Gesundheitswesen最新文献

{"title":"[Evaluation of Networks in Workplace Health Promotion using the Example of \"Gesunde Betriebe Kinzigtal\" - An Empirical Analysis].","authors":"Verena Koopmann, Hendrike Berger, Madeleine Renyi","doi":"10.1055/a-2234-7124","DOIUrl":"10.1055/a-2234-7124","url":null,"abstract":"<p><strong>Background: </strong>For years, there has been a high level of activity in creating networks in workplace health promotion (WHP). So far, there have only been a few evaluations of these network formations. The aim of this study was to evaluate networks in WHP using the example of the regional network \"Gesunde Betriebe Kinzigtal\" (Healthy Companies Kinzigtal). The network supports companies in the Kinzigtal in the implementation and realisation of WHP.</p><p><strong>Method: </strong>By means of an online survey, responsible employees of the participating companies evaluated the network and the measures for WHP. The focus was on the constructs of satisfaction and benefit as well as the perception of networks in WHP.</p><p><strong>Result: </strong>Of the 21 companies participating in the network, 13 took part in the study, which corresponds to a response rate of 62%. The analysis showed a positive evaluation of the network activities. The companies were satisfied with the network \"Gesunde Betriebe Kinzigtal\" as well as the measures for WHP and derived a benefit from it. Furthermore, the companies perceived the network as helpful and participation in it as beneficial.</p><p><strong>Conclusion: </strong>Networks provide support for the introduction and long-term implementation of WHP.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869814","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":"Olympischer Frieden.","authors":"Manfred Wildner","doi":"10.1055/a-2348-9890","DOIUrl":"10.1055/a-2348-9890","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996682","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":"[Things are Moving Forward! But History is not Yet Made].","authors":"Stefanie March, Enno Swart, Falk Hoffmann","doi":"10.1055/a-2373-2600","DOIUrl":"10.1055/a-2373-2600","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996681","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":"[Participatory Design of Health Technologies - Challenges and Requirements for Action from the Perspective of Health Services Research].","authors":"Sven Kernebeck, Theresa Sophie Busse, Florian Fischer, Jan P Ehlers","doi":"10.1055/a-2184-5731","DOIUrl":"10.1055/a-2184-5731","url":null,"abstract":"<p><p>The use of participatory design (PD) provides a framework for involving users in the process of developing healthcare technologies. Within PD, theoretical and methodological decisions need to be made. However, these decisions are often not adequately described or justified. This can lead to limited interpretability of the results. This paper has three objectives: First, to provide an overview of the key theoretical and methodological decisions that must be made in PD from the perspective of health services research; second, to describe the associated challenges and third, to describe action requirements for the future development of PD in health services research.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832317","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":"[Health Services Research in the Public Health Department - An Explorative Interview Study on Scientific Methodological Competence in the PHS in Baden-Württemberg, Germany].","authors":"Emily Piontkowski, Hannah Richter, Jonas Bischof, Anja Herrmann, Christine Preiser, David Häske, Stefanie Joos, Monika A Rieger","doi":"10.1055/a-2308-7059","DOIUrl":"10.1055/a-2308-7059","url":null,"abstract":"<p><strong>Background and aim of the study: </strong>One aim of the pact for the Public Health Service (\"Pakt für den ÖGD\") is to increase scientific activity in the Public Health Service (PHS). This study deals with the question, which methods related to health services research are known and applied in the PHS and which methods are needed by PHS employees in the federal state Baden-Württemberg in Germany.</p><p><strong>Methods: </strong>Guideline-based interviews (focus group and individual interviews) were conducted with 12 persons at different hierarchy levels from public health departments in Baden-Württemberg. The interviews were subjected to content analysis acording to Kuckartz.</p><p><strong>Results: </strong>The interviewees described their heterogeneous needs as well as their methodological competences. Staff members expressed existing competences more frequently than leaders. These competencies included those used in everyday work such as literature research in routinely collected data (e. g., school entry examination), or different methods for data analysis. Needs seemed to exist primarily in the area of data analysis and collection, but were also expressed in the area of basic scientific methods. Topics relating to guidelines for good scientific practice (e. g., ethics proposals) and publications were also rather less known. A need for a support from research institutions or higher authorities was frequently mentioned. In addition, motivation and barriers for research in public health departments were mentioned.