scholarly journals Public Knowledge About Emergency Care—Results of a Population Survey From Germany

2022 ◽  
Vol 9 ◽  
Author(s):  
Olaf von dem Knesebeck ◽  
Sarah Koens ◽  
Ingmar Schäfer ◽  
Annette Strauß ◽  
Jens Klein

Background: Knowledge and beliefs about health and health care are part of the general concept of health literacy. Studies demonstrated that large parts of the population report inadequate health literacy. There are only few studies specifically addressing public knowledge and beliefs about emergency care. We examine magnitude and social variations of public knowledge about emergency care in Germany.Methods: Analyses make use of a telephone survey conducted in Hamburg, Germany. Random sample consisted of 1,207 adult respondents. We asked whether the respondents know various emergency care services. Moreover, capabilities of dealing with an emergency case were assessed. Sex, age, education, and migration background were introduced as predictors into regression models.Results: 98% of the respondents stated to know the rescue service, while 74% knew the medical on call service and 49% were aware of an emergency practice nearby. About 71% of the interviewees said it was easy for them to find out whom to turn to in a case of a medical emergency. Fewer respondents found it easy to evaluate when to use emergency medical services and to evaluate whether a health problem is a medical emergency. Knowledge and capabilities were positively associated with education and negatively related to migration background.Conclusions: This study indicates a lack of public knowledge about emergency care and social inequalities in public knowledge according to education and migration status. Findings suggest that interventions are needed to improve public knowledge and that considering social inequalities should be a basic principle for such interventions.

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Annika Lexén ◽  
Maria Emmelin ◽  
Lars Hansson ◽  
Bengt Svensson ◽  
Susann Porter ◽  
...  

BACKGROUND: Lack of mental health literacy among rehabilitation professionals and employers in the return-to-work of persons with mental health problems resulted in the development of a three-day group training program, the Support to Employers from rehabilitation Actors about Mental health (SEAM) intervention. OBJECTIVE: To evaluate the impact of SEAM on rehabilitation professionals’ knowledge and beliefs, attitudes, and supporting behaviors towards people with mental health problems and employers as part of the return-to-work process. METHODS: In this longitudinal study, 94 rehabilitation professionals were included. Data were collected prior to (T1), immediately after (T2) and 6 months after SEAM training (T3) using knowledge and attitude scales and a questionnaire on supporting behaviors. SEAM includes training in Mental Health First Aid, presentations and discussions on current research on work and mental health, and strategies and communication guidelines to use when meeting service users and employers as part of the return-to-work of persons with mental health problems. SEAM also includes a homepage with targeted employer information. Data were analyzed using non-parametric statistics. RESULTS: SEAM significantly increased rehabilitation professionals’ knowledge of mental health (T1-T2: z = –2.037, p = 0.042; T2-T3: z = –5.093, p = 0.001), and improved their attitudes towards persons with mental health problems (T1-T2: z = 4.984, p = 0.001). Professionals (50–60%) also estimated that they had increased their use of supporting strategies towards service users and employers. CONCLUSIONS: The study suggests that SEAM can increase mental health literacy among rehabilitation professionals and lead to a greater focus on service users’ resources and work ability, as well as on employers’ support needs.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Aldin ◽  
D Chakraverty ◽  
A Baumeister ◽  
I Monsef ◽  
T Jakob ◽  
...  

Abstract Background The project “Gender-specific health literacy in individuals with a migrant background (GLIM)” (German Federal Ministry of Education and Research; 01GL1723) aims to provide a comprehensive overview of international research and evidence on aspects of gender and migration related to health literacy. It encompasses primary and secondary research using a mixed-methods approach. Methods In a first step, we systematically review the available quantitative and qualitative evidence: in the first quantitative review, we meta-analyse the evidence on gender differences in health literacy of migrants. The second quantitative review assesses the effectiveness of interventions for improving health literacy in female and male migrants. The third review summarises qualitative evidence to assess factors associated with gender and migration that may play a role in the design, delivery, and effectiveness of such interventions. In a second step, we conduct primary research by performing focus group discussions (FGDs) with health care providers who regularly work with different migrant groups in order to explore their perspectives on the challenges and needs of migrants in the German health care system. Results To date, we identified 163 relevant references after screening of 17,932 references, for all reviews combined. Various health literacy interventions and measurement tools exist and require critical evaluation. The FGDs yielded hints to factors that a) influence gender differences in the health literacy of migrants (e.g. masculinity norms preventing Mediterranean men from consulting psychotherapists) or b) limit systemic health literacy (e.g. lack of translators). Conclusions Results from the FGDs can provide insights into the processes underlying the results of the reviews. However, despite increasing research, summarising the available evidence is highly challenging, as there are no universal definitions of the key concepts health literacy and migrant background. Key messages This is an interdisciplinary project, combining quantitative and qualitative evidence to provide maximum value to health policy and decision-making for the health care and health literacy of migrants. Research on gender-, and migration-specific aspects of health literacy is of great importance for the development and delivery of effective interventions for improving migrants’ health literacy.


