Gesundheitswesen最新文献

{"title":"[Interdisciplinary Recommendations for the Development of Health Kiosks as Low-Threshold, Community Care Structures.]","authors":"Geraldine Kutschke, Lea Kutschke, Lena Sauder, Alice James, Stefan Woelwer, Sinje Gehr","doi":"10.1055/a-2403-1703","DOIUrl":"10.1055/a-2403-1703","url":null,"abstract":"<p><p>In a termsheet released on 31st of August 2022, the Federal Ministry of Health in Germany proclaimed its intention to establish 1,000 health kiosks across the country. The aim of this innovation was to improve and coordinate access to healthcare, especially for people with higher requirements for support and in rural areas. Communes hold the right to initiate the local establishment of health kiosks while being funded mainly by health insurance companies. However, ways of regional implementation of these health kiosks are yet to be sorted out. In the following interdisciplinary mixed-methods research project, health-related social work and design sciences examine how health kiosks can be arranged under current conditions. Our study provides local authorities with a catalogue of methods for promoting interdisciplinary cooperation as well as practical recommendations and prototype design proposals in the form of a blueprint for the independent development and implementation of locally adapted health kiosks.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"47-53"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Ensuring Future Primary Care from a Municipal Perspective].","authors":"Philip Schillen, Jürgen In der Schmitten, Johanna Bolland, Benjamin Borchardt","doi":"10.1055/a-2320-2740","DOIUrl":"10.1055/a-2320-2740","url":null,"abstract":"<p><strong>Background: </strong>In view of the continuing shortage of general practitioners, ensuring access to (primary) medical care close to home is also becoming increasingly important for local authorities. The aim of the present study was to analyse the current and future provision of primary care from the viewpoint of the municipalities in North Rhine-Westphalia (NRW). From the results, it should be possible to derive future health policy design of a needs-based primary care close to home.</p><p><strong>Methods: </strong>In an online survey in spring 2023, we surveyed the mayors or representatives of health departments of all 427 municipalities (396 cities and communities, 31 districts) in NRW in cooperation with the NRW Association of Cities and Municipalities, the NRW Association of Counties and the NRW Association of Cities. The items of the questionnaire (n=28) were developed on the basis of two other surveys on medical care in Lower Saxony and Baden-Württemberg, each with a municipal policy target group. They were tested in repeated pretests.</p><p><strong>Results: </strong>In total, 192 municipalities participated in the survey (response rate: 45.0%). The majority of the municipalities (86.6%) considered the local provision of primary care to be (rather) not ensured within the next 10 years. The municipalities expressed the wish for more opportunities to exert their own influence (79.5% yes or rather yes), but nevertheless considered a stronger commitment, especially of the Associations of Statutory Health Insurance Physicians (85.4%), as well as an intensification of assumption of responsibility by the federal states (72.4%) to be necessary for ensuring primary care.</p><p><strong>Conclusion: </strong>The survey shows that municipalities are quite aware of the problem of future deficits in the supply of general practitioners at the local level. The results also indicate that, in view of increasing supply shortfalls, the municipalities see obligations for the Associations of Statutory Health Insurance Physicians and the federal states to take responsibility and to exert greater political pressure in the future. The municipal perspective is an essential building block in considerations of how primary care can be ensured in the future. The responsible stakeholders should therefore involve the municipal level in the planning and measures to secure primary care more closely than in the past.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"38-46"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Early Detection Of Type 1 Diabetes By Islet Autoantibody Screening: A Position Paper Of The Fr1daplex Project Leaders And Training Centres, Bvkj Bavaria And Paednetz (Registered) Bavaria].","authors":"Peter Achenbach, Reinhard Berner, Ezio Bonifacio, Susanne Brämswig, Sonja Braig, Desiree Dunstheimer, Uwe Ermer, Dominik Ewald, Gita Gemulla, Julia Hauer, Florian Haupt, Gabi Haus, Michael Hubmann, Sandra Hummel, Michael Kandler, Olga Kordonouri, Karin Lange, Otto Laub, Anja Lorrmann, Nicole Nellen-Hellmuth, Marina Sindichakis, Thekla von dem Berge, Katharina Warncke, Leonie Weber, Christiane Winkler, Philip Wintermeyer, Anette-Gabriele Ziegler","doi":"10.1055/a-2320-2859","DOIUrl":"10.1055/a-2320-2859","url":null,"abstract":"<p><p>This position paper is based on the authors' many years of clinical experience and basic science research on the diagnosis and treatment of children and adolescents with a presymptomatic early stage of type 1 diabetes. The benefits as well as potential disadvantages of early detection of type 1 diabetes by islet autoantibody screening are critically discussed. In addition, the perspectives of delaying the onset of the clinical metabolic disease through treatment with teplizumab are addressed. Today, we see the chance for a relevant improvement in therapeutic options and life perspectives of affected children and adolescents. Important next steps for the implementation of islet autoantibody screening in Germany are the training of pediatricians who should inform families about the screening, establishment of a few transregional laboratories that carry out the test, and expansion of regional capacities for the training and care of children with an early stage of type 1 diabetes.