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Regional Health Care Service Provision by Gynecologists and General Practitioners for Women 49 Years of age and older
Due to consequences of the demographic change and the reduced access to medical specialists for gynecology and obstetrics (Gyn), women of middle age and beyond living in rural areas will be affected by a reduced availability and consequently be underserved with gynecological care.
The main aim of this project is to explore and describe the current provision of health care service by Gyn and general practitioners (GPs) and to identify innovative potentials based on inter-disciplinary medical care, i.e. the redistribution of tasks attributed and delivered by specialists (task-shifting) and other possible approaches to properly face the imminent undersupply.
Secondary data from the stock of the Robert-Koch Institute will be analyzed (nationwide representative random sample including 2.300 women aged 49 years or older). Furthermore, a regional randomized survey of primary health care providers from Brandenburg, Mecklenburg-Western Pomerania and Berlin (around 1.000 GPs and 500 Gyn) will be conducted. Finally, women of middle age and beyond living in these regions will be interviewed (semi-structured telephone based interviews).
Based on the development of a service tasks catalogue a proposal for developing an inter-disciplinary patient-centered care model will be elaborated.
The evaluation of this previously unexplored interface between ambulatory services in general practice and gynecology allows the identification and analysis of relevant indicators for improving the health care service delivery to women 49 years and older that are necessary to formulate interventions in order to improve the access and fairness in the provision of services to the elderly female population.