Author(s):  
Wahyu Sulistiadi ◽  
Siti Nurhidayah ◽  
Al Asyary

An emergency can happen anywhere and anytime, especially in developing countries with a high potential for emergencies, such as Eastern European countries as well as Indonesia. This study aimed to find out the quality of PSC 119 Si Slamet as a prehospital emergency service innovation. The data collection in this study was carried out in a location, namely, Batang Regency, Indonesia, in May–June 2018. The qualitative data collection methods used in this study are in-depth interviews and document reviews. This study was using Service Quality (Servqual) questionnaire. The results show that PSC 119 Si Slamet provides easy access to emergency services to the community 24 hours a day and 7 days a week by simply calling 119 numbers, sending messages via SMS and WhatsApp, or using the Android-based application, with a maximum response time target of 10 minutes. Batang is one of the regencies (rural area) in Central Java province, located on the main coastline, with a hilly geographic condition with many derivatives, climbs, and sharp curves, which is one of the causes of the high number of traffic accidents in the area. This emergency care information systems, with Android-based application, was aimed at improving the quality of services in the health sector, especially emergency services. This service is of good quality as seen from the tangible, reliability, responsiveness, assurance, and empathy dimensions. However, in the implementation, the socialization aspect is not the best to some people. The recommendation given was the need to increase the PSC 119 socialization of Si Slamet not only regionally but also internationally to be massive, especially in developing countries.


2014 ◽  
Vol 5 (2) ◽  
pp. 69-76
Author(s):  
Małgorzata Bogaczyk-Vormayr

This short working paper is my first attempt to present my concept analysis of relation between the poverty experiences – e.g. childhood suffering by war and migration background, daily life suffering by starvation, abuse, racism etc. – and the process of self-understanding and resilience with the help of an oral history or literature (non-fiction as much as fiction novels). I reflect Wilhelm Dilthey’s opinion about the distinction between autobiography and Self-biography, and I present the Self-biography as a right way to concretize the themes of poverty and exclusion.


2019 ◽  
Vol 32 (4) ◽  
Author(s):  
Przemyslaw Zuratynski ◽  
Daniel Slezak ◽  
Kamil Krzyzanowski ◽  
Rafal Szczepanski ◽  
Sylwia Jaltuszewska

The first ambulance service in Poland was established in 1891 in Cracow. Many tips and assistance concerning the creation of the ambulance were provided by the organisers of the first ambulance in Europe (the Vienna ambulance in 1883). Since January 2007, the Act of 8 September 2006 on the National Medical Rescue Service has been a binding legal act. The aim of the Act is to introduce the functioning of the emergency medical system, both through a high level of health services based on the standards of Western countries and providing the required solutions in the area of emergency notification. The State Medical Rescue System was established to provide assistance to any person in need who is in a state of health emergency. The owner of the PRM system unit must ensure the readiness of people, resources and organizational units. The units of the PRM system providing services only in case of an emergency are: medical rescue teams, including airborne medical rescue teams and hospital emergency departments.


Author(s):  
Thomas Faist

The social question is back. Yet today’s social question is not primarily between labour and capital, as it was in the nineteenth century and throughout much of the twentieth. The contemporary social question is located at the interstices between the global South and the global North. It finds its expression in movements of people, seeking a better life or fleeing unsustainable social, political, economic, and ecological conditions. It is transnationalized because migrants and their significant others entertain ties across the borders of national states in transnational social spaces; because of the cross-border diffusion of norms; and because there are implications of migration for social inequalities within national states. The first section discusses the structure of social inequalities in migration and the politics around it. It starts, first, by elaborating upon the commonalities and differences of the social question in the 19th and 21st centuries and then, second, asks whether the increasing relevance of location compared to class for income and life chances has replaced voice as a main response by exit. This is followed, third, by an elaboration of the nexus between social inequalities and migration, i.e. migration being both an antecedent and a consequence of social inequalities. Fourth, the focus moves to the main changes in migration control, its externalization from border control to remote control. This is followed, fifth, by a consideration of the other side of the coin, internalization processes in countries of destination and origin, driven by processes such as marketization and securitization of migration. The second section then moves on to sketch one of the main challenges, the need to include ecological aspects into the discussion of the social question. The analysis concludes with reflections on the shifting form of the transnationalized social question. Finally, the outlook discusses the role of social scientists in discussing the transnationalized social question in the public sphere.


Author(s):  
M. Poulymenopoulou ◽  
F. Malamateniou ◽  
G. Vassilacopoulos

A number of recent studies have showed that early and specialized pre-hospital patient management contributes significantly to emergency case survival. Along with the deployment and availability of appropriate emergency care resources, this also requires the availability of timely and relevant patient information to emergency medical service professionals. However, current healthcare information systems are characterized by heterogeneity and fragmentation, hindering emergency care professionals to have access to holistic or integrated patient information from the various organizations that participate in emergency care processes where and when needed. At the same time, many e-health programs have been undertaken worldwide in the area of emergency and unscheduled care with the objective to facilitate sharing of electronic patient information that may be considered important for the delivery of high quality emergency care and, hence, need to be readily available. In this vein, this paper takes a holistic view of the information needed in emergency healthcare and focuses on developing an appropriate tool for providing timely access to holistic care information by authorized users while retaining existing investments. Thus, a special purpose document management mechanism (DMM) is proposed that facilitates creating standardized XML documents from existing healthcare systems and that enables access to such documents at the point of care. For illustrative purposes, the mechanism has been incorporated into a prototype, cloud-based holistic EMS system.


2019 ◽  
Vol 62 (4) ◽  
pp. 325-336 ◽  
Author(s):  
P. Daniel Patterson ◽  
Matthew D. Weaver ◽  
Mark A. Markosyan ◽  
Charity G. Moore ◽  
Frank X. Guyette ◽  
...  

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