Hausärztliche Versorgung ukrainischer Geflüchteter

Tillmann, Judith; Weckbecker, Klaus; Wiesheu, Paul; Bleckwenn, Markus; Deutsch, Tobias; Münster, E

doi:10.1007/s44266-022-00001-3

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…As also identified in other studies [6,16,28], refugees in our study perceived some information and support needs to healthcare regarding communication. In many cases, the treating physicians demanded that an interpreting person must be present.…”

Section: Information and Support Needssupporting

confidence: 85%

“…Nevertheless they now face new regulations due to the EU mass influx directive [3] and also a lack of information flow, e.g. in regard of information for practice teams and a lack of networking with psychotherapeutic services, contact points, medication databases and regional interpreter services [6]. Differences in the healthcare systems, such as their structure and initial contacts/pathways in case of illness, prescription rules of medication, and coping with diseases may play a role in becoming familiar with another healthcare system.…”

Section: Introductionmentioning

confidence: 99%

“…Communication, lack of information on previous illnesses, refugees' expectations of services to be provided (e.g. routine unsubstantiated blood tests, thyroid tests, prescription of multivitamin supplements), and drug prescription due to unavailable or unknown medication were mentioned by GPs as the most common challenges [6]. A publication from Poland on health system differences between Ukraine and Poland indicates differences in immunization programs and prevalence of some infectious diseases [16].…”

Section: Introductionmentioning

confidence: 99%

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Identifying gaps in healthcare: a qualitative study of Ukrainian refugee experiences in the German system, uncovering differences, information and support needs

Rolke,

Walter,

Weckbecker

et al. 2024

BMC Health Serv Res

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Background The 5.8 million Ukrainian refugees arriving in European countries must navigate varying healthcare systems and different and often unknown languages in their respective host countries. To date, there has been little exploration of the experiences, perceived differences, information and support needs of these refugees regarding the use of healthcare in Germany. Methods We conducted ten qualitative interviews with Ukrainian refugees living in Germany from February to May 2023, using Ukrainian, English and German language. The transcribed interviews were analysed using the qualitative content analysis method according to Kuckartz and Rädiker with the MAXQDA software. Results In general, participants consistently had a positive experience of the German healthcare system, particularly regarding the quality of treatments and insurance. Differences have been reported in the structure of the healthcare systems. The Ukrainian healthcare system is divided into private and state sectors, with no mandatory insurance and frequent out-of-pocket payments. Pathways differ and tend to focus more on clinics and private doctors. General practitioners, often working in less well-equipped offices, have only recently gained prominence due to healthcare system reforms. Initiating contact with doctors is often easier, with much shorter waiting times compared to Germany. Interviewees often found the prescription requirements for many medications in Germany to be unusual. However, the mentioned differences in healthcare result in unmet information needs among the refugees, especially related to communication, navigating the healthcare system, health insurance, waiting times and medication access. These needs were often addressed through personal internet research and informal (social media) networks because of lacking official information provided during or after their arrival. Conclusions Despite the positive experiences of Ukrainian refugees in the German healthcare system, differences in the systems and language barriers led to barriers using healthcare and information needs among refugees. The dissemination of information regarding characteristics of the German health care system is crucial for successful integration but is currently lacking. Trial Registration German Clinical Trials Register: DRKS00030942, date of registration: 29.12.2022.

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Section: Information and Support Needssupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identifying gaps in healthcare: a qualitative study of Ukrainian refugee experiences in the German system, uncovering differences, information and support needs

Rolke,

Walter,

Weckbecker

et al. 2024

BMC Health Serv Res

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“…First, the response rate was limited. Nevertheless, a comparable rate would be expected based on many other studies conducted among similar samples of physicians in Germany [46][47][48][49]. We tried to make the survey as attractive as possible by limiting its length, including multiple-choice options and offering several possibilities for completion: on paper (with free-of-charge postage) and through computer, tablet or mobile phone (via a link or QR code).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Behaviors regarding Tick-Borne Encephalitis Vaccination and Prevention of Tick-Borne Diseases among Primary Care Physicians in Bavaria and Baden-Wuerttemberg, Germany, May–September 2022

