Gesundheitswesen最新文献

Accessing medical services requires resources, which can be particularly scarce for single parents. During times of crisis and the associated daily challenges, the threshold for seeking out medical care increases further. This study is based on data on 6,155 mothers from the Socioeconomic panel (SOEP) survey waves of 2019 and 2021. The COVID-19 pandemic is used here as an example of a crisis. The results suggest that single parents have an overall higher need for medical care, reflected by poorer health and more medical diagnoses. During the COVID-19 pandemic, a decline in the utilization of healthcare services was observed, especially among single mothers. It is important to create support opportunities for (single) mothers to improve and maintain their health during times of crisis.

Patients, relatives and staff ('second victims') often experience stressful events in the clinical setting, such as deaths, serious diagnoses or acts of violence, which can lead to stress and crises. The aim of the scoping review was to identify the existing literature on psychosocial support services in somatic clinics and associated differences, e. g. in the target group(s).Comprehensive database searches and hand searches were conducted (including CINAHL, BASE, MEDLINE via PubMed, Springer Medizin). Only English- and German-language articles dealing with psychosocial support services in somatic medicine were included.A total of 68 publications were included. The results showed a heterogeneity and complexity of psychosocial support services as well as an increased discussion of psychosocial stress in everyday clinical practice. Psychosocial support services were reported to contribute to psychological and emotional relief, improve mental health and increase patient safety. Furthermore, the implementation of comprehensive peer support programmes was demonstrated to engender annual savings in excess of €1.5 billion within the healthcare system.

Regional hospice and palliative care networks (RHPCN) can help improve collaboration between health care providers in order to provide comprehensive care for seriously ill patients and their families in the last stages of life. In Germany, RHPCNs are eligible for funding by statutory health insurers from 2022 under Section 39 d SGB V. What are the challenges RHCPNs face and what good practices have emerged in their work?As part of the project HOPAN (German Innovation Fund of the Federal Joint Committee [G-BA], grant N° 01VSF22042), an online survey was conducted among RHPCNs in Germany between December 2023 and February 2024. The survey explored challenges and good practices in six areas of network work. Quantitative data was analysed using a frequency analysis with the statistical software SPSS (closed questions). Free text answers were openly coded using MAXQDA 2022.A total response rate of n=408 data sets was achieved, of which n=64 data sets were included in the analysis after plausibility checks and data cleaning. The most significant challenges facing RHPCNs were the lack of awareness of the network among the general public (n=39; 60.9%) and care providers (n=27; 42.2%), varying qualifications and quality standards of network partners (n=31; 48.2%), and acquisition of new network partners (n=27; 42.2%). The most frequently mentioned good practices were appreciative, transparent, and regular communication (n=41; 50.6%), a personal approach to new network partners (n=38; 28.3%), and attractive network activities (n=33; 25.2%).Many RHPCNs are currently encountering challenges in establishing and expanding their network infrastructure. The implementation of effective network moderation and delivery of high-quality network activities can enhance the reach of RHPCNs. Joint training and further education, in addition to the development of regional care practices and standards, require a high level of commitment from the network partners, which is not yet the case in many instances.

Not least since the COVID-19-pandemic, digitalization has become increasingly important for the work of the public health service (PHS) in order to ensure the functionality at all levels of the PHS such as the exchange of information between health authorities themselves and other stakeholders. The digital skills of employees in the local health authority (LHA) are an important factor for the digitalization und functionality of the PHS. This paper uses the example of a health authority to examine the question of what digital competence or digital skills public health service employees have and need. The digital skills were assessed using questionnaires for employees and IT contact persons as well as by analysing employee requests to the IT (IT ticket system). In a participatory approach of the real-world lab, employees of a LHA were involved in defining the basic level of digital skills and developing the survey methods. Almost all of the 37 participating employees rated their general digital skills at the basic level. Depending on the specific skill, between a quarter and all employees stated that they had mastered the specific skills at the basic level. Requests to both the IT contact persons and the IT ticket system were almost exclusively below the basic level. Face-to-face training is preferred for knowledge transfer. Lack of time has an inhibiting effect on the acquisition of digital skills. It turned out that employees overestimated their general digital skills. Digital skills should be assessed using various surveys and methods. A training concept should consider the basic digital skills, the sensitivity of this topic, the time required and personal assistance.