title: [The Bremen periodic health exam - feasibility of a new concept].
abstract: BACKGROUND
  All members of the Statutory Health Insurance are entitled to receive preventive health examinations. The current concept, however, does not take individual risk factors into account systematically. To improve this, the "Bremen Health Examination" was developed. The central component is a screening questionnaire to be completed by the patient, which is stratified by age, i.e., 35 to 69 years and ≥ 70 years. The feasibility and acceptance of this concept have been assessed.
  
  
  METHODS
  In a prospective observational study, a selected sample of general practitioners (GPs) was asked to implement the questionnaires during all preventive health examinations within a four-week period. The GPs subsequently answered content-related questions as well as Likert-scaled questions on the relevance of the issues addressed, and the feasibility of the new concept.
  
  
  RESULTS
  17 out of 20 GPs approached for the study included a total of 171 patients. On average, the patients in the two groups were 52 and 75 years of age, respectively, and answered 4.4 prompting questions positively. Age and gender had no significant effect on the frequency of "positively" answered questions. Implementing the questionnaire extended the duration of the health examination, however, GPs overall rated the time required for discussing newly assessed problems as adequate (four-level Likert scale, 1=yes; 4=no; Ø 1.59; SD 0.77).
  
  
  CONCLUSIONS
  The implementation of the Bremen Health Examination appears to be feasible from the GP perspective.
authors.affiliation: Abteilung Versorgungsforschung, Institut für Public Health und Pflegeforschung, Universität Bremen; Akademie für hausärztliche Fortbildung, Bremen. Electronic address: schmiemann@uni-bremen.de.
authors.forename: Guido
authors.initials: G
authors.lastname: Schmiemann
authors.affiliation: Hausärztliche Gemeinschaftspraxis, Bremen; Akademie für hausärztliche Fortbildung, Bremen.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Biesewig-Siebenmorgen
authors.affiliation: Hausärztliche Gemeinschaftspraxis, Bremen.
authors.forename: Klaus
authors.initials: K
authors.lastname: Gebhardt
authors.affiliation: Hausärztliche Gemeinschaftspraxis, Bremen; Akademie für hausärztliche Fortbildung, Bremen.
authors.forename: Günther
authors.initials: G
authors.lastname: Egidi
mesh_terms: D000368:Aged; D042241:Early Diagnosis; D005240:Feasibility Studies; D005260:Female; D058006:General Practice / Q000458:organization & administration / Q000592:standards; D005858:Germany; D006284:Health Plan Implementation / Q000458:organization & administration / Q000592:standards; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration / Q000592:standards*; D008875:Middle Aged; D009313:National Health Programs; D010808:Physical Examination / Q000379:methods / Q000592:standards*; D011322:Primary Prevention / Q000458:organization & administration / Q000592:standards*; D011446:Prospective Studies; D011795:Surveys and Questionnaires
keywords: Gesundheitsuntersuchung; Hausärztliche Versorgung; Preventive health examination; Prävention; family medicine; prevention