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"27-37"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Findings from the Implementation of the Measles Protection Act after the First Three Years of its Introduction - Data from Darmstadt Dieburg (Hesse)].","authors":"Katrin Simone Steul, Regina Fertig, Raphaela Heinrich, Roswitha Reisert, Jürgen Krahn","doi":"10.1055/a-2365-1400","DOIUrl":"10.1055/a-2365-1400","url":null,"abstract":"<p><strong>Background: </strong>When the Measles Protection Act as part of the Infection Protection Act came into force 2020, various types of facilities were obliged to report. The public health department of the city of Darmstadt and the district of Darmstadt Dieburg aimed to find out to what extent these facilities have complied with the reporting obligation and whether any conclusions could be derived from the data on the vaccination status of the respective group of people.</p><p><strong>Method: </strong>Reports from the facilities and the feedback from those affected (or their legal guardians) were reviewed and evaluated descriptively. They were divided into groups (1) schoolchildren, (2) children from other childcare facilities, (3) those in municipal accommodation for refugees and (4) those employed in one of these or in a medical facility (§§23, 33, 36 German Infection Protection Act).</p><p><strong>Results: </strong>1,527 children (2.5% of all pupils in Darmstadt Dieburg) with incomplete or unknown immunity to measles were reported from 138 schools. 70% of these provided documentation of sufficient immunity after receivng the letter from the public health department, so that it can be concluded that less than 1% (0.76%) of children were without measles protection. 17 children with incomplete vaccination status were reported from the other childcare facilities. 3,986 people with incomplete vaccination status were reported from the refugee accommodation facilities, of which 566 (14.2%) submitted complete proof after receiving a letter from the public health department. A total of 17 employees were reported from the facilities according to §§23, 33 and 36 Infection Protection Act.</p><p><strong>Conclusion: </strong>The reporting obligation was met in very different ways by different facilities. No statement could be made about the vaccination status of the various groups of people affected by the Measles Protection Act, as it could not be assumed with certainty that the facilities had reported comprehensively.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"62-68"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Guidelines Within And For Public Health Services: Results Of An Online Survey On Current Practical Needs].","authors":"Laura Arnold, Maria Steinisch, Anna Kuehne, Anna Schwabe, Elke Jakubowski, Anjali Scholten, Jan M Stratil","doi":"10.1055/a-2406-4786","DOIUrl":"10.1055/a-2406-4786","url":null,"abstract":"<p><p>Evidence-based guidelines are recognized and well-established in everyday medical practice. However, in the Public Health Service (PHS), evidence-based guidelines are not yet widely available. To promote the development of guidelines within and for the ÖGD, the Federal Joint Committee (GBA) issued a funding directive in June 2024. This study presents the results of an online survey on the prioritization of guideline topics in the ÖGD, conducted by the German Society for Public Health Services (DGÖG). The survey focused on 17 guideline topics proposed by the GBA, which were divided into six task areas. Out of over 900 participants, comprehensive responses from nearly 500 respondents were analyzed, 85% of whom work in local health departments. The results showed that all 17 guideline topics were assigned high or very high priority. Particularly frequently prioritized were the areas of infection hygiene monitoring, medical expert assessment, and psychosocial emergency care. Additionally, experts highlighted dental screening, health literacy on oral health, and monitoring of drinking and bathing water. The qualitative analysis further identified additional relevant topics, including health reporting and planning, health promotion and prevention, child welfare, as well as crisis management and communication. The survey provides insights into the priority topics for guidelines as perceived by practitioners and ÖGD researchers. The results underscore the significant need for evidence-based guidelines in and for the ÖGD and provide valuable insights for further development and prioritization.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"57-61"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategien der Prävention.","authors":"Manfred Wildner","doi":"10.1055/a-2419-8655","DOIUrl":"10.1055/a-2419-8655","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"87 1","pages":"17-20"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Physical Activity-Related Health Services in Germany: Relevance and Necessary Framework Conditions - a Position Paper of the DNVF Working Group Physical Activity-Related Health Services Research].","authors":"Andrea Schaller, Christian Thiel, Stefan Peters, Wolfgang Geidl, Klamroth Sarah, Martin Lange, Sabrina Kastaun, Sonja Krupp, Heike Spaderna, Katharina Eckert, Marion Grafe, Claudia Voelcker-Rehage, Gisela Nellessen-Martens, Klaus Pfeifer, Gorden Sudeck, Joachim Wiskemann, Bettina Wollesen, Lars Gabrys","doi":"10.1055/a-2420-8793","DOIUrl":"10.1055/a-2420-8793","url":null,"abstract":"<p><p>Based on the relevance of an established and broad foundation of physical activity in healthcare, this position paper of the DNVF working group Physical Activity-Related Health Services research presents current conceptual approaches to physical activity-related health services in Germany and highlights the need for interprofessional and interdisciplinary approaches. Three central positions are outlined and elaborated in order to integrate the evidence on health benefits of physical activity and exercise more strongly into healthcare and to show that, against the background of the challenges in the German healthcare system, physical activity-related health services can make a cost-effective and high-quality contribution to improve healthcare. These three positions include 1) the integration of all professional groups involved in healthcare into physical activity-related health services, 2) the greater integration of physical activity professions and physical activity interventions into all healthcare contexts and 3) the systematic consideration of physical activity- and exercise-related expertise in clinical guidelines.