Prof. Dr. med. Ulrike Junius-Walker

Guest scientist

E-mail: Ulrike.Junius-Walker@nlga.niedersachsen.de and Junius-Walker.Ulrike@mh-hannover.de

 

Research topics

  • Outpatient healthcare for older people
  • Patient participation in medical care
  • Infection epidemiology and surveillance

 

Career

  • 1992 Graduated in Human medicine, Georgia-Augusta University, Göttingen
  • 1992-1994 Internship and research assistant at the Department of General Medicine, MHH
  • 1994-1997 Further training in internal medicine (geriatrics), outpatient surgery and a general practice
  • From 1997 employee of the Department of General Medicine, MHH
  • 1997 Doctorate on the subject of inpatient care for geriatric patients - a comparison between England and Germany, Medical Sociology Göttingen
  • 1999 Specialist certification for general medicine
  • Habilitation on the topic of general practitioner care for elderly patients, venia legendi in general medicine at the MHH
  • In 2019 Extraordinary professorship, Institute for General Medicine MHH
  • In 2020 Secondment to the Ministry of Social Affairs, Health and Equality of Lower Saxony to work in the Corona Strategy Team
  • From 2021 Employee of the Lower Saxony State Health Office in infection epidemiology

 

Research projects since 2017

  • PanCHECK-iN - Use of certificates of incapacity for work for syndromal Covid surveillance
  • S2 guideline: Social participation and quality of life in outpatient Nursing under the conditions of the COVID19 pandemic
  • S1 guideline: General practitioner guideline. Geriatric assessment in the GP practice AWMF register number 053 - 015
  • HIOPP "HIOPP iTBX: Appropriate and safe medication for nursing home residents, a cluster randomized controlled trial", Innovation Fund, 01 VSF16017
  • MediQuit "The discontinuation of medication in elderly patients with polypharmacy in general practitioner care: Development of a complex intervention." DFG Ju 2992/2-1, Do 513/11-1
  • ADVANTAGE "Managing frailty. A comprehensive approach to promote a disability-free advanced age in Europe: the ADVANTAGE Initiative" 3rd EU-Health Program,724099

 

Current teaching

  • For the Institute of General Practice: Frailty in the Geriatrics module, home visits in the General Practice module
  • For ECDC: Field-epidemiology Module 1
  • For the Institute of Medical Psychology, MHH: Anamnesis in elderly patients
  • Summer School Public Health "Concepts and Strategies of the Public Health Service", Institute of Epidemiology, Social Medicine and Public Health Research, LVG&AFS, NLGA

 

Further activities

  • Mentor in the MHH mentoring program
  • Member of the doctoral committee

 

Publications

Junius-Walker U, Feil F, Altgeld T, Graf M, Walter U, Dierks M-L (2023). How can more young people be recruited to the public health service? Lower Saxony Medical Journal 11/2023 p. 15/16

Michiels-Corsten M, Gerlach N, Junius-Walker U, Schleef, T, Donner-Banzhoff N, Viniol A. MediQuit-an electronic deprescribing tool: a pilot study in German primary care; GPs' and patients' perspectives. BMC primary care 2022; 23:252.

Rudolf H, Thiem U, Aust K, Krause D, Klaaßen-Mielke R, Greiner W, Trampisch HJ, Timmesfeld N, Thürmann P, Hackmann E, Barkhausen T, Junius-Walker U, Wilm S. Reduction of Potentially Inappropriate Medication in the Elderly. Dtsch Arztebl Int. 2021;118(51-52):875-882.

Junius-Walker U, Krause O, Thürmann P, Bernhard S, Fuchs A, Sparenberg L, Wollny A, Stolz R, Haumann H, Freytag A, Kirsch C, Usacheva S, Wilm S, Wiese B; HIOPP-3-iTBX Trial Group. Drug Safety for Nursing-Home Residents - Findings of a Pragmatic, Cluster-Randomized, Controlled Intervention Trial in 44 Nursing Homes. Dtsch Arztebl Int. 2021;118 (42):705-712.

