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Article History

Received: 31 December 2025

Accepted: 29 June 2026

First Online: 17 July 2026

Declarations

Ethics approval and consent to participate: The study was conducted in accordance with the Declaration of Helsinki. Participation was voluntary and anonymous, with return of the completed questionnaire considered as implied informed consent. Ethical approval was obtained from the Ethics Committee of Friedrich Schiller University Jena and the State Medical Association of Baden-Württemberg, the latter required for data collection in a rural primary care practice (Approval No. 2023-3129-Bef, granted October 16, 2023).

Consent for publication: Not applicable.

Competing interests: The authors declare no competing interests.