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"69-78"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Access to and use of Data for better Healthcare: A Plea for a cooperative data and Research Infrastructure of Statutory and Private Health Insurers and the Network University Medicine (NUM)].","authors":"Jochen Schmitt, Peter Ihle, Olaf Schoffer, Jens-Peter Reese, Steffen Ortmann, Enno Swart, Sabine Hanß, Falk Hoffmann, Christoph Stallmann, Monika Kraus, Sebastian Claudius Semler, Ralf Heyder, Jörg Janne Vehreschild, Peter Heuschmann, Dagmar Krefting, Martin Sedlmayr, Wolfgang Hoffmann","doi":"10.1055/a-2438-0670","DOIUrl":"10.1055/a-2438-0670","url":null,"abstract":"<p><p>With the Network of University Medicine (NUM) and the Medical Informatics Initiative (MII), the BMBF is funding two pioneering, structure-building research measures that are now being merged. The data integration centers (DIZ) of the MII are to be consolidated in the NUM. The aim is to establish a standardized research infrastructure within which the existing data from the clinical routine care of the 36 German university hospitals, from clinical cohorts and clinical-epidemiological studies can be used for various research questions upon request and via coordinated processes. The legal basis for this was the MII's \"Informed Broad Consent\", which had been agreed upon with ethics committees and data protection authorities and implemented in all NUM locations, with a so-called \"health insurance module\" that allows the collection and linking of routine medical data from statutory health insurance funds (GKV) and private health insurers (PKV) as a category of care-related data (VeDa). Linking this routine data with data from hospital information systems offers particularly high potential, as no single data source provides a complete picture of medical care and the two data sources complement each other optimally. The aim now is to integrate this routine data into the NUM's secure, transparent and participatory research infrastructure in a strategic partnership with statutory health insurance funds and private health insurance companies. This promotes Germany in its role as a research location and makes a decisive contribution to improving the quality and safety of healthcare in Germany in an evidence-based manner.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilotierung einer Surveillance zu akuten respiratorischen Erkrankungen: COVID-19 Monitoring mittels Arbeitsunfähigkeitsbescheinigungen.","authors":"Inga Overesch, Ulrike Junius-Walker, Johanna Schneider, Mareike Wollenweber, Karina Usipbekova, Wiebke Böhne, Ina Holle, Johannes Dreesman, Elke Mertens, Sveja Eberhard","doi":"10.1055/a-2497-6449","DOIUrl":"https://doi.org/10.1055/a-2497-6449","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Health Promotion and Health Literacy in the Legal Foundations of the Austrian Healthcare System].","authors":"Johannes Marent, Regina Aistleithner","doi":"10.1055/a-2415-7222","DOIUrl":"10.1055/a-2415-7222","url":null,"abstract":"<p><strong>Background: </strong>Health reform sees health promotion (HP) and health literacy (HL) as essential cornerstones for achieving health policy goals. This article examines the extent to which the legal foundation in the Austrian healthcare system provides a basis for orientation towards HP and HL. The focus of the analysis was set on medical professions, the health care and nursing professions, hospitals, and primary health care facilities.</p><p><strong>Methods: </strong>In a first step, legal and other relevant documents were reviewed. For this, a literature-based coding grid was created. In a second step, the legal bases were analyzed and interpreted using the coding grid. Recommendations were derived from the analysis of the legal basis and experts' assessments.</p><p><strong>Results: </strong>Health promotion and health literacy are included in the general legal foundations. However, HP/HL is primarily conceived as a supplementary service with separate financing and is thus less understood as an integral part of any patient contact. The primary health care units and the nursing professions have a relatively clear mandate with regard to HP/HL compared to the hospitals and medical professions. Overall, it was recognized that terminology should be used more coherently and operationalized for the respective areas of cure and care. In particular, the legal bases relating to the medical professions do not build on one another in a coherent manner.</p><p><strong>Conclusions: </strong>Having adequate staff is the key to HP/HL. If these are in place, competencies in the field of HP/HL should be required, promoted, evaluated, and rewarded. HP/HL should be an integral part of any care setting. The concepts of health promotion and health literacy should be operationalized in the legal frameworks of health professions and organizations. This is especially true for the Physicians' Act and for hospitals. Furthermore, the role of patients should be strengthened and the involvement of users in the planning of health services should be further developed.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"788-797"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}