Viniol A, Haasenritter J, Grede N, Wegscheider K, Becker A, Sitter H, Gágyor I, Sönnichsen A, Mortsiefer A, Junius-Walker U, Donner-Banzhoff N. Typology of drug discontinuation trials - Methodological recommendations. J Clin Epidemiol. 2021 Mar 26;137:23-30.

Junius-Walker U, Viniol A, Michiels-Corsten M, Gerlach N, Donner-Banzhoff N, Schleef T. MediQuit, an Electronic Deprescribing Tool for Patients on Polypharmacy: Results of a Feasibility Study in German General Practice. Drugs Aging. 2021 Aug;38(8):725-733.

Greten S, Müller-Funogea JI, Wegner F, Höglinger GU, Simon N, Junius-Walker U, Gerbel S, Krause O, Klietz M. Drug safety profiles in geriatric patients with Parkinson's disease using the FORTA (Fit fOR The Aged) classification: results from a mono-centric retrospective analysis. J Neural Transm (Vienna). 2021 Jan;128(1):49-60.

Gerlach N, Michiels-Corsten M, Viniol A, Schleef T, Junius-Walker U, Krause O, Donner-Banzhoff N. Professional roles of general practitioners, community pharmacists and specialist providers in collaborative medication deprescribing - a qualitative study. BMC Fam Pract. 2020 Sep 4;21(1):183.

Kirsch, C, Doyle, IM, Krause O, Junius-Walker U, Thürmann P, Sparenberg L, Wollny A, Fuchs A, Wilm S, Joos S, Stolz R, Haumann H. The challenge of a multi-stage process for recruiting interprofessional teams in the cluster-randomized home study "HIOPP-3 iTBX" Gesundheitswes 2020;156:24-32.

Michiels-Corsten M, Gerlach N, Schleef T, Junius-Walker U, Donner-Banzhoff N, Viniol A. Generic instruments for drug discontinuation in primary care: A systematic review. Br J Clin Pharm 2020;86:1251-66.

Roller-Wirnsberger R, Lindner S, Liew A3, O'Caoimh R, Koula M, Moody D, Espinosa JM, van Durme T, Plamen D, Benjak T, Kioupi S, Nicolaidou E, Hammar T, Vanhecke E, Junius-Walker U, Csizmadia P, Galluzzo L, Macijauskien J, Salem M, Rietman L, Hylen Ranhoff A, Targowski T, Telo de Arriaga M, Bozdog E, Gabrovec B, Hendry A, Finbarr M, Rodríguez Mañas L. European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty - A consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS). Ageing Clin Exp Res 2020;32:561-70.

Krause O, Glaubitz S, Hager K, Schleef T, Wiese B, Junius-Walker U. Post-discharge adjustment of medication in geriatric patients: A prospective cohort study. Z Gerontol Geriatr. 2020 Nov;53(7):663-670.

Junius-Walker U, Schleef T, Vogelsang U, Dierks ML. How older patients prioritize their multiple health problems. A qualitative study. BMC Geriatrics 2019;19:362

Pape L, Schneider N, Schleef T, Junius-Walker U, Haller H, Brunkhorst R, Hellrung N, Prokosch H, Haarbrandt B, Marschollek M, Schiffer M.The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality. BMC med Inform Dec Mak 2019;19 (1):176

Schleef T, Junius-Walker U, Krause O. Safe medication management in nursing homes. The interdisciplinary ward round in practice. Z Allg Med 2019;95:60-5.

Krause, O., Wiese, B., Doyle, I. et al. Junius-Walker U. Multidisciplinary intervention to improve medication safety in nursing home residents: protocol of a cluster randomized controlled trial (HIOPP-3-iTBX study). BMC Geriatr 2019: 19, 24.

Junius-Walker U, Onder G, Soleymani D, Wiese B, Albaina O, Bernabei R, Marzetti E for the ADVANTAGE JA WP4 group. The essence of frailty: a systematic review and qualitative synthesis on frailty concepts and definitions. Eur J Intern Med. 2018; 56:3-10.

