Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Jan 2011
[Screening and diagnostic procedures of comorbid mental disorders in somatic illnesses].
Because of the close association between physical diseases and mental disorders, early and precise detection of mental disorders is of high clinical importance in medical care. Specific aspects have to be considered for diagnosis of mental disorders in somatic diseases. Therefore, the important categories of mental disorders related to chronic somatic illnesses are discussed and specified instruments for dimensional (screening tools) and categorical (clinical interview) diagnostic procedures are presented. Furthermore, the article introduces current developments of new instruments from a methodological point of view and, with regard to content, meeting the specific problems of psychiatric diagnosis in somatic illnesses.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Jan 2011
[Psychological comorbidity. Diagnosis and indications for further treatment in medical rehabilitation].
Psychosocial comorbidity in somatic disorders is considered an important problem from the epidemiological point of view as well as from the perspective of care. Therefore, the different origins or development are etiologically discussed. In this article, an overview of the prevalence of psychiatric comorbidity of musculoskeletal disorders, using chronic back pain in somatic medical rehabilitation as an example, is given. ⋯ It was found that three papers reported data on the prevalence of psychological comorbidity and addressed diagnostic screening. This is discussed from a perspective that addresses potential barriers on the part of therapists as well as the patients. More attention should be directed to implementing the appropriate screening and follow-up care.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Dec 2010
[Pandemic preparedness planning. What did we learn from the influenza pandemic (H1N1) 2009?].
Since 2001, the German states and federal institutions have been engaged in systematic pandemic preparedness planning. Preparedness was largely in an advanced stage and most probably contributed to successful control of the influenza H1N1 (2009) pandemic in Germany. ⋯ The proper balance between a uniform national approach and the local adaptation of measures within Germany remains another challenge. Although the course of the influenza pandemic (H1N1) 2009 was moderate, pandemic preparedness planning remains of utmost importance and must be adapted rigorously and early according to the recent experience.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Oct 2010
[Child protection from the perspective of child and adolescent medicine].
Demands for prevention in the areas of child protection, child development and early education are increasingly being discussed in the health care system, social services and the educational and school system. Concepts in health care include health promotion, risk assessment and primary and secondary prevention. Child protection promotes strategies such as early social support services and at-risk screening and educational systems advocate early intervention and concepts to enhance child development. ⋯ Each child's needs must be individually analysed and services tailored appropriately. A case vignette demonstrates and analyses typical problems of interacting systems. A systemic view of systems of care allows planning of efficient and sustainable social and health care policies.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Sep 2010
Review Comparative Study[Morbidity and healthcare differences between insured in the statutory ("GKV") and private health insurance ("PKV") in Germany. Review of empirical studies].
It has rarely been analyzed whether there are differences in Germany concerning morbidity and healthcare between insured by statutory health insurance (Gesetzliche Krankenversicherung, GKV) and insured by private health insurance (Private Krankenversicherung, PKV). In addition, the available studies are very scattered and no review has been published yet. The study presented here aims at closing this gap and at discussing recommendations for future analyses. ⋯ Most studies show that there are large differences between GKV-insured and PKV-insured, concerning health status as well as healthcare. However, due to methodological weaknesses, some of these results are difficult to interpret. More studies focusing on specific age groups (e.g., children) are needed, and the methodological standard (e.g., statistical control for other factors such as income, distinction between different subgroups of insured) must also be raised. Finally, systematic differences between GKV and PKV should be considered in all analyses comparing these two schemes, such as differences in the availability of data concerning healthcare.