Notaufnahmesurveillance am RKI mittels Routinedaten aus dem AKTIN-Notaufnahmeregister

Die syndromische Surveillance mit Daten aus dem AKTIN-Notaufnahmeregister hat das Ziel, die aktuelle Inanspruchnahme einer Auswahl von Notaufnahmen in Deutschland zu beobachten und verschiedene Indikatoren, wie z. B. die Gründe für eine Vorstellung in der Notaufnahme, abzubilden. Seit Beginn der COVID-19-Pandemie werden Notaufnahmedaten aus dem AKTIN-Notaufnahmeregister für die syndromische Surveillance genutzt. Der Beitrag erläutert den aktuellen Stand der Notaufnahmesurveillance am RKI und das im Februar 2022 weiterentwickelte, wöchentliche Berichtsformat.Peer Reviewe

Einflüsse der Coronapandemie auf gesundheitsbezogene Verhaltensweisen und Belastungen von Studierenden

Hintergrund: Studierende bilden die größte Gruppe an Hochschulen, somit ist ein studentisches Gesundheitsmanagement unerlässlich. Diese Gruppe zählt zwar aufgrund ihres Alters zu einer eher gesunden Bevölkerungsgruppe, dennoch sind auch Studierende gesundheitlichen Belastungen ausgesetzt. Daher sind die Auswirkungen der Coronapandemie auf die Studierenden von allgemeinem Interesse. Fragestellung: Der Artikel befasst sich mit der Frage, wie die Rahmenbedingungen der Coronapandemie gesundheitsbezogene Verhaltensweisen und Belastungen der Studierenden an der Ostfalia Hochschule für angewandte Wissenschaften beeinflussen. Material und Methoden: Auf Grundlage einer Literaturrecherche wurde ein Fragebogen zu den Themenbereichen Bewegung, Ernährung, wahrgenommenes Stresserleben und Suchtmittelkonsum erstellt. Die Stichprobe der Onlinebefragung umfasst 1281 Studierende. Die Ergebnisse wurden über Microsoft Excel ausgewertet. Ergebnisse: Infolge der Coronapandemie bewegen sich Studierende in ihrem Alltag weniger, müssen aufgrund der gesetzlichen Regelungen ihre Mahlzeitenplanung neu organisieren und sind, z. B. durch veränderte Prüfungsleistungen oder den Verlust des Nebenjobs, einem höheren Stresslevel ausgesetzt. Der Suchtmittelkonsum bleibt dabei nahezu unverändert. Schlussfolgerung: Die Coronapandemie bewirkt sowohl positive als auch negative Veränderungen der gesundheitlichen Verhaltensweisen und Belastungen bei Studierenden. Dennoch sind weitere Untersuchungen erforderlich, um die Auswirkungen der Pandemie auf die Studierenden umfassender in den Blick zu nehmen

Healthcare professionals’ perceptions of impacts of the Covid-19-pandemic on outpatient care in rural areas: a qualitative study

Background!#!Measures to manage the COVID-19 pandemic have led to impacts on healthcare systems and providers worldwide. Outpatient healthcare professionals (HCPs) provide the majority of patient care. Insight into their experiences during a pandemic is rare. Therefore, we explored how primary and secondary care HCPs in a rural area in Germany experienced their work during the pandemic and what health-related outcomes they perceived in their patients. In this context, we also examined the impact on access to and utilization of healthcare and working conditions.!##!Methods!#!We conducted a qualitative interview study with outpatient HCPs. We recruited by e-mail, telephone, professional networks and personal contacts. Data were collected between August 2020 and January 2021. All interviews were audio recorded, transcribed, and analysed using qualitative content analysis.!##!Results!#!Our sample consisted of 28 HCPs (15 family physicians, 7 cardiologists, and 6 non-physician assistants, 12 female) from Saxony-Anhalt, Germany. HCPs experienced fewer consultations as well as cancellations by hospitals and secondary care physicians, especially at the beginning of the Covid-19-pandemic, while they continued throughout to provide outpatient care. They quickly adopted changes in practice organisation and healthcare provision. There was a shift towards telephone consultations, home visits as well as unconventional consultations e.g. through the practice window. Family physicians used personal relationships to support utilization of healthcare and to avoid health-related effects. Social tension and burden seemed to interact with a perceived lack of preparedness, the pandemic-related changes in their working condition as well as access to and utilization of healthcare. Chronic disease monitoring was postponed, which could have consequences in the course of disease of patients. HCPs experienced effects on patients' psychological well-being.!##!Conclusion!#!Our study demonstrates the impacts of Covid-19-pandemic on outpatient care in rural areas and emphasizes its importance. HCPs experienced impacts on access to and utilization of healthcare, working conditions and health-related outcomes. Health policy should create a framework for healthcare to support outpatient care in rural areas with a looming undersupply of primary and secondary care in order to maintain healthcare and reduce pandemic impacts

An evidence map of systematic reviews on models of outpatient care for patients with chronic heart diseases

Abstract Background Chronic heart disease affects millions of people worldwide and the prevalence is increasing. By now, there is an extensive literature on outpatient care of people with chronic heart disease. We aimed to systematically identify and map models of outpatient care for people with chronic heart disease in terms of the interventions included and the outcomes measured and reported to determine areas in need of further research. Methods We created an evidence map of published systematic reviews. PubMed, Cochrane Library (Wiley), Web of Science, and Scopus were searched to identify all relevant articles from January 2000 to June 2021 published in English or German language. From each included systematic review, we abstracted search dates, number and type of included studies, objectives, populations, interventions, and outcomes. Models of care were categorised into six approaches: cardiac rehabilitation, chronic disease management, home-based care, outpatient clinic, telemedicine, and transitional care. Intervention categories were developed inductively. Outcomes were mapped onto the taxonomy developed by the COMET initiative. Results The systematic literature search identified 8043 potentially relevant publications on models of outpatient care for patients with chronic heart diseases. Finally, 47 systematic reviews met the inclusion criteria, covering 1206 primary studies (including double counting). We identified six different models of care and described which interventions were used and what outcomes were included to measure their effectiveness. Education-related and telemedicine interventions were described in more than 50% of the models of outpatient care. The most frequently used outcome domains were death and life impact. Conclusion Evidence on outpatient care for people with chronic heart diseases is broad. However, comparability is limited due to differences in interventions and outcome measures. Outpatient care for people with coronary heart disease and atrial fibrillation is a less well-studied area compared to heart failure. Our evidence mapping demonstrates the need for a core outcome set and further studies to examine the effects of models of outpatient care or different interventions with adjusted outcome parameters. Systematic review registration PROSPERO (CRD42020166330)