McIntosh J, Alonso A, MacLure K, Stewart D, Kempen T, Mair A, Castel-Branco M, Codina C, Fernandez Llimos F, Fleming G, Gennimata D, Gillespie U, Harrison C, Illario M, Junius-Walker U, Kampolis C, Kardas P, lewek P, Malva J, menditto E, Scullin C, Wiese B, on behalf of the Simpathy Consortium. A case study of polypharmacy management in nine European countries: Implications for change management and implementation . Plos One 2018;13:e0195232.

Krause O, Junius-Walker U, Wiese B, Hager K. Do even our geriatric patients become older and older? Changes of the age structure of geriatric inpatients in the light of two decades. Z Gerontol Geriat 2018;51:81-4.

Rutz M, Junius-Walker U, Dierks ML: Care of the Elderly-A qualitative, multi-perspective study. Open Journal Nursing 2017; 7: 838-849

Rutz M, Junius-Walker U, Dierks ML. Patient-centeredness in acute inpatient care for older patients. Pub Health For 2017;25:131-3.

Schleef T, Schneider N, Tecklenburg A, Junius-Walker U, Krause O. General medicine in a university emergency department - concept, implementation and evaluation. Gesundheitswes 2017; 79: 845-51

Tetzlaff, J, Junius-Walker U, Muschik D, Epping J, Eberhard S, Geyer S. Identifying time trends in multimorbidity - defining multimorbidity in times of changing diagnostic practices. J Public Health 2017; 25: 215.

Stewart D, Gibson Smith K, MacLure K, Maire A, Alsonso A, Codina C, Cittadini A, Fernandez-LLimos F, Fleiming G, Gennimata D, Gillespie U, Junius-Walker U, Kardas P, Kempen T, Kinnear M, Lewek P, Malva J, McIntosh J, Scullin c, Wiese B. A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people. PLoS ONE 2017;12: e0188348.

Krause O, Picksak G, Junius-Walker U. Polypharmacy - solutions for improved drug therapy safety. Dtsch Med Wochenschr 2017;142:1046-53.

Hartung M, Junius-Walker U, Schneider N, Krause O. What do general practitioners and medical assistants do when they themselves have a cold? Z Allg Med 2016; 92: 339-345

Muth C, Beyer M, Schubert I, Junius-Walker U. Selecting suitable patients for the "Geriatric Assessment": a practical test of the guideline. Z Allg Med 2016;92:308-13

Junius-Walker U, Daether-Kracke N, Krause O. It's Magic - simple geriatric basic assessment validated for the GP practice. Z Allg Med 2016; 92: 169-75

Bokhof B, Junius-Walker U. Reducing polypharmacy from the perspectives of general practitioners and older patients. A synthesis of qualitative studies. Drugs Aging, 2016; 33:249-66

Kruschinski C, Wiese B, Dierks ML, Hummers-Pradier E, Schneider N, Junius-Walker U. A geriatric assessment in general practice: prevalence, location, impact and physician-patient perceptions of pain. BMC Fam Pract 2016;17:8

Afshar K, Bokhof B, Wiese B, Dierks ML, Junius-Walker U. Patients' need for discussion after a geriatric assessment in general practices. A survey. Z Gerontol Geriat 2016; 49:632-8.

Junius-Walker U,Krause O. Geriatric assessment - Which tests are suitable for the GP practice? Dtsch med Wochenschr 2016; 141(03): 165-169

Junius-Walker U, Wiese B, Klaaßen-Mielke R, Theile G, Müller CA, Hummers-Pradier E. Older patients' perceived burdens of their health problems: a cross-sectional analysis in 74 German general practices. Patient Prefer Adherence 2015; 9:811-820

Barkhausen T, Junius-Walker U, Hummers-Pradier E, Mueller C, Theile G. It's Magic - development of a manageable geriatric assessment for general practice use. BMC Fam Pract. 2015 Jan 22;16(1):4

Wrede-Sach J, Voigt I, Diederichs-Egidi H, Hummers-Pradier E, Dierks ML, Junius-Walker U. Decision-making of older patients in context of the physician-patient relationship: a typology ranging from "self-determined" to "physician-trusting" patients. Int J Fam Med 2013; Article ID: 478498

Wrede J, Voigt I, Bleidorn J, Hummers-Pradier E, Dierks ML, Junius-Walker U. Complex health care decisions with older patients in general practice: patient-centeredness and prioritization in consultations following a geriatric assessment. Patient Educ Couns 2013; 90:54-60.

