DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT德意志医学周刊
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT(英文缩写 DEUT MED WOCHENSCHR),ISSN 0012-0472,eISSN 1439-4413,中文译名:德意志医学周刊 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 0.653 | Q4 |
| 2022 | 0.600 | Q4 |
| 2023 | 0.600 | Q3 |
| 2024 | 0.700 | Q3 |
| 2025 | 0.700 | Q3 |
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT 最新收录文献
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1. Cancer Survivorship Care in Bavaria: General Practitioners' Perspectives and a Regional Capacity Analysis.
PMID:日期:2026-09-14The rising number of cancer survivors in Germany increases the need for long-term, coordinated cross-sectoral care. General practitioners (GPs) play a key role, yet evidence on regional structures and GPs' perspectives is limited. This study examines cancer survivorship care in Bavaria by combining a regional capacity analysis with a statewide GP survey. A mixed-methods study was conducted in Bavaria, combining a regional structural analysis of physician availability and projected survivorship care demand with a statewide anonymous quantitative online GP survey on care experiences, collaboration, digital tools, training needs, vaccination practices, and reimbursement. In 2024, 9553 Bavarian GPs cared for approximately 380000 cancer survivors, with 17% living in areas of GP undersupply. Northern and Eastern Bavaria showed particularly high patient loads and projected shortages. Among 574 surveyed GPs, 72.7% perceived survivorship care as challenging. Key barriers included insufficient cross-sectoral collaboration (76.9%), limited knowledge of co-treating colleagues' activities (72.6%), incomplete treatment information (31.7%), and inadequate reimbursement (95.2%). While most GPs (71.5%) considered the electronic patient record (ePA) promising, only 56.9% used KIM at least occasionally. 73.1% expressed interest in dedicated training and guidance, particularly regarding vaccination responsibilities and timing (64.1%). GPs in Bavaria face increasing structural and organizational challenges due to rising survivor numbers and regional workforce shortages. Improved information exchange, strengthened cross-sectoral collaboration, consistent digital communication, targeted GP training, and continuous regional monitoring, are essential to ensure sustainable, high-quality survivorship care across Germany.
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2. Factors influencing treatment decisions in patients with pulmonary arterial hypertension.
PMID:日期:2026-09-09A large proportion of patients with pulmonary arterial hypertension (PAH) is treated with monotherapy although current treatment guidelines emphasize the importance of combination therapies to achieve the treatment goals. Because the reasons for physicians' treatment decisions in routine clinical practice are not well understood, factors influencing these decisions were investigated. In this multicentre, non-interventional study, 79 patients who started PAH therapy ≤12 months prior to study inclusion were enrolled. Data available per routine clinical practice were collected. Furthermore, physician's rationale for treatment decision was assessed. All analyses were descriptive. Patients' mean age was 64 years. Most patients were female (57.0%) with idiopathic PAH (76.0%) and had ≥5 comorbidities (64.6%). At therapy start the significant reasons for choosing combination therapy or monotherapy were patient's risk (81.5%; Odds ratio, OR: 12.38, p=0.0227) and comorbidity status (56.7%; OR: 0.07, p=0.0004), respectively. The proportion of patients receiving combination therapy increased from 45.6% at therapy start to 78.4% at month 24. Concomitantly, the percentage of low-risk patients increased from 14.5% to 35.1%. A significant greater percentage of patients on initial combination therapy achieved an improvement of World Health Organization functional class (85.2% and 50.0%, respectively; OR: 5.75, p=0.0357) between therapy start and end of observation. A low-risk status was achieved by 27.3% and 50.0% of patients on monotherapy and combination therapy, respectively. Risk and comorbidity status are the key factors for physicians' choice of treatment regimen. Findings from the study suggest that patients on initial combination therapy could potentially improve their clinical status more effectively, even when they have comorbidities.
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3. [Beta-blockers in cardiovascular medicine - current status - Where are there still "strong" indications for beta-blockers?]
PMID:日期:2026-09-01This article presents recommendations for the use of beta-blockers (BB) according to current guidelines and the underlying evidence. Until the last decade, BBs were recommended as first-line therapies for uncomplicated hypertension. This recommendation was discontinued, because studies indicate an overall lower efficacy compared to other antihypertensive drugs. Current cardiology guidelines include recommendations for the indications of symptomatic heart failure with reduced ejection fraction (HFrEF), angina pectoris, post-myocardial infarction, atrial fibrillation, and for the treatment of resistant hypertension.