</p><p><strong>Conclusion: </strong>This study shows that existing methodological competencies and needs are heterogeneous and can be attributed to the heterogeneous backgrounds and fields of activity of the interviewees. Competencies are indicated, for example, in literature research and analysis of existing data. There is a need in methods, for example, of data collection/analysis as well as in basic scientific methods and deepening of existing skills. Furthermore support offers regarding scientific methodological competence for public health departments are required. There is also a lack of research infrastructure (e. g. software, access to literature) and a legal basis. The results can serve as a basis for the design of demand-oriented methodological programs for employees of the PHS in Baden-Württemberg.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873030","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":"[Expectations And Motivations Of Young Occupational Medical Physicians: A Quantitative Survey Of Five German Academies].","authors":"Pauline Kaboth, Marie Makowka, Daniel Kämpf, Ilona Efimov, Stephanie Droessler, Melanie Schubert, Stephan Letzel, Volker Harth, Andreas Seidler","doi":"10.1055/a-2249-6079","DOIUrl":"10.1055/a-2249-6079","url":null,"abstract":"<p><strong>Study aim: </strong>The aim of this study was to describe the characteristics of future occupational physicians and to evaluate their expectations from and motivations for undertaking postgraduate medical education courses in occupational medicine. This will provide a basis for further increasing the attractiveness of occupational medicine as a discipline in preventive medicine and counteracting the shortage of occupational medical physicians.</p><p><strong>Methods: </strong>At five locations in Germany, physicians in postgraduate medical education courses in occupational medicine were asked about their expectations from occupational medicine, their reasons for starting postgraduate medical education courses, and their assessment of these courses. The survey took place between 2018 and 2021. The data were analysed descriptively, and a cluster analysis was applied to identify the types of motives for continuing postgraduate medical education courses in occupational medicine.</p><p><strong>Results: </strong>Of the 233 respondents, the majority were female (68.5%) and the mean age was 43.1 years (SD 7.9 years). The response at the State Chamber of Physicians of Saxony was 50% and at the remaining four academies was between 18% and 23%. The analysis revealed four different types of motives: \"career & interest\", \"work & life balance\", \"self-employment\" and \"desire for change\". Two-thirds of the participants were in favour of a greater integration of occupational medicine into medical school curriculum.</p><p><strong>Conclusions: </strong>The results suggest that there are different motives that lead physicians to pursue continuing education in occupational medicine. These motives should be considered when recruiting young occupational physicians.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873029","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":"[Care and Support for same-sex Couples during Pregnancy and Childbirth].","authors":"Barbara Schildberger, Melanie Weglehner-Pilgerstorfer, Sarah Christl-Sebinger","doi":"10.1055/a-2308-3422","DOIUrl":"10.1055/a-2308-3422","url":null,"abstract":"<p><strong>Introduction: </strong>Since 2015, same-sex couples in Austria have been able to fulfil their desire to have children with the help of reproductive medicine services. The aim of this study was to determine the needs of women and the special features of care for women in couple relationships during pregnancy and childbirth.</p><p><strong>Methodology: </strong>Eight interviews were conducted with Austrian women in same-sex relationships using a semi-structured guideline. The women were recruited by means of a convenience sample via an association and word of mouth. The content of the collected data was analysed using the recommended Mayring method.</p><p><strong>Results: </strong>In the obstetric accompaniment of same-sex female couples, it became obvious that the usual use of language was inappropriate and alternatives to the term father, such as the term co-mother, were insufficiently established. Openness, acceptance and understanding as well as being seen as a holistic family were considered important prerequisites for improving the quality of care. In addition, the inclusion of the non-pregnant mother was considered essential. Despite their non-traditional couple relationship, female couples wanted care without special status and prejudice.