Junius-Walker. U. The systematic recording and assessment of disease in older people in general practice. Z Allg Med 2013; 89:461-7.

Junius-Walker U, Wrede J, Schleef T, Diederichs-Egidi H, Wiese B, Hummers-Pradier E, Dierks ML. What is important, what needs treating? How GPs perceive older patients' multiple health problems: a mixed method research study. BMC Res Notes 2012; 5:443.

Hauswaldt J, Hummers-Pradier E, Junius-Walker U. Service claims of chronically ill, multimorbid and frequent users - secondary analysis of routine GP data, 1996 to 2006. Dtsch Arztebl Int 2012; 109(47): 814-20.

Junius-Walker U, Wrede J, Voigt I, Hofmann W, Wiese B, Hummers-Pradier E, Dierks ML. Impact of a priority-setting consultation on physician-patient agreement after a geriatric assessment: cluster randomized controlled trial in German general practices. Qual Prim Care 2012; 20:321-34.

Bleidorn J, Voigt I, Wrede J, Dierks ML, Junius-Walker U. Calling without end? On recruiting GP practices for a health services research project. Z Allg Med 2012; 88:61-8.

Theile G, Winter A, Hummers-Pradier E, Junius-Walker U. The Geriatric Basic Assessment in the Family Practice. Z Gerontol Geriat 2012; 45:323-32.

Boeckxstaens P, de Graaf on behalf of the Position Paper Working Group ( Paulus A, van Raak, A, de la Cuesta C, Rotar D, Kaduskiewicz H, Vedel I, Lepeleire J, Ronse J, Baeyens J, Hasseler M, Visca M, Groenewegen P, Iliffe S, Junius-Walker U). Primary Care and Care for Older Persons: Position Paper of the European Forum for Primary Care. Qual Prim Care 2012; 19: 369-81.

Thiem U, Hinrichs I, Müller CA, Holt-Noreiks S, Nagl A, Bucchi C, Trampisch U, Moschny A, Platen P, Penner E, Junius-Walker U, Hummers-Pradier E, Theile G, Schmiedl S, Thürmann PA, Scholz S, Greiner W, Klaaßen-Mielke R, Pientka L, Trampisch HJ. Requirements for a new care model for older people with multimorbidity: results and conclusions from 3 years of research in the "priscus" network. Z Gerontol Geriat 2011, 44: 101-12.

Junius-Walker U, Stolberg D, Steinke P, Theile G, Hummers-Pradier E, Dierks ML. Health and treatment priorities of older patients and their general practitioners: a cross-sectional study. Qual Prim Care 2011; 19:67-76.

Kruschinski C, Sczepanek I, Wiese B, Breull A, Junius-Walker U, Hummers-Pradier E. A three-group comparison of acute-onset dizzy, long-term dizzy and non-dizzy older patients in primary care. Aging Clin Exp Res 2011; 23:288-95.

Thiem U, Theile G, Junius-Walker U, Holt S, Thürmann P, Hinrichs T, Platen P, Diederichs C, Berger K, Hodek JM, Greiner W, Berkemeyer S, Pientka L, Trampisch HJ. Prerequisites for a new health care model for elderly people with multimorbidity: The PRISCUS research consortium. Z Gerontol Geriat 2011; 44 (Suppl 2):115-20.

