Ongoing Thesises
Use of visualized health information as an adherence-enhancing method in primary care?
Doctoral student: Verena Schäffer
Online risk calculators, models of spinal columns, educational brochures or handwritten sketches - there are a wide variety of methods and materials that doctors can use to visualize health information in their discussions with patients.
In this doctoral thesis, we would like to categorize the existing methods and describe them in more detail using a few examples. The aim is to investigate the availability of visualized health information and its applicability for GP care and to examine a possible impact on patients in terms of increasing adherence.
Both a quantitative survey using questionnaires and guideline-based interviews with GPs will be used.
Development and implementation of a flipped classroom concept to accompany the block internship
Doctoral student: Tobias Langer
Starting this semester, the block practical course will be supplemented by an online seminar in flipped classroom format on important aspects of GP practice. In order to further improve the quality of teaching and the learning success of the students, this change will be evaluated by means of anonymous surveys of teachers and students. The data collected will be used both for teaching evaluation and for further research as part of a doctoral thesis.
Effects on care through the GP referral
Doctoral student: Yannik Weber, Katharina Albrecht, Lina Koch
As of January 2023, the surcharges for arranging a prompt appointment with a GP or psychotherapist through the GP practice have been increased. For patients referred by such an GP referral, the GPs and psychotherapists receive extra-budgetary remuneration for the care provided in the quarter. The aim of the project is to evaluate this regulation. A mixed-methods study design will be used to obtain and analyze the perspectives of the groups of doctors involved.
Comparison of the reality of care for obese patients in rural areas as part of the HAPpEN project
Doctoral student: Antonia Baldauf
The prevalence of obesity has continued to rise over the last decade, and since half of adult women and 65% of men in Germany are already overweight, new and effective obesity prevention and treatment programs are needed. As part of the HAPpEN pilot study, a family doctor-centered obesity prevention program based at the University of Bayreuth is to be used. In order to better assess the relevance of such a project, the current situation of obesity care in rural Bavaria is to be recorded in a quantitative study. In addition, guideline-based individual interviews with GPs will be used to identify current gaps in obesity care in rural areas.
Evaluation of the patient leaflet: “Coronary heart disease: Do I need a cardiac catheterization?” A quantitative survey of patients.
Doctoral student: Romy Schilling
Informing patients about diagnostic interventions and their alternatives is a central medical task. Evidence-based decision aids can be valuable tools. If coronary heart disease is suspected, the use of such a decision aid is recommended in the case of an upcoming cardiac catheterization. The patient sheet available for this purpose in the NDMG CHD [HS1] was only recently updated.
It is not yet known how the patient information sheet is understood and whether it supports the decision-making process. The aim of the study is to evaluate the patient information sheet and to describe the decision-making behavior for or against a cardiac catheterization.
How successful is the introduction of the ePrescription in Germany? A qualitative study with general practitioners.
Doctoral student: Johanna Brunner
Every day, GPs issue dozens of prescriptions for their patients. To make this process easier and safer, it was decided to introduce electronic prescriptions as part of the digitalization of the healthcare system. A test phase for the e-prescription began in 2021 and since fall 2022 it has been introduced in various regions in Germany in stages.
Guided interviews will be used to investigate how this process is perceived by GPs and what drivers and barriers they can identify in the introduction of the ePrescription and its implementation.
Factors influencing general practitioners' advice on the acceptance of life-prolonging measures when preparing a living will - a questionnaire study.
Doctoral student: Katrin Schöffel
Although medical care at the end of life and its planning are becoming increasingly important, the process of drawing up an advance directive - with or without medical support - is usually not standardized and involves little integration of available scientific data. In order to remedy this situation, GPs are to be provided with tools in the future. These can be used to facilitate consultations for the preparation of advance directives and to support consultations on the basis of scientific evidence.
To create these tools, the most important influencing factors and their weighting on medical advice on life-prolonging measures - in particular mechanical ventilation in the case of ventilator dependency - are to be determined by means of a case vignette analysis when a living will is drawn up without cause.
Perception of overuse from the therapist's perspective. A qualitative study.
Doctoral student: Benedikt Stelzner
The problem of overuse has been documented in numerous studies to date. Too many medical services without sufficiently proven benefits can harm patients both physically and psychologically. Up to now, it has mainly been the views of doctors and patients that have been examined. However, new studies show that the problem of overuse also plays a role for therapists. In order to reduce unnecessary treatments and thus save costs, all those involved in the healthcare system must be involved as much as possible.
The aim of this study is to explore therapists' perceptions of overuse: What do therapists understand by overprovision, what experiences have they had with it and what reasons do they blame for it? Using guided individual interviews, therapists from the fields of physiotherapy, occupational therapy and speech therapy are asked about the topic. This is followed by a qualitative evaluation.
Stelzner B., Rink L., Kühlein T., Sebastião M. (2025). "‘Harm? I don’t think so!’: medical overuse from the perspective of allied health professionals in Germany – a qualitative study." BMJ Open 15(11): e102991. Link
Perception and experience of interprofessional collaboration in outpatient care from the patient's perspective - a qualitative interview study.
Doctoral student: Christiane Waizner
In the outpatient sector, general practitioners play a central role in the care of chronically ill patients. Multimorbid patients with chronic illnesses in particular are often cared for by various healthcare professionals and are dependent on their interprofessional cooperation. But how do patients currently experience their healthcare? Is there cooperation between the different professional groups? What could be improved? These and other questions are explored in guided online interviews. The perception and experience of interprofessional collaboration from the patient's perspective will be determined. The aim of the work is to develop a concept for outpatient care based on suggestions from patients.
Sebastião M., Hoffmann F. H., Waizner C., Wheeler S., Kühlein T. (2025). "Interprofessional case conferences as a future model of care: Opportunities, barriers and ideas for implementation – A qualitative study with patients, nurses, physiotherapists, pharmacists and physicians." Journal of Interprofessional Education & Practice 41: 100776. Link