@article {548, title = {Clinical presentation and management of stable coronary artery disease in Austria.}, journal = {PLoS One}, volume = {12}, year = {2017}, month = {2017}, pages = {e0176257}, abstract = {

BACKGROUND: Cardiovascular disease is the main cause of death in Austria. However, no systematic information exists regarding characteristics and treatments of contemporary patients with stable coronary artery disease (CAD) in Austria. We assembled two retrospective physicians{\textquoteright} databases to describe demographics, clinical profiles, and therapeutic strategies in patients with stable CAD. In addition, we compared patient profiles of secondary care internists and hospital-based cardiologists with those of general practitioners in a primary care setting outside of hospital.

METHODS: The study population was identified from retrospective chart review of 1020 patients from 106 primary care physicians in Austria (ProCor II registry), and was merged with a previous similar database of 1280 patients under secondary care (ProCor I registry) to yield a total patient number of 2300.

RESULTS: Female patients with stable CAD were older, had more angina and/or heart failure symptoms, and more depression than males. Female gender, type 2 diabetes mellitus, higher CCS class and asthma/COPD were predictors of elevated heart rate, while previous coronary events/revascularization predicted a lower heart rate in multivariate analysis. There were no significant differences with regard to characteristics and management of patients of general practitioners in the primary care setting versus internists in secondary care.

CONCLUSIONS: Characteristics and treatments of unselected patients with stable ischemic heart disease in Austria resemble the pattern of large international registries of stable ischemic heart disease, with the exception that diabetes and systemic hypertension were more prevalent.

}, keywords = {Aged, Aged, 80 and over, Austria, Coronary Artery Disease, Female, Heart Rate, Humans, Male, Middle Aged, Retrospective Studies}, issn = {1932-6203}, doi = {10.1371/journal.pone.0176257}, url = {http://dx.doi.org/10.1371/journal.pone.0176257}, author = {Pichlh{\"o}fer, Otto and Maier, Manfred and Badr-Eslam, Roza and Ristl, Robin and Zebrowska, Magdalena and Lang, Irene M} } @booklet {549, title = {Versorgungsmodell f{\"u}r Betroffene mit {Chronisch-Entz{\"u}ndlichen} Darmerkrankungen in Wien {\textendash} Interdisziplin{\"a}r konsentierte Versorgungspfade gem{\"a}{\ss} der Wiener Zielsteuerung Gesundheit}, year = {2015}, author = {Vogelsang, Harald and Maier, Manfred and Novacek, Gottfried and Feichtenschlager, Thomas and Pichlh{\"o}fer, Otto and Beyer, Anita and Gross, Evelyn and Linsbichler, Susanna and Sokele, Sigrid and Stift, Anton and Pichlbauer, Ernest G} } @article {550, title = {Unregulated access to health-care services is associated with overutilization{\textemdash}lessons from Austria}, journal = {Eur. J. Public Health}, year = {2014}, issn = {1101-1262}, doi = {10.1093/eurpub/cku189}, url = {http://eurpub.oxfordjournals.org/content/early/2014/11/22/eurpub.cku189.abstract}, author = {Pichlh{\"o}fer, Otto and Maier, Manfred} } @article {553, title = {Depression and anxiety among migrants in Austria: a population based study of prevalence and utilization of health care services.}, journal = {J Affect Disord}, volume = {151}, year = {2013}, month = {2013 Oct}, pages = {220-8}, abstract = {

BACKGROUND: Although migrants form a large part of the Austrian population, information about mental health of migrants in Austria is scarce. Therefore, we compared the prevalence of dysphoric disorders (depression and anxiety) and the corresponding utilization of health care services of Eastern European, western and other migrants with the non-migrant population in Austria.

METHODS: We performed a telephone survey on a random sample of the general population of Austria aged 15 years and older (n=3509) between October 2010 and September 2011. Depression and anxiety were measured with the Patient Health Questionnaire-4 and utilization of health care services in the last 4 weeks was inquired.

