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Preventive and health‐promoting activities in general practices in Germany

A scoping review

Bibliographic Data

ID14948012
AuthorsMirjam Dieckelmann (0000-0002-5243-7840, Institute of General Practice Goethe University Frankfurt Frankfurt am Main Germany), Dania Schütze (0000-0003-4788-2082, Institute of General Practice Goethe University Frankfurt Frankfurt am Main Germany), Meike Gerber (0009-0007-6620-3782, Institute of General Practice Goethe University Frankfurt Frankfurt am Main Germany), Andrea Siebenhofer (0000-0002-6980-2103, Institute of General Practice Goethe University Frankfurt Frankfurt am Main Germany), Jennifer Engler (0000-0002-6030-1513, Institute of General Practice Goethe University Frankfurt Frankfurt am Main Germany)
Year2022
Volume30
Issue6
Pages2025-2036
Publication date2022-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13801
PMID35373409
OpenAlexW4226056232
LanguageEN
References cited18

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

Family medicine · Health promotion · Medical education · MEDLINE · Political science · Psychological intervention · Public health · Health and Medical Studies · Health, psychology, and well-being · Medicine · Nursing · School Health and Nursing Education

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