TY - JOUR T1 - Clinical presentation and management of stable coronary artery disease in Austria. JF - PLoS One Y1 - 2017 A1 - Pichlhöfer, Otto A1 - Maier, Manfred A1 - Badr-Eslam, Roza A1 - Ristl, Robin A1 - Zebrowska, Magdalena A1 - Lang, Irene M KW - Aged KW - Aged, 80 and over KW - Austria KW - Coronary Artery Disease KW - Female KW - Heart Rate KW - Humans KW - Male KW - Middle Aged KW - Retrospective Studies AB -

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' 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.

VL - 12 UR - http://dx.doi.org/10.1371/journal.pone.0176257 IS - 4 U1 - https://www.ncbi.nlm.nih.gov/pubmed/28448602?dopt=Abstract ER - TY - ABST T1 - Versorgungsmodell für Betroffene mit Chronisch-Entzündlichen Darmerkrankungen in Wien – Interdisziplinär konsentierte Versorgungspfade gemäß der Wiener Zielsteuerung Gesundheit Y1 - 2015 A1 - Vogelsang, Harald A1 - Maier, Manfred A1 - Novacek, Gottfried A1 - Feichtenschlager, Thomas A1 - Pichlhöfer, Otto A1 - Beyer, Anita A1 - Gross, Evelyn A1 - Linsbichler, Susanna A1 - Sokele, Sigrid A1 - Stift, Anton A1 - Pichlbauer, Ernest G ER - TY - JOUR T1 - Unregulated access to health-care services is associated with overutilization—lessons from Austria JF - Eur. J. Public Health Y1 - 2014 A1 - Pichlhöfer, Otto A1 - Maier, Manfred UR - http://eurpub.oxfordjournals.org/content/early/2014/11/22/eurpub.cku189.abstract ER - TY - JOUR T1 - Depression and anxiety among migrants in Austria: a population based study of prevalence and utilization of health care services. JF - J Affect Disord Y1 - 2013 A1 - Kerkenaar, Marlies M E A1 - Maier, Manfred A1 - Kutalek, Ruth A1 - Lagro-Janssen, Antoine L M A1 - Ristl, Robin A1 - Pichlhöfer, Otto KW - Adolescent KW - Adult KW - Aged KW - Anxiety KW - Austria KW - Data Collection KW - Delivery of Health Care KW - Depression KW - Female KW - Humans KW - Male KW - Middle Aged KW - Prevalence KW - Sex Factors KW - Transients and Migrants KW - Young Adult AB -

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.

VL - 151 UR - http://dx.doi.org/10.1016/j.jad.2013.05.081 IS - 1 U1 - https://www.ncbi.nlm.nih.gov/pubmed/23810358?dopt=Abstract ER - TY - JOUR T1 - Patient and preceptor attitudes towards teaching medical students in General Practice. JF - BMC Med Educ Y1 - 2013 A1 - Pichlhöfer, Otto A1 - Tönies, Hans A1 - Spiegel, Wolfgang A1 - Wilhelm-Mitteräcker, Andree A1 - Maier, Manfred KW - Attitude KW - Attitude of Health Personnel KW - Curriculum KW - Education, Medical KW - Female KW - General Practice KW - General Practitioners KW - Humans KW - Male KW - Middle Aged KW - Patients KW - Preceptorship KW - Students, Medical KW - Surveys and Questionnaires AB -

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.

VL - 13 UR - http://dx.doi.org/10.1186/1472-6920-13-83 U1 - https://www.ncbi.nlm.nih.gov/pubmed/23758778?dopt=Abstract ER - TY - JOUR T1 - The treatment experience questionnaire: development and validation of a questionnaire assessing the individual's emotional, perceptual, and cognitive reactions to alternative, physical, and dental treatments. JF - Forsch Komplementmed Y1 - 2013 A1 - Blasche, Gerhard A1 - Marktl, Wolfgang A1 - Eisenwort, Brigitte A1 - Skolka, Astrid A1 - Pichlhöfer, Otto KW - Adolescent KW - Adult KW - Aged KW - Aged, 80 and over KW - Austria KW - Cognition KW - Complementary Therapies KW - Dental Care KW - Emotions KW - Female KW - Humans KW - Male KW - Middle Aged KW - Musculoskeletal Pain KW - Patient Satisfaction KW - Perception KW - Physical and Rehabilitation Medicine KW - Psychometrics KW - Rehabilitation KW - Reproducibility of Results KW - Surveys and Questionnaires KW - Young Adult AB -

BACKGROUND: The aim of this study was to develop and validate a questionnaire designed to assess the patient'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' experiences during treatment administration.

