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49 Living guideline for ‘protection against over- and underuse of healthcare’ of the German college of general practitioners and family physicians (DEGAM) and the implementation of recommendations
  1. Martin Scherer1,
  2. Dagmar Lühmann1,
  3. Cathleen Muche-Borowski1,
  4. Lisette Warkentin2,
  5. Susann Hueber2,
  6. Thomas Kühlein2
  1. 1Institute and Polyclinic for Primary Care and Family Medicine, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
  2. 2Institute for General Practice, University Hospital Erlangen, Erlangen, Germany


Introduction/Objectives The DEGAM published a living-guideline on „Protection against Over- and Underuse of Healthcare’ with the aim to reduce unnecessary interventions and unmet needs in primary care. „Top-Lists’ of recommendations for protection against over- and underuse were extracted from high quality evidence- and consensus-based guidelines in predefined methodological steps. All positive and negative recommendations from the DEGAM- and national health care guidelines (‘Nationale Versorgungsleitlinien’) were prioritized regarding relevance for over- and or underuse by GPs and other health care professionals. The relevant recommendations were then commented from a GP perspective and in February 2023 published in the 4th update. Thereafter a survey was conducted among GPs to analyse how the guideline has been disseminated and implemented in practice.

The aims of this workshop are to present the methodological approach of the guideline, to present and discuss the results of the evaluating survey and to discuss possible strategies of its further implementation.

Methods The workshop will consist of three parts:

  1. First, we will present the DEGAM guideline „Protection against Over- and Underuse of Healthcare’ and the results of the evaluating survey among German general practitioners.

  2. In small groups we will discuss the following aspects based on the participants’ experiences:

    • Criteria for the selection of prioritised recommendations that can be considered for targeted implementation.

    • Successful and less successful implementation strategies of selected recommendations.

  3. The groups’ results will then be presented and discussed in plenary.

Results/Learning Outcomes Participants will learn about an approach of reducing over- and underuse in Germany and its acceptance among general practitioners. The participants can benefit from each other’s experiences and work together on ideas for better implementation.

Conclusion The results of the workshop might inform the next update of the guideline and into the targeted implementation of selected recommendations. The participants can take this information and results with them and see if and how to do it similarly or better in their countries.

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