Die hausärztliche Versorgung während der COVID-19-Pandemie: eine Fragebogenerhebung unter Hausärzt*innen und Medizinischen Fachangestellten zu ihrer Perspektive auf Veränderungen, Bedarfe und Belastungen

Döpfmer, Susanne; Kuschick, Doreen; Toutaoui, Kahina; Riens, Burgi; Dierks, Marius Tibor; Wolf, Florian; Rost, Liliana; Krause, Markus; Schulze, Daniel; Heintze, Christoph; Kümpel, Lisa

doi:10.1016/j.zefq.2023.03.002

Cited by 8 publications

(2 citation statements)

References 22 publications

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“…This was not observed in this data. Other research, however, showed increased aggressiveness and dissatisfaction among patients ( 32 ). Hence, patient adherence and satisfaction of healthcare providers with guidelines provided to them could have been improved with a higher degree of person-centeredness instead of top-down processes.…”

Section: Discussionmentioning

confidence: 90%

Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic

Litke,

Weber,

Breckner

et al. 2024

Front. Med.

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IntroductionWorldwide, the primary care sector played a key role in coping with the challenges of the SARS-CoV-2 pandemic.MethodsThe aim of this study was to explore the resilience of the German primary healthcare system during the second wave of the pandemic from the perspective of identified interface stakeholders, i.e., representatives of hospitals, district offices, and medical associations. Qualitative data from interviews and focus groups were analyzed according to a resilience framework.ResultsThe main findings include a gap in knowledge transfer, unstructured allocation of responsibilities, and a resulting unregulated flow of patients. Social brokers supported care coordination and knowledge transfer. The response to the capacity to cope with uncertainties was slow and chaotic at the system level and heterogeneous at the individual level. Building on previous relationships fostered functioning communication, while competition in primary care was identified as a barrier to resilience.ConclusionImplications for further research and for strengthening the resilience of primary care can be derived based on this study.

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Section: Discussionmentioning

confidence: 90%

Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic

Litke,

Weber,

Breckner

et al. 2024

Front. Med.

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“…A change in weekly working hours was particularly evident at the onset of the pandemic, with a greater amount of organizational activities and less time spent with patients ( 51 ). HCAs expressed frustration about policymakers’ lack of appreciation for their work ( 52 ). As also reported by the media, for the future the participants wished to be considered for bonus payments like other health care staff, as well as for adjustment of their salaries in view of the increased workload ( 53 ).…”

Section: Discussionmentioning

confidence: 99%

Stress experiences of healthcare assistants in family practice at the onset of the COVID-19 pandemic: a mixed methods study

Schrader,

Ruck,

Borgulya

et al. 2023

Front. Public Health

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BackgroundAt the beginning of the pandemic in 2020, healthcare assistants in general practices were confronted with numerous new challenges. The aim of the study was to investigate the stress factors of healthcare assistants in March/April 2020 as well as in the further course of the pandemic in 2020.MethodsFrom August to December 2020, 6,300 randomly selected healthcare assistants in four German states were invited to participate in the study. We performed a mixed methods design using semi-structured telephone interviews and a cross-sectional survey with quantitative and open questions. The feeling of psychological burden was assessed on a 6-point likert-scale. We defined stress factors and categorized them in patient, non-patient and organizational stress factors. The results of the three data sets were compared within a triangulation protocol.ResultsOne thousand two hundred seventy-four surveys were analyzed and 28 interviews with 34 healthcare assistants were conducted. Of the participants, 29.5% reported experiences of a very high or high feeling of psychological burden in March/April 2020. Worries about the patients’ health and an uncertainty around the new disease were among the patient-related stress factors. Non-patient-related stress factors were problems with the compatibility of work and family, and the fear of infecting relatives with COVID-19. Organizational efforts and dissatisfaction with governmental pandemic management were reported as organizational stress factors. Support from the employer and team cohesion were considered as important resources.DiscussionIt is necessary to reduce stress among healthcare assistants by improving their working conditions and to strengthen their resilience to ensure primary healthcare delivery in future health crises.

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Zugang und Inanspruchnahme von Medizinischen Behandlungszentren für Erwachsene mit Behinderung (MZEB) während der Coronapandemie

Wetzel,

Steeb,

Pförtner

et al. 2024

Präv Gesundheitsf

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Zusammenfassung Hintergrund Seit 2015 können in Deutschland Medizinische Behandlungszentren für Erwachsene mit Behinderung (MZEB) zur Versorgung von Menschen mit geistiger Behinderung oder schweren Mehrfachbehinderungen ermächtigt werden. Der Beitrag untersucht die Folgen der Coronapandemie für den Zugang zu und die Inanspruchnahme von MZEB aus Sicht von MZEB-Leitungspersonen. Methode Zwischen 01.02. und 01.09.2021 wurden N = 13 Expert*inneninterviews mit Leitungspersonen aus MZEB geführt. Das Datenmaterial wurde inhaltsanalytisch nach Kuckartz (2016) ausgewertet. Ergebnisse Genannt wurden Folgen beim Zugang zu und der Inanspruchnahme von MZEB auf Ebene der MZEB (z. B. Terminausfälle), der Patient*innen (z. B. Ängste) und auf kontextueller Ebene (z. B. gesetzliche Vorgaben). Dabei fokussierten die meisten Folgen die Zeit hoher Infektionszahlen bzw. des strikten „Lockdowns“. Die Folgen der Pandemie waren nicht in allen MZEB in gleicher Weise bemerkbar. Diskussion Die vorliegenden Ergebnisse stehen im Einklang mit Forschungserkenntnissen zum Zugang zu und der Inanspruchnahme von anderen Gesundheitseinrichtungen in Deutschland. Verzerrungen der Ergebnisse könnten aus dem dynamischen Pandemiegeschehen und nach Bundesland variierenden Regelungen (z. B. Einrichtungsschließungen) hervorgehen. Schlussfolgerungen Die Pandemie hat verschiedene Folgen für MZEB hervorgebracht. Neben den Erfahrungen von Leitungspersonen sind künftig auch Erfahrungen der zu Versorgenden und deren Angehörigen zu erfassen, um die Folgen der Pandemie abschließend zu ermitteln. Langfristig sollte aus den Erfahrungen während der Pandemie gelernt werden, um das „Recht auf Gesundheit“ entsprechend Art. 25 UN-Behindertenrechtskonvention auch in Krisenzeiten umsetzen zu können.

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Die hausärztliche Versorgung während der COVID-19-Pandemie: eine Fragebogenerhebung unter Hausärzt*innen und Medizinischen Fachangestellten zu ihrer Perspektive auf Veränderungen, Bedarfe und Belastungen

Cited by 8 publications

References 22 publications

Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic

Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic

Stress experiences of healthcare assistants in family practice at the onset of the COVID-19 pandemic: a mixed methods study

Zugang und Inanspruchnahme von Medizinischen Behandlungszentren für Erwachsene mit Behinderung (MZEB) während der Coronapandemie

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