RESULTS: 15.0\% of our sample had a migration background. Female migrants from Eastern Europe, first and second generation, had a higher prevalence of dysphoric disorders (29.7\% and 33.4\% respectively) than Austrian women (15.2\%) (p<0.001). The prevalence in the other migrant groups did not differ significantly from the Austrian population. There was no gender difference in dysphoric disorders in the Austrian population. After adjustment for age and chronic diseases, having a dysphoric disorder was associated with a higher utilization of health care services among migrant and Austrian women, but not among men.

LIMITATIONS: Because of the explorative nature of the study multiple testing correction was not performed. The reason for health care utilization was not assessed.

CONCLUSIONS: Mental health of female migrants from Eastern Europe should be studied in more detail; men could be an underserved group, both in migrants and Austrians.

}, keywords = {Adolescent, Adult, Aged, Anxiety, Austria, Data Collection, Delivery of Health Care, Depression, Female, Humans, Male, Middle Aged, Prevalence, Sex Factors, Transients and Migrants, Young Adult}, issn = {1573-2517}, doi = {10.1016/j.jad.2013.05.081}, url = {http://dx.doi.org/10.1016/j.jad.2013.05.081}, author = {Kerkenaar, Marlies M E and Maier, Manfred and Kutalek, Ruth and Lagro-Janssen, Antoine L M and Ristl, Robin and Pichlh{\"o}fer, Otto} } @article {554, title = {Patient and preceptor attitudes towards teaching medical students in General Practice.}, journal = {BMC Med Educ}, volume = {13}, year = {2013}, month = {2013 Jun 07}, pages = {83}, abstract = {

BACKGROUND: Curricula in most western medical universities include teaching in the primary care setting as core elements. This affects GP-teachers, their patients and their interaction. Therefore, it was the aim of this study to assess the influence of the presence of medical students in the teaching practice on the attitudes of both GPs and patients.

METHODS: Seventy-four GP-preceptors were invited to answer an online survey. Patients attending consultations with a medical student present completed questionnaires either before the consultation (WR group) or immediately after consultation (AC group).

RESULTS: Fifty- nine preceptors completed the online survey. Physicians showed positive attitudes towards their activities as preceptors: 95\% expressed a positive attitude predominantly towards being a role model and to represent the discipline and for 64\% remuneration was not important. In 28 practices 508 questionnaires were completed by patients in the WR-group and 346 by the AC-group. Only 12\% (WR) and 7.2\% (AC) of patients expressed a preference for being seen by the doctor alone. While 16\% of doctors rated that confidentiality of the doctor-patient relationship is compromised, only 4.1\% (WR) and 1.7\% (AC) of patients felt so.

CONCLUSION: The motivation to be a preceptor is primarily driven by personal and professional values and not by economic incentives. Further, patients have even more positive attitudes than the preceptors towards the presence of students during their consultation. Reservations to teaching students in GP-practices are, therefore, unwarranted.

}, keywords = {Attitude, Attitude of Health Personnel, Curriculum, Education, Medical, Female, General Practice, General Practitioners, Humans, Male, Middle Aged, Patients, Preceptorship, Students, Medical, Surveys and Questionnaires}, issn = {1472-6920}, doi = {10.1186/1472-6920-13-83}, url = {http://dx.doi.org/10.1186/1472-6920-13-83}, author = {Pichlh{\"o}fer, Otto and T{\"o}nies, Hans and Spiegel, Wolfgang and Wilhelm-Mitter{\"a}cker, Andree and Maier, Manfred} } @article {551, title = {The treatment experience questionnaire: development and validation of a questionnaire assessing the individual{\textquoteright}s emotional, perceptual, and cognitive reactions to alternative, physical, and dental treatments.}, journal = {Forsch Komplementmed}, volume = {20}, year = {2013}, month = {2013}, pages = {205-12}, abstract = {

BACKGROUND: The aim of this study was to develop and validate a questionnaire designed to assess the patient{\textquoteright}s affective, cognitive, and perceptual state during treatment administration.