Coyer

Sogan-Ekinci²,

Greutelaers³

et al. 2023

Microorganisms

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In 2020, a record number of tick-borne encephalitis (TBE) cases was reported in major endemic areas in Germany, i.e., the southern federal states of Baden-Wuerttemberg and Bavaria. Most cases were unvaccinated. Other tick-borne diseases (TBDs), including Lyme borreliosis and tularemia, are rising, too. Thus, strategies are needed to increase TBE vaccination uptake in risk areas and promote education on TBD prevention. Primary care physicians are key providers of both vaccinations and TBD education. The TBD-Prevention (TBD-Prev) study aimed to investigate the knowledge, attitudes and behaviors of primary care physicians in Baden-Wuerttemberg and Bavaria with regard to TBE vaccination and prevention of TBDs and to derive strategies for increasing vaccination rates and improving knowledge about TBE and other TBDs in the population and among primary care physicians. We invited all primary care physicians (N = 14,046) in both states to participate by mail. Using standardized, self-administered questionnaires, available both on paper and online, we asked physicians anonymously about their knowledge, attitudes and behaviors with respect to TBE vaccination and TBD prevention and their need for further information/educational materials. A total of 2321 physicians participated between May and September 2022 (response rate 17%), of whom 1222 (53%) worked in Baden-Wuerttemberg and 1067 (46%) in Bavaria. Among the participating physicians, 56% were male, 71% were >50 years and 51% worked in an individual practice. Furthermore, 91% were aware of the German national vaccination guidelines, and 98% perceived their knowledge of the risks and benefits of vaccination as adequate. A total of 97% offer TBE vaccinations, 67% provide vaccination counselling during initial consultations with new patients and 64% actively remind patients about due vaccinations. In addition, 24% expressed a need for further information materials, mainly traditional, analogue media such as flyers (82%) and posters (50%), and named timeliness, quality assurance, easy comprehensibility and independence from the pharmaceutical industry as the most important characteristics of such materials. Almost all participating physicians reported offering TBE vaccinations and feeling well-informed about TBE vaccination and TBDs. However, active offering of vaccinations and education could be further improved, and additional, low-threshold information materials are needed. Based on these results, we will develop and provide various materials on TBE vaccination and TBDs, in particular flyers and posters, for use by physicians during consultations.

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„Man sitzt in einer Seifenblase, während die anderen Menschen leben.“ – Perspektiven geflüchteter ukrainischer Mütter mit Kindern von 0–3 Jahren

Chakraverty,

Neumann,

Renner

2024

Bundesgesundheitsbl

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Zusammenfassung Hintergrund Zur Situation von ukrainischen Eltern mit kleinen Kindern, die seit dem Krieg in der Ukraine nach Deutschland geflüchtet sind, ist bislang wenig bekannt. Ziel des Forschungsvorhabens des Nationalen Zentrums Frühe Hilfen (NZFH) ist die Exploration der Perspektive dieser Gruppe auf ihr Leben in Deutschland. In der vorliegenden Analyse wird auf die Belastungen und Ressourcen der Eltern und ihre Kenntnis und Nutzung von Unterstützungsangeboten fokussiert. Methoden In 17 ca. einstündigen Interviews wurden von Oktober bis Dezember 2022 aus der Ukraine nach Deutschland geflohene Eltern (16 Mütter, ein Vater) mit Kindern bis zu 3 Jahren befragt und ihre Antworten mittels strukturierender Inhaltsanalyse qualitativ ausgewertet. Ergebnisse Als Belastungen beschrieben die Interviewten primär die psychische Belastung durch Krieg und Flucht, negative Emotionen wie Gefühle von Einsamkeit und Niedergeschlagenheit sowie Hindernisse bei der Integration. Ressourcen waren vor allem Netzwerke ukrainisch- und russischsprachiger Menschen in Deutschland sowie persönliche Ressourcen wie Selbstfürsorgekompetenz. Die Vermittlung von Angeboten geschah i. d. R. über elektronische Medien. Als besonders nützlich galten Angebote zur Kinderbetreuung, Sprachkurse und Unterstützung in Gesundheitsfragen. Fehlende Kinderbetreuung war der wichtigste Grund für die Nichtannahme weiterer Angebote. Diskussion Die psychischen Belastungen der Befragten indizieren einen Bedarf an möglichst muttersprachlichen Versorgungsangeboten. Kinderbetreuungsplätze können ukrainischen Eltern den Besuch integrationsförderlicher Sprachkurse ermöglichen. Die selbstorganisierten Netzwerke der ukrainisch- und russischsprachigen Community sollten bei der Entwicklung von Interventionen von Beginn an partizipativ eingebunden werden.

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Hausärztliche Versorgung ukrainischer Geflüchteter

Cited by 5 publications

References 8 publications

Identifying gaps in healthcare: a qualitative study of Ukrainian refugee experiences in the German system, uncovering differences, information and support needs

Identifying gaps in healthcare: a qualitative study of Ukrainian refugee experiences in the German system, uncovering differences, information and support needs

Knowledge, Attitudes and Behaviors regarding Tick-Borne Encephalitis Vaccination and Prevention of Tick-Borne Diseases among Primary Care Physicians in Bavaria and Baden-Wuerttemberg, Germany, May–September 2022

„Man sitzt in einer Seifenblase, während die anderen Menschen leben.“ – Perspektiven geflüchteter ukrainischer Mütter mit Kindern von 0–3 Jahren

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