</p><p><strong>Discussion and conclusion: </strong>A comprehensive socio-political discourse is still needed to promote the normality of family models beyond heteronormativity. Unbiased, supportive obstetric care can offer rainbow families a framework in which children can develop healthily from the outset.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867830","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":"[Socio-Cultural and Professional Integration of Foreign-Born and Foreign-Educated Physicians in German Outpatient Care: an Interview-Based Study in Baden-Württemberg and Hessen].","authors":"Angelina Gresser, Stefanie Joos, Heidrun Sturm","doi":"10.1055/a-2319-3160","DOIUrl":"https://doi.org/10.1055/a-2319-3160","url":null,"abstract":"<p><p>Introduction In recent years, it has become increasingly hard to fill outpatient physician vacancies in all parts of Germany. This development is particularly pronounced in general practice. At the same time, the number of doctors trained abroad is increasing, predominantly in the inpatient sector. In the next few years, foreign-born and -trained physicians will presumably be increasingly active also in the field of family medicine. The aim of this study was to explore experiences, support needs and possible improvements from the perspective of such physicians in the outpatient sector with a focus on primary care.Method In this qualitative study, semi-structured interviews were conducted with physicians not raised and trained in Germany and working in the outpatient setting in Germany. The evaluation was carried out by means of qualitative content analysis. Categories were derived in a deductive-inductive manner.Results Thirteen physicians (of which nine were primary care physicians) were interviewed. Next to the deductively derived main categories (departure, des-orientation, adaptation) four subcategories as overarching problems emerged in the interviews: Administrative tasks, communication and professional as well as social adaptation / integration in Germany. Proposed solutions were categorized in structuring measures (official, easily accessible guidelines for physician migration, paid qualification period), specific preparatory courses for the outpatient sector, and personal support such as mentoring and networking of outpatient physicians in training.Conclusions Some of the problem areas mentioned were similar to those known from the inpatient setting. To support sustainable recruitment in the outpatient sector, specific preparatory courses and the promotion of networking among physicians appeared to be additional measures that would benefit physicians applying for positions in the outpatient sector and also easy to implement.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856794","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":"[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":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Distribution of Health Science Experts and Public Health Professionals in Public Health Departments in Germany].","authors":"Janine Kleinschmidt, Benjamin Ewert, Wolfgang Lenz, Jasper Plath","doi":"10.1055/a-2304-5201","DOIUrl":"https://doi.org/10.1055/a-2304-5201","url":null,"abstract":"<p><strong>Background: </strong>There is limited data on the number and distribution of academically qualified professionals in the field of Public Health at the lower level of health authorities. The aim of this study was to analyze the distribution of Public Health Professionals in Public Health Authorities in Germany.</p><p><strong>Method: </strong>An online survey was conducted with the directors of the 376 German Public Health Authorities regarding the presence of Public Health Professionals and their views on personnel needs. The term Public Health Professionals was operationalized. The survey took place starting in 06/2023 over a period of 14 weeks. The results were descriptively analyzed.</p><p><strong>Results: </strong>The participation rate in the survey was 40.4% (n=152). On average, the participating Public Health Authorities employed 2.6 (SD 3.85, MD 2) Public Health Professionals. 28.3% (n=43) of directors reported not employing any Public Health Professionals. 78.3% (n=119) of the leadership reported needing more staff. Additionally, 65.1% (n=99) expressed the need for more personnel with a degree or those with additional training in the field of Public Health.</p><p><strong>Conclusion: </strong>Personnel from the field of Public Health are not yet represented in all Public Health Authorities in Germany. Both the distribution of Public Health Professionals in the participating Public Health Authorities and the views of the department heads regarding the needs of this professional group in their own Public Health Authorities are heterogeneous. In summary, there is a clear need to strengthen collaboration between academic Public Health Professionals and the Public Health Authorities.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761678","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}