Institut für Health Care & Public Management

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    Embracing digital health: German otolaryngology patients’ usage and prospects of digital information and communication technologies for cross-sectoral care
    (2024) Holderried, Martin; Hoeper, Ansgar; Stauss, Leonie; Holderried, Friederike; Herrmann-Werner, Anne; Kestler, Hans A.; Ernst, Christian; Baerhold, Friederike; Becker, Sven
    Objective: The usage of digital information and communication technologies in European healthcare is growing. Unlike numerous technological possibilities, the present use of these technologies and perspectives towards them in relation to otolaryngology care have so far been of less interest. This study evaluates the utilisation of and attitudes towards digital information and communication technologies in cross-sectoral otolaryngology care among German patients. Methods: A structured interview-based study was conducted at the outpatient facility of a tertiary hospital in Germany. It focused on chief complaints, current use of digital technologies, estimated benefits of increased digital technology use in otolaryngology care, and sociodemographic data. The detailed statistical analysis employed Chi-squared tests and multivariate logistic regression. Results: A total of 208 otolaryngology patients completed the interview. Digital communication technologies exhibited a high penetration rate (91.8%) and were regularly used in daily life (78.7%) and for health reasons (73.3%). Younger age ( p  ≤ 0.003) and higher education levels ( p  ≤ 0.008) were significantly correlated with the increased digital communication technology use. The overall potential of eHealth technologies was rated significantly higher by younger patients ( p  ≤ 0.001). The patients’ chief complaints showed no significant influence on the current and potential use of these technologies for cross-sectoral otolaryngology care. Conclusion: Regardless of their chief complaints, German otolaryngology patients regularly use digital information and communication technologies for health reasons and express interest in their further use for cross-sectoral care. To enhance digital patient communication in otolaryngology, attention should be given to treatment quality, usability, data security and availability and financial remuneration for service providers.
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    The COVID-19 pandemic and emergencies in Otolaryngology-head and neck surgery: An analysis of patients presenting to emergency rooms in South-West Germany: A bi-center study
    (2024) Wolpert, Stephan; Knoblich, Nora; Holderried, Martin; Becker, Sven; Schade-Mann, Thore; Wolpert, Stephan; Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Tübingen, BW, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; (S.W.);; Knoblich, Nora; Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Tübingen, BW, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; (S.W.);; Holderried, Martin; Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Tübingen, BW, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; (S.W.);; Becker, Sven; Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Tübingen, BW, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; (S.W.);; Schade-Mann, Thore; Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Tübingen, BW, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; (S.W.);; Mitra, Amal K.
    This study was designed to examine the changes in emergency room visits in otolaryngology, head and neck surgery, during the COVID-19 pandemic. The study included 11,277 patients who presented to a tertiary care hospital (ER) and an emergency practice (EP) during on-call hours in the first half of 2018, 2019, and 2020. The epidemiologic parameters, diagnoses, and level of urgency were recorded using a four-step scale. A comparison was made between the pre-pandemic years and 2020. The findings revealed a significant decrease in the frequency of ER visits in the second quarter of 2020 compared to 2019 (ER: 30.8%, EP: 37.8%), mainly due to the fact that there were significantly fewer patients, with low levels of urgency. Certain diagnoses, such as epistaxis (−3.0%) and globus sensation (−3.2%), were made at similar frequencies to 2019, while inflammatory diseases like skin infections (−51.2%), tonsillitis (−55.6%), sinusitis (−59%), and otitis media (−70.4%) showed a significant reduction. The study concludes that patients with a low triage level were less likely to visit the ER during the early stages of the pandemic, but some diagnoses were still observed at comparable rates. This suggests a disparity in perception between patients and ER staff regarding urgency. Many of the issues discussed were also emphasized in the 2024 proposal by the German Ministry of Health to reform emergency care in Germany.