METHODS: 362 individuals (214 females, 148 males, mean age 54.6 years) with predominantly musculoskeletal or dental problems participated in the study. Patients responded to the questionnaire immediately following a treatment. The questionnaire included items of 9 proposed scales devised to assess mood, psychological tension, sleepiness, mental absorption, treatment appraisal, perceived cooperation during treatment administration, perceived somatosensory intensity of treatment as well as negative and positive bodily sensations during treatment. Treatments were administered in 2 spa centers, a clinic for physical medicine and rehabilitation and a clinic for dentistry. Treatments investigated were among others dental treatment, massage, packs, baths, relaxation training, exercise, and acupuncture.

RESULTS: The proposed scales were confirmed. Scales had adequate to good reliability and validity. All scales significantly distinguished between treatments.

CONCLUSION: The devised questionnaire has adequate properties to assess patients{\textquoteright} experiences during treatment administration.

}, keywords = {Adolescent, Adult, Aged, Aged, 80 and over, Austria, Cognition, Complementary Therapies, Dental Care, Emotions, Female, Humans, Male, Middle Aged, Musculoskeletal Pain, Patient Satisfaction, Perception, Physical and Rehabilitation Medicine, Psychometrics, Rehabilitation, Reproducibility of Results, Surveys and Questionnaires, Young Adult}, issn = {1661-4127}, doi = {10.1159/000351456}, url = {http://www.karger.com?doi=10.1159/000351456}, author = {Blasche, Gerhard and Marktl, Wolfgang and Eisenwort, Brigitte and Skolka, Astrid and Pichlh{\"o}fer, Otto} } @conference {555, title = {The Ecology of Medical Care in Austria}, booktitle = {WONCA Europe 2011 Warsaw}, year = {2011}, author = {Pichlh{\"o}fer, Otto and Kutalek, Ruth and Zehetmayer, Sonja and Spiegel, Wolfgang and Shibamori, Yuka and Maier, Manfred} } @article {552, title = {Assessment of publication output in the field of general practice and family medicine and by general practitioners and general practice institutions.}, journal = {Fam Pract}, volume = {27}, year = {2010}, month = {2010 Oct}, pages = {582-9}, abstract = {

PURPOSE: The discipline of family medicine (FM) lacks a comprehensive methodology, which can be applied as a standard for assessing overall research output in both the field of FM and by general practitioners (GPs)/general practice institutions. It was the aim of this study to develop a sensitive search strategy for assessing publication output in the field of FM independent of the author{\textquoteright}s profession or affiliation and by GPs/general practice institutions independent of their field of scientific interest.

METHODS: Literature searches limited to the year 2005 were conducted in PubMed and ISI Web of Sciences (ISI WoS). In PubMed, all relevant MeSH terms were used. Search terms possibly contained in the author{\textquoteright}s affiliations have been collected. In ISI WoS, the same entry terms including their abbreviations and plural forms were applied. The final queries were validated by manual review and matching results with selected FM journals.

RESULTS: A comprehensive list of combined search terms could be defined. For the field of general practice/FM more publications could be retrieved in PubMed. Almost twice as many publications by GPs/general practice institutions could be retrieved in ISI WoS, where--in contrast to PubMed--the affiliation is documented for all authors.

CONCLUSIONS: To quantitatively assess publication output in the field of FM, PubMed was identified as the preferable database. To assess publication output by GPs/general practice institutions, the ISI WoS is recommended as the preferable database. Apparently, the ISI WoS is more suitable to compare the research productivity of different countries, authors or institutions.

}, keywords = {Bibliometrics, Biomedical Research, Databases, Bibliographic, Family Practice, General Practice, General Practitioners, Periodicals as Topic, PubMed}, issn = {1460-2229}, doi = {10.1093/fampra/cmq032}, url = {http://dx.doi.org/10.1093/fampra/cmq032}, author = {Jelercic, Stasa and Lingard, Heide and Spiegel, Wolfgang and Pichlh{\"o}fer, Otto and Maier, Manfred} } @article {556, title = {[Current diagnosis of acute pharyngitis].}, journal = {Wien Med Wochenschr}, volume = {159}, year = {2009}, month = {2009}, pages = {202-6}, abstract = {

BACKGROUND: Throat infections with Group A Streptococci have a high incidence and are, therefore, a considerable health problem. It is, therefore, desirable to distinguish this bacterial infections from viral infections of the upper respiratory tract. We report about the application of an immunologic rapid antigen detection test for Group A Streptococci and its medical and economic implications.

