome of the medical treatment. So far, however, there has been little information on differences in reasons for c…
Regional differences in reasons for consultation and general practitioners’ spectrum of services in Northern Germany – Results of a cross-sectional observational study Open
Background Among other factors, the patients’ consultation reasons and GPs’ spectrum of services determine the process and outcome of the medical treatment. So far, however, there has been little information on differences in reasons for c…
Regional differences in reasons for consultation and general practitioners’ spectrum of services – Results of a cross-sectional observational study Open
Background Among other factors, the patients’ consultation reasons and the GPs’ spectrum of services determine process and outcome of the medical treatment. So far, however, there has been little information on differences in reasons for c…
View article: Health behaviour, social support, socio-economic status and the 5-year progression of multimorbidity: Results from the MultiCare Cohort Study
Health behaviour, social support, socio-economic status and the 5-year progression of multimorbidity: Results from the MultiCare Cohort Study Open
Background: Multimorbidity in elderly patients is a major challenge for physicians, because of a high prevalence of and associations with many adverse outcomes. However, the mechanisms of progressing multimorbidity are not well-understood.…
General practitioners’ perception of being a doctor in urban vs. rural regions in Germany - A focus group study Open
GPs enjoy their work and the role they play in their patients' lives. Being a rural GP was described very positively. Greater emphasis should be made on positive aspects of being a GP in rural regions, e.g. by university lectures given by …
Association between multimorbidity patterns and chronic pain in elderly primary care patients: a cross-sectional observational study Open
ISRCTN89818205 .
Regional variation of patient behaviour and reasons for consultation in the general practice of Northern Germany: protocol for an observational study Open
Introduction Inappropriate supply and an increasing demand on the healthcare system have been of concern for health policy in Germany for at least 15 years. In the primary care setting, this especially relates to an undersupply of general …
Overutilization of ambulatory medical care in the elderly German population? – An empirical study based on national insurance claims data and a review of foreign studies Open
We found a very high rate of frequent attendance among the German elderly, which is unique among the OECD countries. Further research should clarify its reasons and if this degree of utilization is beneficial for elderly people.