Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[Development and evaluation of an assessment tool for organisational health literacy].","authors":"Daniel Lüdecke, Olaf von dem Knesebeck, Martin Härter, Izumi Klockmann, Johanna Heeg","doi":"10.1007/s00103-025-04018-4","DOIUrl":"10.1007/s00103-025-04018-4","url":null,"abstract":"<p><strong>Background: </strong>In research on organisational health literacy (OHL), there is a lack of standardised assessment tools for measuring and comparing the OHL of different organisations. This article therefore examines (1) which criteria for assessing OHL can be derived from research and practice, (2) how these are implemented in organisations and (3) the psychometric properties of a questionnaire developed from them.</p><p><strong>Methodology: </strong>OHL criteria were identified by means of literature research and workshops. The criteria were agreed upon in a Delphi study and an assessment tool was developed. An online questionnaire was developed and psychometrically tested. Measures such as Cronbach's alpha, item selectivity and difficulty, and floor/ceiling effects were used for the analysis.</p><p><strong>Results: </strong>Over 500 criteria were identified and an assessment tool of 77 criteria (5 main categories and 17 sub-categories) was developed. The subject of \"Barrier-free access and navigation\" was best implemented in healthcare organisations. The psychometric properties showed a good to excellent internal consistency of the questionnaire structure. Only one main category showed significant floor effects; there were no ceiling effects. At the item level, ceiling effects were found for 13 items, and 39 items showed a satisfactory discriminatory power.</p><p><strong>Discussion: </strong>OHL is a multidimensional construct that is well represented by the assessment tool. Further validation with larger samples is necessary for the use of the tool as a questionnaire for measuring OHL and for comparison between institutions. A reduction in the number of criteria can improve the consistency of the content of the main and sub-categories.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"274-281"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405773","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 literacy as a prerequisite for dealing with health-related information and services].","authors":"Ursula von Rüden, Uwe Koch-Gromus","doi":"10.1007/s00103-025-04009-5","DOIUrl":"10.1007/s00103-025-04009-5","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 3","pages":"229-230"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514785","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":"[The concept of health literacy in transition].","authors":"Saskia Maria De Gani, Elena Alder, Anna-Sophia Beese","doi":"10.1007/s00103-024-04004-2","DOIUrl":"10.1007/s00103-024-04004-2","url":null,"abstract":"<p><p>Health literacy is a central resource for health-related decisions. Since the 1970s, however, the understanding of this term has changed in several ways. Initially, health literacy was considered only from the point of view of individual competencies, but in recent decades it has evolved into a more contextual understanding. Despite this conceptual evolution, current social and health challenges are still not adequately addressed.This article reflects on the developments in the understanding of the concept and on the relevance of health literacy in the face of the current polycrisis. Reference is made to a recent concept paper developed by the authors, which shows that health literacy is a central resource at the interface of healthcare, disease prevention, and health promotion and that it can occur at different levels and in different forms. The discussion on health literacy also highlights the need to consider the challenges of systems, organizations, and settings, as decisions about health and well-being are made in all these contexts.The importance of health literacy as a key resource is increasing, particularly in addressing current social challenges, and is gaining additional relevance as a social determinant of health. Health literacy interventions can only be effectively developed, implemented, and evaluated if a shared understanding of health literacy exists, current challenges and contexts are considered, and key stakeholders act together when implementing measures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"240-246"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982833","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":"[Effects of high thermal stress on health-a nationwide analysis based on statutory health insurance routine data between 2012 and 2021].","authors":"Jobst Augustin, Sandra Hischke, Peter Hoffmann, Dante Castro, Nadia Obi, Alice Czerniejewski, Roman Dallner, Laurens M Bouwer","doi":"10.1007/s00103-024-03968-5","DOIUrl":"10.1007/s00103-024-03968-5","url":null,"abstract":"<p><strong>Background: </strong>The extent to which statutory health insurance (SHI) data can be used to map associations between thermal stress and heat-related diseases is still unclear. The aim of this study is to analyse the association between climate variability and heat-associated diseases using insurance data.