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4. [ARDS - Extracorporeal Gas Exchange and Advances in Personalized Treatment].
PMID:日期:2026-09-01This article describes modern strategies for treating acute respiratory distress syndrome (ARDS), with a focus on extracorporeal gas exchange procedures, weaning concepts, and new phenotype-based therapeutic approaches. It highlights key aspects of ARDS treatment based on current recommendations, in particular the new German S3 guideline "Invasive ventilation and use of extracorporeal gas exchange procedures in acute respiratory failure", the American Thoracic Society (ATS) and the European Society of Intensive Care Medicine (ESICM). Venovenous extracorporeal membrane oxygenation (vvECMO) is discussed as a key option for severe ARDS, including indications, complications, technical requirements, and prognostic factors. In addition, the role of ECCOR in severe hypercapnia is explained. The second part focuses on a structured weaning process from invasive ventilation, including prerequisites, spontaneous breathing trials, and the management of prolonged weaning. Finally, new developments in the individualization of ARDS therapy are discussed, as biological and radiological subphenotypes demonstrating different responses to therapies may enable future personalized treatment concepts.
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5. [Intercultural Communication with Patients in Hospital Settings - From Misunderstanding to Mutual Understanding].
PMID:日期:2026-09-01Culturally diverse constellations in European hospital settings have become increasingly common, giving rise to communication challenges that affect both patient safety and the quality of care. This article examines the key dimensions of intercultural communication between physicians and patients, with particular focus on verbal and nonverbal communication, direct versus indirect communication styles, and the types of conflict that frequently arise in multicultural clinical environments. Drawing on established frameworks - including Watzlawick's communication theory and Hofstede's cultural dimensions model - the article illustrates how individualistic cultures tend toward explicit, direct communication, while collectivist cultures rely on implicit, context-dependent expression. This fundamental difference generates misunderstandings in areas such as informed consent, patient education, and the disclosure of serious diagnoses. Culture-specific expressions, such as Turkish organ metaphors, may be misread as somatic symptoms, with potentially serious clinical consequences. The article further distinguishes between communication conflicts, value and judgment conflicts, and recognition conflicts, and introduces the concept of the "ethnization" of conflict - a process in which factual disputes become emotionally charged through ethnic attribution. Practical strategies for enhancing intercultural competence are presented, including active listening, open questioning, perspective-taking, style switching, and the KPS model (Culture, Person, Situation). The article concludes that sustainable intercultural competence requires both professional knowledge acquisition and ongoing reflection on one's own cultural values and normative assumptions.
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6. [Working in an Intercultural Team].
PMID:日期:2026-09-01More than 15% of all practising physicians in Germany hold a foreign nationality; including naturalized colleagues, approximately one in four physicians has a migration background. In nursing, the proportion of internationally recruited staff has nearly tripled within a decade, and since 2022, the entire growth in nursing employment has been driven exclusively by foreign-born workers. Intercultural teamwork has thus become a daily clinical reality in German hospitals- not a peripheral phenomenon, but a structural feature of the healthcare system. This article examines the epidemiology of international healthcare professionals in Germany, analyses the clinical opportunities and challenges of multicultural teams, and derives practical recommendations for team leaders and clinical educators. Key topics include language barriers in team communication, differing hierarchy cultures and role expectations, the risk of discrimination, and the potential of cultural diversity as a clinical resource. Structural recommendations address onboarding, mentoring, team cultures, professional interpreter services, and institutionalized intercultural training. With the background of initiatives such as the Federal Government's practice guide "Das kultursensible Krankenhaus" and the IPIKA training program developed at Charité Berlin, the article argues that intercultural competence must be understood not as an optional qualification but as a clinical core competency- relevant to patient safety, team stability, and the long-term viability of healthcare provision in Germany.
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9. [ARDS - Pathophysiology, diagnostics and current treatment strategies].
PMID:日期:2026-09-01该文献暂无摘要。
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10. [Peripheral arterial catheters - step by step].
PMID:日期:2026-09-01Arterial catheters in the emergency department, operation room and intensive care units are required for continous invasive blood pressure measurement and sequential arterial blood gas analysis. Different locations for insertion and diverse kinds of catheters can be used. Arterial cannulation remains an invasive procedure that can be associated with complications, so the indications have to be critically reconsidered.