Preventive and health-promoting activities in general practices in Germany: A scoping review

Dieckelmann, M (通讯作者),Goethe Univ Frankfurt, Inst Gen Practice, Theodor Stern Kai 7, D-60590 Frankfurt, Germany.
2022-11
General practices are rooted in the local community and considered to be particularly well-positioned for engaging in preventive and health-promoting activities. The overall aim of the scoping review is to identify priorities and gaps in research published in the past 20 years on preventive and health-promoting activities provided by general practitioners or their teams in general practices in Germany. MEDLINE and Embase databases were systematically searched in November 2020. Papers were selected in dual-review mode and extracted in single-review mode. Data analysis was finished by May 2021. In total, 530 papers were included in the synthesis. Little research has been carried out into collaboration opportunities both within the general practice team and in communities as a whole, with specialists (18%), hospitals (9%), and health insurance companies (6%) being the most frequent cooperation partners of GPs. 15%-20% of papers each dealt with 'early detection', 'information provision' and 'cardiovascular prevention'. Secondary (53%) and tertiary prevention (43%) was more often the subject of research than primary (39%) and quaternary prevention (15%). Healthy subjects (26%) were less often studied than people with pre-existing conditions (42%) and risk factors (48%). Little information was available on preventive activities in terms of gender, young people, migration background, housing conditions or educational background. Personal counselling (15%) was the most frequently described approach to health promotion in general practices, along with printed information materials (10%). This scoping review provides information on which to base targeted interventions and future research that can contribute towards transforming general practices into promoters of health within the community.
HEALTH & SOCIAL CARE IN THE COMMUNITY
卷号:30|期号:6|页码:2025-2036
ISSN:0966-0410|收录类别:SSCI
语种
英语
来源机构
Goethe University Frankfurt; Medical University of Graz
资助机构
Projekt DEAL
资助信息
We thank Philip Elliott for language editing. Open Access funding enabled and organized by Projekt DEAL.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1365-2524
出版年
2022-11
DOI
10.1111/hsc.13801
关键词
general practice Germany health education outpatient care preventive health services primary health care systematic review
WOS学科分类
Public, Environmental & Occupational Health Social Work
学科领域
循证公共卫生 循证社会学