VL - 20 UR - http://www.karger.com?doi=10.1159/000351456 IS - 3 U1 - https://www.ncbi.nlm.nih.gov/pubmed/23860022?dopt=Abstract ER - TY - CONF T1 - The Ecology of Medical Care in Austria T2 - WONCA Europe 2011 Warsaw Y1 - 2011 A1 - Pichlhöfer, Otto A1 - Kutalek, Ruth A1 - Zehetmayer, Sonja A1 - Spiegel, Wolfgang A1 - Shibamori, Yuka A1 - Maier, Manfred JF - WONCA Europe 2011 Warsaw ER - TY - JOUR T1 - Assessment of publication output in the field of general practice and family medicine and by general practitioners and general practice institutions. JF - Fam Pract Y1 - 2010 A1 - Jelercic, Stasa A1 - Lingard, Heide A1 - Spiegel, Wolfgang A1 - Pichlhöfer, Otto A1 - Maier, Manfred KW - Bibliometrics KW - Biomedical Research KW - Databases, Bibliographic KW - Family Practice KW - General Practice KW - General Practitioners KW - Periodicals as Topic KW - PubMed AB -

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'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'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.

VL - 27 UR - http://dx.doi.org/10.1093/fampra/cmq032 IS - 5 U1 - https://www.ncbi.nlm.nih.gov/pubmed/20554654?dopt=Abstract ER - TY - JOUR T1 - [Current diagnosis of acute pharyngitis]. JF - Wien Med Wochenschr Y1 - 2009 A1 - Reichardt, Berthold A1 - Pichlhöfer, Otto A1 - Zehetmayer, Sonja A1 - Maier, Manfred KW - Antigens, Bacterial KW - Austria KW - Cephalosporins KW - Child KW - Cohort Studies KW - Cross-Sectional Studies KW - Early Diagnosis KW - Family Practice KW - Humans KW - Penicillins KW - Pharyngitis KW - Predictive Value of Tests KW - Reagent Kits, Diagnostic KW - Streptococcal Infections KW - Streptococcus pyogenes AB -

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.

VL - 159 IS - 7-8 U1 - https://www.ncbi.nlm.nih.gov/pubmed/19412695?dopt=Abstract ER - TY - JOUR T1 - Specialty selection and relative job satisfaction of family physicians and medical specialists in Austria. JF - Croat Med J Y1 - 2008 A1 - Spiegel, Wolfgang A1 - Pichlhöfer, Otto A1 - Haoula, Diana A1 - Schneider, Barbara A1 - Maier, Manfred KW - Adult KW - Austria KW - Cross-Sectional Studies KW - Female KW - Humans KW - Job Satisfaction KW - Male KW - Middle Aged KW - Physicians, Family KW - Specialization AB -

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' 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.

VL - 49 UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443622/ IS - 3 U1 - https://www.ncbi.nlm.nih.gov/pubmed/18581616?dopt=Abstract ER - TY - CONF T1 - Der postoperative Patient in der Praxis T2 - Van Swieten Tagung, Wien Y1 - 1998 A1 - Mueller,Michael R A1 - Pichlhöfer, Otto KW - orp-publications JF - Van Swieten Tagung, Wien ER - TY - CONF T1 - Update Bronchuskarzinom T2 - Van Swieten Tagung, Wien Y1 - 1998 A1 - Mueller,Michael R A1 - Pichlhöfer, Otto KW - orp-publications JF - Van Swieten Tagung, Wien ER -