[Implications for health services research in GP practices using the example of an intervention study on palliative care]. 2021

Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
Institut für Allgemeinmedizin, Medizinische Hochschule Hannover, Hannover, Deutschland.

BACKGROUND So far there has been little evidence of the extent to which project steps can affect the timing and successful implementation of research projects in general practitioner (GP) practices. Using the example of an intervention study on palliative care, the aim of this article is to report a) how the overall course of the project turned out compared to the original planning, and b) what recommendations can be derived to promote efficient implementation of intervention studies in GP practices. METHODS In two workshops each, GP practice teams selected specific measures to improve their palliative care and tested them during a four-month implementation phase. In order to track the progress of the project, the times at which the practice teams reported their participation in the study, the individual project steps and the contacts were documented and descriptively analysed using Microsoft Excel. RESULTS Due to a high willingness of practice teams to participate in the intervention study, recruitment was completed on time. The overall duration of the project was extended due to an increased workload for the preparation of an unexpectedly high number of selected measures to improve palliative care. CONCLUSIONS Conducting intervention studies in GP practices is promising if practice teams take an active and co-determining role during the entire research process. Research projects can best be implemented if they involve minimal time commitment for the practice teams, and if continuous personal support from the study team is ensured. CONCLUSIONS When planning future intervention studies with a high participatory share of GP practice teams, it is advisable to take into account potential additional work for the preparation and further development of intervention measures.

UI MeSH Term Description Entries
D010166 Palliative Care Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed) Palliative Treatment,Palliative Supportive Care,Palliative Surgery,Palliative Therapy,Surgery, Palliative,Therapy, Palliative,Care, Palliative,Palliative Treatments,Supportive Care, Palliative,Treatment, Palliative,Treatments, Palliative
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006302 Health Services Research The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed) Health Care Research,Medical Care Research,Research, Health Services,Action Research,Health Services Evaluation,Healthcare Research,Research, Medical Care,Evaluation, Health Services,Evaluations, Health Services,Health Services Evaluations,Research, Action,Research, Health Care,Research, Healthcare
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D058005 General Practitioners Physicians whose practice is not restricted to a specific field of MEDICINE. Physicians, General Practice,General Practice Physician,General Practice Physicians,General Practitioner,Physician, General Practice,Practice Physicians, General,Practitioner, General,Practitioners, General
D058006 General Practice Patient-based medical care provided across age and gender or specialty boundaries. Practice, General

Related Publications

Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
February 1992, Scandinavian journal of dental research,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
May 2000, Palliative medicine,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
January 2012, Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
April 2014, The Gerontologist,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
January 2004, Assistenza infermieristica e ricerca : AIR,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
November 1997, International journal of palliative nursing,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
June 2003, Mental health services research,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
April 2008, Zentralblatt fur Chirurgie,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
July 2000, Nursing ethics,
Manuel Zimansky, and Birte Hofmann, and Nils Schneider, and Stephanie Stiel
September 1995, Evaluation & the health professions,
Copied contents to your clipboard!