Müller CA, Klaassen-Mielke R, Penner E, Junius-Walker U, Hummers-Pradier E, Theile G. Disclosure of new health problems and intervention planning using a geriatric assessment in a primary care setting. Croat Med J 2010; 51:493-500.

Voigt I, Wrede J, Diederichs-Egidi H, Dierks ML, Junius-Walker U. Priority setting in general practice. Health priorities of older patients differ from treatment priorities of their physicians. Croat Med J 2010; 51:483-92.

Voigt I, Wrede J, Diederichs-Egidi H, Dierks ML, Hummers-Pradier E, Junius-Walker U. PrefCheck: Patient-centered treatment planning with older multimorbid patients. Methodology and design. Z Gerontol Geriat 2010; 43:303-9.

Junius-Walker U, Voigt I, Wrede J, Hummers-Pradier E, Lazic D, Dierks ML. Health and treatment priorities in patients with multimorbidity: Report on a workshop from the European General Practice Network meeting 'Research on multimorbidity in general practice'. Eur J Gen Pract 2010; 16:51-4.

Hauswaldt J, Junius-Walker U, Kersting M, Hummers-Pradier E. On health screening in German general practices - a secondary analysis of health care data 1996 to 2006. Z Allg Med 2009; 85:411-7.

Theile G, Hummers-Pradier E, Junius-Walker U. Study on preventive home visits. Participants and non-motivated persons in a project of the AOK Lower Saxony. Prev Gesundheitsf 2008; 3:281-8.

Snijder E, Kersting M, Theile G, Kruschinski C, Koschak J, Hummers-Pradier E, Junius-Walker U. Home visits: health services research with routine GP data from 158,000 patients. Gesundheitswes 2007; 69:679-85.

Junius-Walker U, Theile G, Hummers-Pradier E. Prevalence and predictors of polypharmacy among older primary care patients in Germany. Fam Pract 2007 24: 4-19.

Junius-Walker U, Theile G. The treatment of chronic diseases in the elderly - initial situation and development perspectives. Z Allg Med 2007; 83: 455-60.

Junius U, Schultz C, Fischer G, Breull A & Langner D: The European assessment in practice test: results from the German feasibility study. Z Allg Med 2003; 79:620-23.

Junius U, Schultz C, Fischer G, Breull A, Langner D: Evidence-based preventive assessment for elderly patients. Z Allg Med 2003; 79:143-48.

The Step-Panel: Williams I, Fischer G, Junius U, Sandholzer H, Jones D, Vass M, et al. An evidence-based approach to assessing older people in primary care. Occas Pap R Coll Gen Pract 2002; 82:1-53.

Junius U, Fischer G for the STEP group. Geriatric assessment for primary care practice. Results of a concerted action from seven European countries. ZS Geriat Gerontol 2002; 35:210-23.

Fischer G, Junius U, Breull A, Brewitt A. Visual disturbances in old age. Klin Monatsblatt Augenheilk 1998; 212:5-9.

Fischer G, Junius U. Possibilities and limitations of geriatric assessment in general practice. Zs Gerontol Geriat 1998; 31:348-54.

Junius U, Kania H., Fischer G. A prevention program for health problems in old age. The ambulatory geriatric screening for use in the family practice. Episode 2. physician assistant questionnaire - physician examination. Fortschr Med 1996; 114(22-23):37-8.

Junius U, Kania H., Fischer G. The outpatient geriatric screening for use in the family practice. Episode 1. patient questionnaire. Fortschr Med 1996; 14(20-21):33-35, 38-41.

Junius U, Fischer G., Kemmnitz W. New forms of GP care for elderly patients:Part I: from screening to intervention- the Hanoverian ambulatory geriatric screening (AGES), Geriatrie Forschung 1995; 5 (2):71-8.

Junius U, Walker P, Fischer G. The "Read Clinical Classification", an alternative to ICD-10? Z Allg Med 1995; 71:1664-70.

Fischer G, Junius U. The ICD-10 in general practice (III), Z Allg Med 1995; 71:1576-8.

