{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:17:28Z","timestamp":1773015448551,"version":"3.50.1"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014840","name":"Gemeinsame Bundesausschuss","doi-asserted-by":"publisher","award":["01VSF19043"],"award-info":[{"award-number":["01VSF19043"]}],"id":[{"id":"10.13039\/501100014840","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Venous leg ulcers (VLU) account for the majority of chronic wounds, with an estimated rise in prevalence due to demographic change. Care often does not comply with evidence, and patients remain passive and uninformed. To support general practice VLU care, the \u2018UlcusCrurisCare\u2019 (UCC) project developed a multimodal intervention comprising provider training, software\u2010supported case management and standardised patient education. Experts from the medical community (physicians, nurses, association of medical assistants), health insurance and patient representatives provided their assessment of barriers in VLU care, requirements for intervention components and their expected effects. Semi\u2010structured interviews and questionnaires were used at two measuring points. Qualitative data analysis was based on the Theoretical Domains Framework. Quantitative data were analysed descriptively. Ten experts named a lack of knowledge and application regarding compression therapy, reluctance to assume role as primary care provider, and inadequate remuneration as barriers for evidence\u2010based VLU care. To effectively address these barriers, interventions are required to foster the use of compression therapy and patient education. A multimodal approach such as pursued in UCC is expected to effectively address deficits in VLU care at general practitioner level by promoting provider knowledge about evidence\u2010based treatment and supporting patient adherence.<\/jats:p>","DOI":"10.1111\/iwj.70829","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:34:55Z","timestamp":1768293295000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Developing an Evidence\u2010Based and Patient\u2010Centred Care Concept to Address Deficits in German Primary Care of Venous Leg Ulcers: Results of an Expert Survey Within the\n                    <scp>ULCUS CRURIS CARE<\/scp>\n                    Project"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5609-8201","authenticated-orcid":false,"given":"Thomas","family":"Fleischhauer","sequence":"first","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina","family":"Po\u00df\u2010Doering","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Sander","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunter","family":"Laux","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Szecsenyi","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"},{"name":"Aqua Institute of Applied Quality Improvement and Research in Health Care Ltd.  G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Altiner","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Wensing","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas D.","family":"Senft","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2010.07535_suppl.x"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-020-04734-9"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14272"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.00942.x"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2010.00660.x"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.11.049"},{"issue":"11","key":"e_1_2_14_8_1","article-title":"Compression for Venous Leg Ulcers","volume":"11","author":"O'Meara S.","year":"2012","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13891"},{"issue":"7","key":"e_1_2_14_10_1","article-title":"Compression Bandages or Stockings Versus no Compression for Treating Venous Leg Ulcers","volume":"7","author":"Shi C.","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.05.018"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.060"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12605"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.12405"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12773"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12814"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.01.001"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103774"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-44"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05568.x"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13465"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wndm.2013.06.001"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12899"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.12938"},{"issue":"10","key":"e_1_2_14_25_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-017902","article-title":"International Variations in Primary Care Physician Consultation Time: A Systematic Review of 67 Countries","volume":"7","author":"Greg I.","year":"2017","journal-title":"BMJ Open"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2009.00626.x"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S390123"},{"key":"e_1_2_14_28_1","article-title":"Interventions for Helping People Adhere to Compression Treatments for Venous Leg Ulceration","volume":"3","author":"Weller C. 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