86 research outputs found
Attitudes and expectations of primary care physicians regarding recreational cannabis legalization in Germany: a pre-implementation survey
No full textOn April 1st, 2024, Germany legalized recreational cannabis use under specific conditions. While policymakers extensively debated this change, the perspectives of healthcare providers who will address its consequences remain understudied. This study aims to characterize primary care physicians' experiences with cannabis-consuming patients and their expectations regarding the effects of legalization
Einfluss von Sprachbarrieren auf die Notrufabfrage: Darstellung von Qualitätsindikatoren und Einsatzanlässen
No full textMedical Characteristics of Foreign Language Patients in Paramedic Care
No full textBackground: In this study, medical and socio-demographic characteristics of foreign language patients in prehospital emergency medical care are analyzed and compared with non-foreign language patients. Methods: We performed retrospective chart review of rescue operations in four emergency medical service stations in Northern Germany over seven months as part of the DICTUM Rescue study (DRKS00016719). We performed descriptive analyses including test statistics and used partial correlation to adjust for patients’ sex and age. Results: Patients with limited German proficiency were served in 2.2% of all 7494 covered rescue operations. On average, these patients were two decades younger than their German speaking counterparts. There were significantly more patients with limited German proficiency with gynecological and obstetric problems, especially births, as well as psychiatric disorders, especially suicide attempts. Conclusions: Our findings suggest that the existing preventive programs for pregnant women and people at risk of suicide do not sufficiently reach patients with limited German proficiency. Additionally, giving birth and psychiatric breakdowns are exceptional and sensitive situations, both for patients and the paramedic staff, where the ability to communicate safely appears to be of enormous importance to enable safe treatment
Biomedical dominance and the underrepresentation of primary care: An analyses of self-claimed research priorities of German medical schools
No full textPrimary care providers deliver the majority of medical care serving as essential first points of contact and care coordinators. Despite the significant challenges they face, primary care research seems to lag behind and stay low-funded. Since the mid-1990s, academic reforms have emphasised metrics like third-party funding and high-impact publications. Medical schools were encouraged to develop distinct research profiles and to compete both internally and externally, leading to shifts in how research areas were prioritised, potentially disadvantaging primary care research
Rural development and human well-being: Do pillar-II-programmes take into account ecosystem services? A study in Lower Saxony, Germany
No full textDoes the CAP reflect the population's concerns about agricultural landscapes? A qualitative study in Lower Saxony, Germany
No full textSichtweisen älterer Menschen auf medizinische Versorgung auf dem Land - Eine empirische Studie aus Deutschland
No full textWith demographic change, many rural regions in Germany face the challenge to ensure an
appropriate provision of basic services, also for the increasing share of immobile population
groups. Among others, the growing number of old and very old people will increase the demand
for medical care. Although, on the whole health care in Germany is very good, in some
rural areas its provision tends to be difficult. This paper presents findings of an empirical
study on older people’s mobility options, obstacles that constrain the access to health care and
related needs. In-depth interviews were conducted with elderly men and women living in
Holzminden, a district in Lower Saxony already massively affected by demographic ageing
and shrinking. The analysis reveals high car dependency among the elderly; those who cannot
drive are highly dependent to be given a ride to all kinds of activities, including medical appointments.
Satisfaction with family doctors is high but many will soon retire and might not
find a successor. Access to medical specialists and emergency care turns out to be more complicated.
Despite low accessibility, most appreciate the advantages of rural living and nearly
none considers leaving the countryside. Yet, those who do not have family living close-by
they can call on might be forced to leave rural home once not able to drive anymore
Sichtweisen älterer Menschen auf medizinische Versorgung auf dem Land - Eine empirische Studie aus Deutschland
No full textWith demographic change, many rural regions in Germany face the challenge to ensure an
appropriate provision of basic services, also for the increasing share of immobile population
groups. Among others, the growing number of old and very old people will increase the demand
for medical care. Although, on the whole health care in Germany is very good, in some
rural areas its provision tends to be difficult. This paper presents findings of an empirical
study on older people’s mobility options, obstacles that constrain the access to health care and
related needs. In-depth interviews were conducted with elderly men and women living in
Holzminden, a district in Lower Saxony already massively affected by demographic ageing
and shrinking. The analysis reveals high car dependency among the elderly; those who cannot
drive are highly dependent to be given a ride to all kinds of activities, including medical appointments.
Satisfaction with family doctors is high but many will soon retire and might not
find a successor. Access to medical specialists and emergency care turns out to be more complicated.
Despite low accessibility, most appreciate the advantages of rural living and nearly
none considers leaving the countryside. Yet, those who do not have family living close-by
they can call on might be forced to leave rural home once not able to drive anymore
Overcoming language barriers in paramedic care: a study protocol of the interventional trial ‘DICTUM rescue’ evaluating an app designed to improve communication between paramedics and foreign-language patients
No full textOpen-Access-Publikationsfonds 202
A Multilingual App for Providing Information to SARS-CoV-2 Vaccination Candidates with Limited Language Proficiency: Development and Pilot
No full textLanguage barriers are obstacles in receiving vaccinations against COVID-19. They jeopardize informed consent, vaccination safety, and a positive immunization experience. We have developed a multilingual app to overcome language barriers when dealing with vaccination candidates with a limited proficiency in the locally spoken language. We applied the Spiral Technology Action Research (STAR) model to create the app within a discursive process involving healthcare professionals (HCPs) from vaccination sites, literature searches and guidelines, and field trials at vaccination centers. In a real-world pilot test, we assessed the usability and feedback for further improvement. Our efforts resulted in an app that facilitates communication with vaccination candidates in 40 languages, each with over 500 phrases that can be played back or displayed as text. In the pilot test, the app demonstrated its usability, and was well accepted by the vaccination candidates (n = 20). The app was mainly used to inform about the risks and benefits of the SARS-CoV-2 vaccination. Some HCPs struggled to navigate the comprehensive content and the pilot test exposed the need for additional phrases. The STAR model proved to be flexible in adapting to dynamic pandemic conditions and changing recommendations. This multilingual app overcomes language barriers in healthcare settings, promoting vaccines to migrants with limited language proficiency
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