Abstracts by keywords: Complex Multicomponent Interventions
Many topics that have dominated the health policy discussion in Germany and internationally in recent years have been pushed into an almost distant background due to the Corona crisis1. Quality orientation as a central paradigm - who is still aware of the intensity with which the quality offensive was discussed in the middle of the last decade, the patient safety issue was at the forefront, competitive elements such as pay for performance heated up emotions, patient autonomy was held up as the greatest asset and the patient -Reported outcomes were celebrated as cornerstones of quality measurement. Perhaps the most difficult task today is to restore continuity between the present determined by Corona and the themes of this seemingly distant past. Not everything can have been wrong, but on the other hand, it must be recognized that Corona has meant that some of the assumptions and certainties from just a year and a half ago that were considered unchangeable require intensive discussion and addition. The present text can only outline the problem and present a work program based on a few examples. A detailed derivation of the conceptual consequences based on the previous findings from the corona pandemic and the technical and scientific foundations of the quality and safety discussion of the last decades must be reserved for the in-depth discussion in the next few years and will take on a considerably larger scope.ckende Acute diseases such as stroke and myocardial infarction are documented less frequently. The behavioral change that resulted from the implementation of strict hygiene rules may also have led to a “real” decrease in the rates of non-Covid-19 infectious diseases (5,6). In other words, the measures taken to combat the Covid-19 pandemic may also have influenced the spread of other germs that cause respiratory tract infections (AI) and gastrointestinal infections (GI). For this reason, in the present study the authors wanted to investigate the frequency of these AI and GI during the Covid-19 pandemic using data from a large database that includes anonymized treatment information from general practitioners and pediatricians in Germany.
