Evidence map›Paper›PMID 41016723›Full record

ArticleEuropean journal of public health2025

Perspectives of healthcare professionals on medical care in nursing homes in Germany and The Netherlands: an explorative study using qualitative content analysis.

Alexander M Fassmer, Adele Grenz, Markus Ennen, Sytse U Zuidema, Kathrin Boerner, Sarah I M Janus, Yvet Mooiweer, Falk Hoffmann

Abstract read
In one paragraph

Article in European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alexander M FassmerDepartment of Health Services Research, Division of Outpatient Care and Pharmacoepidemiology, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.ORCID 0000-0001-9456-2546
Adele GrenzDepartment of Health Services Research, Division for Prevention and Rehabilitation Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Markus EnnenDepartment of Health Services Research, Division of General Practice/Family Medicine, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Sytse U ZuidemaDepartment of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Kathrin BoernerDepartment of Health Services Research, Division for Prevention and Rehabilitation Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Sarah I M JanusDepartment of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Yvet MooiweerDepartment of Health Services Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Falk HoffmannDepartment of Health Services Research, Division of Outpatient Care and Pharmacoepidemiology, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.

Funding

Ministry of Science and Culture of Lower SaxonyMinistry of Science and Culture of Lower Saxony ZN3730Niedersächsisches "Vorab" Program ZN3730
6 · The paper itself

Abstract

The organization of healthcare for nursing home residents varies widely between systems, even between neighbouring countries such as Germany and the Netherlands. This study compares healthcare professionals' perspectives on strengths and challenges in medical care for nursing home residents in Germany and the Netherlands. Semistructured interviews were conducted in Germany with six nursing staff from six nursing homes and six general practitioners (GPs) in private practice and in the Netherlands with one elderly care physician (ECP) and seven nursing staff members from six nursing homes between August 2023 and March 2024. Interviews were audio recorded, transcribed, translated, and analysed using qualitative content analysis. Participants reported that Germany and the Netherlands face rising long-term care demands due to aging populations, however, their nursing home care models differ substantially. In Germany, care is reactive and fragmented, with external professionals, especially GPs, providing care. Challenges include delays, limited communication, and a lack of standardized processes. Conversely, the Netherlands adopts a structured, preventive approach, led by ECPs supported by multidisciplinary teams. This model emphasizes proactive monitoring, team collaboration, and holistic care but faces workload challenges and limited specialist access. Interprofessional collaboration is more hierarchical and record-based in Germany, while it is team-oriented and conversational in the Netherlands. This study highlights key differences in the organization of nursing home care in Germany and the Netherlands, particularly in access to specialists, interprofessional collaboration, and structures. Potential adaptations to improve care must fit within the existing structures of each healthcare system.

Indexed as

Attitude of Health PersonnelHealth PersonnelNursing HomesAgedFemaleGermanyHumansInterviews as TopicMaleMiddle AgedNetherlandsQualitative Research

Identifiers

PMID41016723
PMCPMC12707481

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.