METHODS: In a cross-sectional cohort study, 30 family physicians documented the application of the test in 519 patients. Follow-up costs were compared with 109 family physicians who did not have access to the test.

RESULTS: 40.27\% of tests performed were positive for Streptococci. 99\% of those patients received antibiotic treatment - predominantly with Penicillin. From those patients who had shown a negative test result, only 18.4\% received antibiotic treatment. Both patients and physicians welcomed the availability of the test. We did not find any significant difference regarding the economic effect of the test.

CONCLUSIONS: The employment of a rapid antigen detection test for Group A Streptococci in patients with acute pharyngitis increases therapeutic certitude and guideline-conform prescription of antibiotics among family physicians. We, therefore, assume that potential side effects of unnecessary antibiotic treatments could be minimized.

}, keywords = {Antigens, Bacterial, Austria, Cephalosporins, Child, Cohort Studies, Cross-Sectional Studies, Early Diagnosis, Family Practice, Humans, Penicillins, Pharyngitis, Predictive Value of Tests, Reagent Kits, Diagnostic, Streptococcal Infections, Streptococcus pyogenes}, issn = {1563-258X}, doi = {10.1007/s10354-009-0672-x}, author = {Reichardt, Berthold and Pichlh{\"o}fer, Otto and Zehetmayer, Sonja and Maier, Manfred} } @article {563, title = {Specialty selection and relative job satisfaction of family physicians and medical specialists in Austria.}, journal = {Croat Med J}, volume = {49}, year = {2008}, month = {2008 Jun}, pages = {375-83}, abstract = {

AIM: To estimate the relative job satisfaction of Austrian family physicians and other specialists with respect to whether or not they obtained training in the desired specialty.

METHODS: In this cross-sectional study, we re-examined the previous data on allocation of medical training posts in Austria. All board-certified physicians practicing in Vienna were surveyed with a 12-item questionnaire. We analyzed the association between respondents{\textquoteright} desired and practiced medical specialty and their answer to the question of whether they thought they would have had greater job satisfaction in a different medical specialty. We also calculated their relative job satisfaction.

RESULTS: Of 8127 licensed physicians, 2736 (34\%) completed the questionnaire in two mailings. Of physicians who completed the questionnaire, 50.3\% (43.2\% of men) did not obtain the training in their desired specialty and 65.1\% stated that they had originally desired a different specialty. There was a significant difference in relative job satisfaction between specialists who got their desired medical specialty (n=1005) and those who did not (n=697) (0.95 vs 0.62 of maximum 1, P<0.001). No significant difference in relative job satisfaction was found between family physicians who had originally wanted to become specialists (n=679) and specialists who had originally wanted to become family physicians (n=533; 0.89 vs 0.81; P=0.01; chi(2) test).

CONCLUSION: A high percentage of family physicians in Austria had originally wanted to become practitioners of a different specialty. Among physicians who did not receive training in their desired medical specialty, family physicians showed a significantly higher relative job satisfaction than specialists. Obtaining the desired medical specialty is a strong predictor of relative job satisfaction among specialists, but not among family physicians.

}, keywords = {Adult, Austria, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Male, Middle Aged, Physicians, Family, Specialization}, issn = {1332-8166}, doi = {10.3325/cmj.2008.3.375}, url = {http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443622/}, author = {Spiegel, Wolfgang and Pichlh{\"o}fer, Otto and Haoula, Diana and Schneider, Barbara and Maier, Manfred} } @conference {559, title = {{D}er postoperative {P}atient in der {P}raxis}, booktitle = {Van Swieten Tagung, Wien}, year = {1998}, keywords = {orp-publications}, author = {Mueller,Michael R and Pichlh{\"o}fer, Otto} } @conference {566, title = {Update Bronchuskarzinom}, booktitle = {Van Swieten Tagung, Wien}, year = {1998}, keywords = {orp-publications}, author = {Mueller,Michael R and Pichlh{\"o}fer, Otto} }