[Primary care of Ukrainian refugees].

Judith Tillmann, Klaus Weckbecker, Paul Wiesheu, Markus Bleckwenn, Tobias Deutsch, Eva Münster
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引用次数: 1

Abstract

Background: Since the beginning of the war in Ukraine, more than 7.6 million people from Ukraine have been registered as refugees in European countries. In Germany, the number is estimated to be more than 1 million. These refugees may have different health needs than German patients due to differences in the health care system, disease prevalence, preventive measures, health behavior, and experiences of flight. However, general practitioners (GPs) have hardly been prepared for the contact.

Objectives: For the first time, challenges in the treatment of Ukrainian refugees and support needs of German GPs were determined.

Materials and methods: In July and August 2022, a cross-sectional study among GPs in Germany was conducted using an online survey.

Results: A total of 82 GPs participated with a response rate of 16.0%; 52 of the participating GPs had treated Ukrainian refugees in the previous 2 weeks. In all, 75.0% of them reported difficulties or peculiarities in care, especially in communication (61.5%), due to lack of information about previous illnesses (34.6%), and expectations of services to be provided (30.8%). Of the 82 participants, 59.8% reported a need for multilingual information for patients, especially about the German health care system, help with mental health problems, contact points, and differences in the use of medications. Information for the practice team is needed in 37.8% of cases, especially on possibilities in case of language barriers, vaccination coverage in Ukraine, and dealing with missing vaccination records as well as drug lists.

Conclusions: Due to the new situation of Ukrainian refugees in Germany and the mentioned barriers, GPs should be supported in care. Information for practice teams as well as their networking with psychotherapeutic offers, contact points, drug databases, and regional interpreter services are urgently needed. However, multilingual information for Ukrainian patients should be disseminated in order to relieve the burden on practices, which have been under great strain, and to ensure continuity and quality of care.

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[对乌克兰难民的初级护理]。
背景:自乌克兰战争开始以来,已有760多万乌克兰人在欧洲国家登记为难民。在德国,这一数字估计超过100万。由于医疗保健系统、疾病流行程度、预防措施、健康行为和逃亡经历的不同,这些难民可能与德国患者有不同的健康需求。然而,全科医生(全科医生)几乎没有准备接触。目的:第一次,在乌克兰难民的治疗和支持需求的德国全科医生确定的挑战。材料与方法:在2022年7月和8月,通过在线调查对德国全科医生进行了横断面研究。结果:共有82名全科医生参与,有效率为16.0%;参与的全科医生中有52人在过去两周内治疗过乌克兰难民。总的来说,75.0%的人报告了护理方面的困难或特殊情况,特别是在沟通方面(61.5%),原因是缺乏关于以前疾病的信息(34.6%),以及对所提供服务的期望(30.8%)。在82名参与者中,59.8%的人报告需要多语言信息,特别是关于德国卫生保健系统、心理健康问题的帮助、联系点和药物使用的差异。37.8%的病例需要为实践小组提供信息,特别是在语言障碍情况下的可能性、乌克兰的疫苗接种覆盖率以及处理缺失的疫苗接种记录和药物清单方面。结论:鉴于乌克兰难民在德国的新情况和上述障碍,应支持全科医生的护理。迫切需要为实践团队提供信息,以及他们与心理治疗服务、联络点、药物数据库和区域口译服务的联系。但是,应向乌克兰病人散发多语文资料,以减轻一直承受巨大压力的做法的负担,并确保护理的连续性和质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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