Das Gesundheitswesen
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Das Gesundheitswesen · Feb 2008
[Psychosocial behaviour and subjective experience specific to the course of study of medical students in their first and fifth years of study].
This study concerns the evaluation of study-related psychosocial risk factors and resources in medical students at the beginning and before the end of their course of studies. ⋯ A portion of the medical students showed a risk constellation in behaviour and subjective experience at the very beginning of their studies. At the end, this tendency has significantly strengthened. The integration of teaching contents dealing with health promotion and successful coping with stress for the medical students themselves would therefore seem essential for the conservation of the health and working capacity of the students, as well as in order to prevent subsequent profession-specific mental stress and burn-out.
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Das Gesundheitswesen · Feb 2008
[Integration of hospital social services in the rehabilitation of accident patients by the statutory accident insurance. Results of a one-year model project].
In accident patient care, there is a substantial overlap between the scope of duties of hospital social services and tasks fulfilled by the German statutory accident insurances' visiting staff that regularly takes care of accident patients. Therefore, a project on the integration of hospital social services into the organizational structures of the German statutory accident insurance was initiated which aimed at optimising communication and realising synergy effects. A formative evaluation of the project was conducted that provided process- and outcome-related data for a comprehensive evaluation of the strengths and potentials of the project. ⋯ The report form used by hospital social services was evaluated as a useful tool in the context of patient care and rehabilitation management. The model was evaluated by interview participants as a highly targeted approach in accident patients' care management. Implications of the study for improving health care are discussed.
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Das Gesundheitswesen · Jan 2008
Comparative Study[Health problems and health-care among unregistered migrants: a comparison between Germany and Italy].
Public health aspects concerning health and health-care of unregistered migrants have been rarely investigated. This article aims at providing some empirical data which are derived from the documentation and annual reports of two health-care institutions specialised in health-care for unregistered migrants in Germany and Italy taking into account the different legal regulations between Germany and Italy for the health-care of irregular migrants. The data show that the patients in both institutions are rather young and immigrated often from East Europe and the former Soviet Union. Their main diseases did not differ much from the average spectrum except for showing a higher prevalence of "poverty-related illnesses" like infectious and skin diseases.
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Das Gesundheitswesen · Dec 2007
[Certification of care facilities and nursing services as a criterion for quality of care].
The aim of this study was to explore the impact of a certification system for care facilities and nursing services, based on the quality of care. ⋯ A certificate does not guarantee excellence of quality of care but it certifies the underlying conditions. Each care facility or nursing service remains responsible for linking the certificate to an increase in the quality of care.