</p><p><strong>Methods: </strong>The study is based on claims data (outpatient and stationary) from health insurance companies in Germany for the years 2012-2021, covering approximately 11 million people with statutory health insurance. Four heat-related ICD-10 diagnoses were considered: T67 (heat and sun damage), E86 (volume depletion), N17 (acute renal failure) and N19 (renal insufficiency). Thermal conditions were quantified using meteorological variables. The evaluation was carried out on a federal state-specific basis for the second and third quarters (Q2, Q3) using descriptive methods and correlation analyses with repeated measurements.</p><p><strong>Results: </strong>The years 2016, 2018 and 2020 were characterised by high temperatures. Compared with Q2, Q3 was associated with higher thermal stress and more heat-related diagnoses on average during the entire observational period. Nationally, diagnoses of heat and sun damage (outpatient) correlated with the number of hot days (r_mw = 0.86 [0.81; 0.90]). Although heat stress is lower in the second quarter, a similar correlation is found here (r_mw = 0.76 [0.68; 0.82]). This striking association was also maintained when analysing the federal states specifically.</p><p><strong>Discussion: </strong>The article shows that associations between thermal stress and morbidity can also be found in routine SHI data. Against the background of an increase in high thermal stress due to climate change, this article highlights the need for adaptation measures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"119-129"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495719","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":"[Digital public health in Germany: status quo, challenges, and future perspectives : A position paper of the Digital Public Health Section of the German Public Health Association].","authors":"Laura Maaß, Christoph Dockweiler, Zora Hocke-Bolte, Stephanie Hoffmann, Florian Fischer, Sarah Forberger, Janika Gebert, Felix Holl, Robert Hrynyschyn, Sven Kernebeck, Claudia Pischke, Jacqueline Posselt, Jacob Spallek","doi":"10.1007/s00103-024-03989-0","DOIUrl":"10.1007/s00103-024-03989-0","url":null,"abstract":"<p><p>This position paper from the Digital Public Health Section of the German Public Health Association defines digital public health (DiPH) and describes its goals and potential. It also addresses the current situation and challenges as well as the need for action in Germany. The focus here is on the presentation of the nationwide promotion of (digital) health literacy; the application of DiPH in prevention, health promotion, and healthcare; the use of innovative preventive strategies for the prevention of non-communicable diseases; and the teaching of DiPH in academic public health programs. Finally, relevant measures and demands to strengthen DiPH in Germany are summarized.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"176-184"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784273","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":"[Cause of death statistics-how to avoid misinterpretation of mortality data].","authors":"Susanne Stolpe, Bernd Kowall","doi":"10.1007/s00103-024-03986-3","DOIUrl":"10.1007/s00103-024-03986-3","url":null,"abstract":"<p><p>National mortality registers provide important data for monitoring population health. Analyses of cardiovascular mortality in particular-and especially mortality from coronary heart disease-are frequently the basis for conclusions about the quality of healthcare and prevention. To be able to interpret disease-specific mortality differences between countries and changes in mortality over time, it is necessary to know the basics of monocausal cause-of-death statistics and the associated limitations in comparative statements.Conclusions from disease-specific mortality data can be problematic due to the highly subjective selection of diseases that are entered on a death certificate after a post-mortem examination. In death certification, unawareness of the different \"roles\" of specific diseases-known at the time of death-within the causal chain leading to death can result in incomplete death certificates as a data basis for mortality statistics. Comparisons of disease-specific mortality rates are difficult due to different proportions of non-informative-including unknown-causes of death and due to country-specific preferences for which diseases are recorded on a death certificate-especially in the prevalence of multimorbidity. A population's morbidity is therefore only reflected to a limited extent by mortality rates. Conceptual ambiguities with regard to the concepts of lethality and mortality when describing mortality rates can also lead to erroneous conclusions.Training of medical staff on how to complete a death certificate and the introduction of an electronic death certificate can improve the quality of mortality data. Irrespective of this, knowing potential pitfalls when analyzing mortality data will improve the quality of health reporting.