{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T22:43:57Z","timestamp":1751496237282},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T00:00:00Z","timestamp":1620691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T00:00:00Z","timestamp":1620691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>In der ambulanten Versorgung wurde Telemedizin im Lockdown von M\u00e4rz bis Mai 2020 eingesetzt. Ziel der Studie war es, Patienten aus einer Praxis und der Hochschulambulanz bez\u00fcglich Patientenzufriedenheit mit Telemedizin, COVID-19-Sorgen und Impfverhalten auszuwerten sowie die Gespr\u00e4chsf\u00fchrung durch eine rheumatologische Fachassistenz (RFA) mit einem Arzt zu vergleichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Patienten mit rheumatoider Arthritis, Psoriasisarthritis oder Spondyloarthritis ohne Therapie\u00e4nderung seit der letzten Vorstellung wurde ein telemedizinischer Ersatztermin im Rahmen dieser Studie bei Terminabsage durch die versorgenden Zentren angeboten. Randomisiert wurden sie von einem Arzt oder einer RFA (RFA nur Universit\u00e4t) telemedizinisch versorgt. Die Anamnese erfolgte telefonisch standardisiert mittels Fragebogen. Die Krankheitsaktivit\u00e4t wurde mittels modifizierten Clinical Disease Activity Score (CDAI) und BASDAI festgestellt. Im Anschluss erhielten die Patienten einen pseudonymisierten Evaluationsbogen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Von 112\/116 (96\u202f%) eingeschlossenen Patienten schickten 88\/112 (79\u202f%) den Fragebogen zur\u00fcck. RFAs f\u00fchrten 19\/112 (17\u202f%) Telefonate. Die Therapie wurde in 19\/112 (17\u202f%) ge\u00e4ndert. Die meisten Sorgen bez\u00fcglich COVID-19 hatten Patienten mit der h\u00f6chsten Krankheitsaktivit\u00e4t (<jats:italic>p<\/jats:italic>\u202f=\u20090,031), den meisten schmerzhaften Gelenken (<jats:italic>p<\/jats:italic>\u202f=\u20090,001) sowie den meisten Schmerzen (VAS Score \u22657) (<jats:italic>p<\/jats:italic>\u202f=\u20090,009). Diese Patienten h\u00e4tten auch selbst ihren Termin abgesagt (<jats:italic>p<\/jats:italic>\u202f=\u20090,015). Die Patientenzufriedenheit mit der Gespr\u00e4chsf\u00fchrung war gut (Mittelwert 4,3\/5,0 modifizierter FAPI), unabh\u00e4ngig von der Institution, der Gespr\u00e4chsdauer oder dem Gespr\u00e4chspartner. Patienten mit hoher Schmerzintensit\u00e4t waren am unzufriedensten (<jats:italic>p<\/jats:italic>\u202f=\u20090,036); 42\/100 (38,2\u202f%) Patienten waren gegen Pneumokokken und 59\/100 (53,6\u202f%) gegen Influenza geimpft.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Zusammenfassung<\/jats:title>\n                <jats:p>F\u00fcr ausgew\u00e4hlte Patienten ist die telemedizinische Versorgung im Rahmen eines Telefongespr\u00e4ches gut geeignet. Hinsichtlich der Patientenzufriedenheit ist die Delegation einer telefonischen Visite an eine RFA m\u00f6glich. Bez\u00fcglich des Impfverhaltens besteht Verbesserungsbedarf.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00393-021-01005-3","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T11:04:51Z","timestamp":1620731091000},"page":"157-163","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Versorgung von rheumatologischen Patienten w\u00e4hrend des Lockdowns im Fr\u00fchjahr 2020"],"prefix":"10.1007","volume":"81","author":[{"given":"Thea","family":"Thiele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonja","family":"Beider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrik","family":"K\u00fchl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gudrun","family":"Mielke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Holz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Hirsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten","family":"Witte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Hoeper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Cossmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Happle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Jablonka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Ernst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"1005_CR1","doi-asserted-by":"publisher","first-page":"107483","DOI":"10.1016\/j.yebeh.2020.107483","volume":"112","author":"LM Willems","year":"2020","unstructured":"Willems\u00a0LM, Balcik\u00a0Y, Noda\u00a0AH et al (2020) SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience. epilepsy Behav 112:107483. https:\/\/doi.org\/10.1016\/j.yebeh.2020.107483","journal-title":"epilepsy Behav"},{"key":"1005_CR2","first-page":"883","volume":"79","author":"M Krusche","year":"2020","unstructured":"Krusche M, M\u00fchlensiepen F, Aries P et\u00a0al (2020) Telemedizin in der Rheumatologie. 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