ArticleBMC health services research2020
Needs and availability of medical specialists' and allied health professionals' visits in German nursing homes: a cross-sectional study of nursing home staff.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- The ABCs of hearing and vision care in long-term care communities: a systematic review and behavioral systems map of Actors, Behaviors, and COM-B factors.The Gerontologist · 2026Pooled it
- Perspectives of healthcare professionals on medical care in nursing homes in Germany and The Netherlands: an explorative study using qualitative content analysis.European journal of public health · 2025Article
- Collaborative Working to Address Inappropriate ED Attendances by Nursing Home Residents.BMJ open quality · 2025Article
- Evaluation of emergency medical responses to nursing homes in a local area of Germany.BMC emergency medicine · 2025Article
- End-of-life care in German and Dutch nursing homes: a cross-sectional study on nursing home staff's perspective in 2022.Archives of public health = Archives belges de sante publique · 2024Article
- Impact of a complex health services intervention in long-term care nursing homes on 3-year overall survival: results from the CoCare study.BMC health services research · 2024Article
- Differences in healthcare structures, processes and outcomes of neighbouring European countries: the example of Germany and the Netherlands.Research in health services & regions · 2023Article
- [Emergency department visits by nursing home residents: analysis of routine data from an urban hospital].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- Specialty care after transition to long-term care in nursing home.Journal of the American Geriatrics Society · 2023Article
- General practitioner care in nursing homes during the first wave of the COVID-19 pandemic in Germany: a retrospective survey among nursing home managers.BMC primary care · 2022Article
- Reasons for Dermatology Consultations in Nursing Homes and the Estimated Potential of Teledermatology as a Triage Tool.Acta dermato-venereologica · 2022Observational
- Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes.BMC health services research · 2022Article
- Characteristics of outpatient emergency department visits of nursing home residents: an analysis of discharge letters.Aging clinical and experimental research · 2021Article
- Unplanned hospital transfers from nursing homes: who is involved in the transfer decision? Results from the HOMERN study.Aging clinical and experimental research · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe medical care for nursing home residents is estimated to be partly inadequate in Germany. The aim of this study is to investigate the needs and utilization of general practitioners (GPs), medical specialists and allied health professionals.
methodsA survey was sent to a nationwide random sample of 1069 nursing homes in Germany in January 2019. Nursing staff managers were asked about medical care. Regular nursing home visits by medical specialists and allied health professionals were defined as at least one contact per year to at least one nursing home resident.
resultsA total of 486 persons responded (45.5%). On average, nursing homes have contact to 8.6 (interquartile range: 4-10) different GPs. Almost 70% of respondents agreed that residents' medical care should be coordinated by GPs. However, only 46.0% stated that specialist treatment should require GP referral. A high need was seen for care from physiotherapists (91.0%), neurologists or psychiatrists (89.3%), dentists (73.7%), and urologists (71.3%). Regarding the actual utilization of medical specialists and health professionals, most nursing homes have regular contact to physiotherapists (97.1%), psychiatrists or neurologists (90.4%), speech therapists (85.0%), and dentists (84.8%). Remarkable discrepancies between need and utilization were found for urologists and ophthalmologists.
conclusionThere is large variance in the number of GPs per nursing home, and needs for medical specialists, especially urologists and ophthalmologists, seem unmet. Interprofessional collaboration between GPs, medical specialists and allied health professionals should be improved, and GPs should play a more coordinating role.
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