Verortung von Zweitmeinungsanbietern in Deutschland – Gibt es
                    regionale Unterschiede?

Prediger, Barbara; Koller, Daniela; Heß, Simone; Könsgen, Nadja; Pieper, Dawid

doi:10.1055/a-1690-6728

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…The physician providing the indication should also inform patients that there will not be unduly long delays for an appointment with a second opinion physician. At this point, we note that that the geographic distribution of second opinion physicians in Germany varies from region to region, and is lower in rural settings [16]. Consequently, there can be some uncertainties in the waiting period, depending on the patient's location.…”

Section: Discussionmentioning

confidence: 86%

“…The present study is part of the ZWEIT-project [8], which examines the characteristics and use of second opinion programs in Germany, as well as considering the resulting needs and wishes from the perspectives of physicians [7,16] and of patients [17][18][19]. Here we focus on patients' decision-making process, aiming to identify needs when deciding for or against an elective surgery, as well as factors that influence the decision to seek or decline a second opinion.…”

Section: Open Accessmentioning

confidence: 99%

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Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

May

Bruch

Muehlensiepen

et al. 2022

BMC Health Serv Res

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Background To address the problem of overuse of elective surgery and to support patients in their decision-making process, a Second Opinion Directive was introduced in Germany, which enables patients with statutory health insurance to obtain a second opinion for certain surgical indications. The study aims to identify, based on the experiences of patients who have undergone elective surgery, the role of seeking a second opinion in reaching their decision. Methods Sixty-two patients who had undergone an elective surgery (hysterectomy, tonsillectomy, shoulder arthroscopy) were recruited using purposive sampling and interviewed during October to December 2020. The transcribed interviews were analysed using a framework analysis to create a typology from the patient’s perspective. Results The time spent by patients in making the decision to undergo surgery varies between individuals, and is influenced by factors such as the type of physician-patient relationship, individual patient aspects, prior experiences in the health care system, as well as information needs. Within the framework of the analysis, we were able to identify three patterns of patient types based on the three different time-points or phases when decisions were typically made, with one type being divided into two subtypes: Type 1a: Quick decision making, Type 1b: Overwhelmed quick decision making, Type 2: Time to consider, Type 3: Struggling with the decision. Conclusions Patients who followed a recommendation for elective surgery appreciate having the possibility to seek a second opinion. However, various factors influenced their opting for a second opinion during the decision-making process. Patients have differing information needs, such that a one-size-fits-all second opinion service may not fit adequately for all patients.

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Section: Discussionmentioning

confidence: 86%

Section: Open Accessmentioning

confidence: 99%

Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

May

Bruch

Muehlensiepen

et al. 2022

BMC Health Serv Res

Self Cite

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“…Moreover, it is unclear whether patients have access to authorised SO physicians to obtain an SO. A rst study indicates that the spatial distribution of SO physicians in Germany varies from region to region [13]. Further research is needed to determine if obtaining an SO from an authorised SO physician is feasible and also if the quality of an SO from an authorised physician is higher than from a nonauthorised physician.…”

Section: Discussionmentioning

confidence: 99%

“…In the group tonsillectomy/tonsillotomy, 19 parents or legal guardians replied to the questionnaire, the median age of the children was 8 (IQR 6-11), and females constituted 47.4% (9/19) of respondents. In the groups hysterectomy and tonsillectomy/tonsillotomy, HLS was 14 in median (IQR [11][12][13][14][15], and the DCS resulted in 12.5 (IQR 4.2-31.3). Those three questions were not part of the short form for shoulder arthroscopy.…”

Section: Surveymentioning

confidence: 99%

“…The present study is part of the ZWEIT project [8], which examines the characteristics and use of SO programs in Germany and considers the resulting needs and wishes from the perspectives of physicians [12,13] and of (potential) patients [14,15]. Figure 1 combines the elements of the SOD investigated in this study and the research questions.…”

Section: Introductionmentioning

confidence: 99%

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Does the Second Opinion Directive in Germany reach the patient? A parallel-convergent mixed- methods study

May

Könsgen

Glatt

et al. 2022

Preprint

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Background: A Second Opinion Directive (SOD) was introduced in Germany in December 2018 for elective surgeries such as hysterectomy, tonsillotomy, tonsillectomy, and shoulder arthroscopy. The aim of the SOD is to avoid surgeries which are not medically induced and to support patients in their decision-making process. A physician who indicates an SOD-relevant procedure must inform the patient about the SOD and its specifications. At this time, it is not clear whether physicians provide information about the SOD to patients and whether and how the SOD is implemented in daily practice. Furthermore, nothing is known about how patients react when they are told that they have the right to seek a second opinion according to the SOD. Methods: To assess this, we undertook a parallel-convergent mixed-methods study with a qualitative and quantitative phase. Qualitative data were analysed by structured qualitative content analysis and survey data were analysed descriptively. Results: 26 interviews were conducted with patients for whom one of the above-mentioned surgeries was indicated. In parallel, a questionnaire survey with 102 patients was conducted. The results show that the SOD is not implemented in Germany for the selected indications because patients were not informed as intended. At the same time, when the right to obtain a second opinion was explained, it seemed to have a positive effect on the physician-patient relationship from patients` perspective. Conclusions: It is possible that there is a lack of information for physicians, which in turn leads to an information deficit for patients. Better information for physicians might be part of the solution, but a negative attitude towards the SOD might also result in the low education rate. Therefore, in addition, potential patients or even the general population should be better informed about the possibility of obtaining a second opinion.

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Untersuchung von sozialen und regionalen Ungleichheiten

Koller,

Schwettmann,

Knesebeck

2024

Versorgungsforschung

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Verortung von Zweitmeinungsanbietern in Deutschland – Gibt es regionale Unterschiede?

Cited by 6 publications

References 7 publications

Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

Does the Second Opinion Directive in Germany reach the patient? A parallel-convergent mixed- methods study

Untersuchung von sozialen und regionalen Ungleichheiten

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