Junius U, Niederstadt C, Fischer G. Outpatient geriatric screening - an overview, Part I, Z Gerontol Geriat 1994; 27:227-32.

Junius U, Niederstadt C., Fischer G. Outpatient geriatric screening - an overview, Part II, Z Gerontol Geriat 1994; 27:232-39.

 

Book chapter

Junius-Walker U. Population groups: Elderly and old people; in: Public Health. Eds: Schwartz F-W, Walter U, Siegrist J, Kolip P, Leidl R, Busse R, Amelung VE, Dierks ML (ed.) Elsevier Verlag 2023

Junius-Walker U, Thürmann P. Drug consumption and drug therapy safety in older people. In: Self-treatment and self-medication; Eichenberg C, Brähler E, Hoefert HW eds; Hogrefe-Verlag, 1st edition 2017, ISBN 9783801726881.

Junius-Walker U, Schneider N, Hummers-Pradier E. Illness in the elderly. In: Kochen MM (ed.). Allgemeinmedizin und Familienmedizin, 4th completely revised edition, Thieme Verlag, Stuttgart 2017, S191-205. ISBN 9783131413857.

Theile G, Hummers-Pradier E, Junius Walker U. A15. Diseases in the elderly. In: Kochen MM (ed.). Allgemeinmedizin und Familienmedizin, 4th completely revised edition, Thieme Verlag, Stuttgart 2012, pp 176-89. ISBN: 9783131413840.

Theile G, Junius-Walker U, Hummers-Pradier E. Use of the STEP assessment for systematic disease recording and assessment of older people in GP practices. In: Günster C, Klose J, Schmacke N. (Eds.). Health care report 2012, focus: Health in old age. Stuttgart: Schattauer Verlag 2012. Chapter 12, pp. 193-205. ISBN 978-3-7945-2850-9.

Langner D, Junius U. Complications in selected patient groups, In: Komplikationen in der Hausarztpraxis; ed. Fischer G et al, Springer Verlag 2004, ISBN 3-211-838724.

Fischer G, Junius-Walker U, Aeffner K, Doering T, Karst M, Riesberg, et al. GP care for the very old and patients with dementia; in: Old age and dementia as a challenge for health and nursing care. Expertises on the Fourth Report on the Elderly of the Federal Government, Volume III; published by the German Center on Aging, Vincentz Verlag, Hanover 2002, pp. 16-21.

Junius U. Very old people as clients of general practitioners; in: Lebensqualität, Risiken und Potentiale des hohen Alters, Vierter Altenbericht II, 3; ed. by BMFSFJ 2002, p. 223ff.

Fischer G, Junius U, Trommer C, Kemmnitz W. Projekt D5: Geriatrisch gerontologisches Screening in der Primärversorgung, in: Norddeutscher Forschungsverbund Public Health Überblick 1995, ed. by: Norddeutscher Forschungsverbund Public Health, Hannover 1995, pp. 171-4.

Junius U, Fischer G.: Qualitätskriterien zu Übergangsbetreuung älterer Patienten, in: Qualitätskriterien der ambulanten und medizinischen Versorgung im Alter, ed. by G. Fischer, Conrad Verlag Garmburg 1995, pp. 61-3.

Fischer G, Junius U, Niederstadt C.: Original Examination Questions with Commentary: GK3 Fall 93 Spring 94, Chapman and Hall, Weinheim 1994.

Kemmnitz W, Junius U, Fischer G. Geriatrisch gerontologisches Screening in der Primärversorgung, in: Die Primärversorgung als Aufgabe für Public Health in Forschung und Praxis, ed. by Fischer G, Abholz H, Garms-Homolova V, Norddeutscher Forschungsverbund - Public Health Hannover 1994, pp. 34-48.

Junius U. Primary Health Care Team - eine Eimannkapelle wird zum Orchester, in: Die Primärversorgung als Aufgabe für Public Health in Forschung und Praxis, ed. by Fischer G, Abholz H, Garms-Homolova V, Norddeutscher Forschungsverbund - Public Health Hannover 1994, pp. 109-16.