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"167-175"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766565","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 data: over-, under-, and misuse?]","authors":"Joseph Kuhn","doi":"10.1007/s00103-024-04003-3","DOIUrl":"https://doi.org/10.1007/s00103-024-04003-3","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 2","pages":"117-118"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051602","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":"[Workload and mental health of nursing staff in Germany during the COVID-19 pandemic-a scoping review].","authors":"Dagmar Arndt, Thomas Hering","doi":"10.1007/s00103-024-03984-5","DOIUrl":"10.1007/s00103-024-03984-5","url":null,"abstract":"<p><strong>Background: </strong>In March 2023, there was no comprehensive overview of job demands, resources, and mental health consequences for nurses in Germany during the COVID-19 pandemic. Because of country-specific differences with regard to the course/management of the pandemic and the organization of the healthcare system, data from Germany were analyzed specifically.</p><p><strong>Methods: </strong>A systematic search in databases (PubMed/Medline, PsycINFO) yielded 50 relevant studies that were included in the scoping review.</p><p><strong>Results: </strong>The studies were based on cross-sectional designs, mostly from the hospital setting and the first year of the pandemic. Frequently investigated job demands were work intensification, lack of protective equipment, rapidly changing regulations, contact with COVID-19 patients, and pandemic-related worries/anxieties. Pandemic phase and setting-specific demand cascades became clear. Frequently examined mental health problems (including stress experience, anxiety, depression, burnout, and intention to change career/job) were higher in groups with higher levels of reported job demands. Nurses generally reported less favorable values than medical professionals. Social support, reward/appreciation, humor, resilience, and sense of coherence proved to be resources.</p><p><strong>Conclusion: </strong>In preparation for further pandemics and crises, pre-pandemic job demands should be reduced through targeted measures and relevant resources should be strengthened. Pandemic-specific job demands should be systematically reflected and cross-organizational solutions developed. Longitudinal studies using validated instruments and intervention studies should be the focus of future research funding.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"130-140"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766608","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":"Erratum zu: Einsamkeit: Ein Begriff für viele Wirklichkeiten.","authors":"Joseph Kuhn, Martin Härter, Peter Brieger, Steffi G Riedel-Heller","doi":"10.1007/s00103-024-03976-5","DOIUrl":"10.1007/s00103-024-03976-5","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"187-188"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709249","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":"[Do basic welfare payments in Germany cover the food costs of a healthy diet for children and adolescents?]","authors":"Aziza J Belgardt, Mathilde Kersting, Kathrin Sinningen, Anjona Schmidt-Choudhury, Frank Jochum, Martin Claßen, Thomas Lücke","doi":"10.1007/s00103-024-04001-5","DOIUrl":"10.1007/s00103-024-04001-5","url":null,"abstract":"<p><strong>Introduction: </strong>Families in Germany who live in poverty receive citizens' benefits (Bürgergeld) within the context of welfare legislation. Basic rates for children and adolescents are included in these benefits and staggered into three groups according to age. The need for nutrition is the largest category of the basic rate. The Optimized Mixed Diet (OMD) is a practical concept of a healthy diet for children and adolescents aged 1-18 years. Traditional and home-cooked meals are preferred. The aim of this project was to calculate the food costs of the OMD based on the underlying 7‑day meal plan.</p><p><strong>Methods: </strong>The lowest shelf prices of 87 different foods from the OMD were recorded during market inspections in different food retailers (1 supermarket, 1 discounter; November 2022, Bochum, Germany). The nutrition basic rate was compared to the total food costs per month in accordance with the age groups of the welfare legislation as well as of the German Nutrition Society (DGE) reference values. Furthermore, the contributions of the food groups were determined based on total costs and total energy intake of the OMD.</p><p><strong>Results: </strong>The food costs of the OMD are covered 101-109% by the standard nutritional rate of the citizens' benefits for every age group of the welfare legislation. The costs for the more narrowly defined DGE age groups are covered as well with a few exceptions. The main cost drivers of the OMD were vegetables/raw foods, and the main energy sources were bread/cereal products.</p><p><strong>Discussion: </strong>The current citizens' benefits can cover the nutritional requirement of children and adolescents, provided that meals are self-cooked and low-priced foods are used. The question remains to what extent the social needs for participation can be fulfilled as well.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"160-166"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977776","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}