Das Gesundheitswesen
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This paper explores the challenges posed by sex and gender for epidemiologists as they try to integrate sex and gender concerns into their work in more appropriate and effective ways. The first challenge is one of conceptual clarification with considerable confusion still surrounding the use of the terms sex and gender themselves. The second challenge is to develop a broader understanding of the links between biological sex and health. ⋯ The fourth challenge is to ensure that all research designs are both sex and gender sensitive. And the final challenge is to find a strategy for integrating findings on both sex and gender into wider equality agendas. This paper will examine each of these challenges in turn.
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Das Gesundheitswesen · Mar 2004
Clinical Trial[Domestic violence against women: health consequences and need for care--results of a survey among first-aid-patients in the framework of the S.I.G.N.A.L.- accompanying research].
To determine the prevalence of domestic violence (DV), sequelae, and the expectancies of support/intervention among female patients receiving medical care within an emergency department (ED), a pertinent inquiry was effected. ⋯ The sequelae resulting from DV victimisation of women receiving medical services, suggests the need for intervention(s) within the health care setting. Health professionals must first acknowledge DV as a possible cause of injuries and other health disorders in female patients. Domestic violence screening of female patients within the health care setting can enhance the quality of care for victims. Women's expectations show the acceptability of such interventions.
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Management information systems which support a demand-oriented, integrative and comprehensive decision-making in health care policy are of pre-eminent importance for the health care system. Present health care legislation in Bavaria underlines the importance of health reporting as a tool for periodical assessment of the situation and starting-point for decision-making in health care. Demands made on the Bavarian health report stem from both European and national levels and also from the regional structure within the state. ⋯ This approach enables decision makers to assess the grade of certainty of recommendations. Health reporting in Bavaria aims at following the people through time. The intelligent use of new media will have to play a key role.
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Das Gesundheitswesen · Feb 2004
[Complaints and health care system utilisation of ethnic German migrants from the former Soviet Union to Germany and their families].
The aim of the study is the description of subjective morbidity, health care system utilisation and complaints of ethnic German migrants from the former Soviet Union at the beginning of migration. At present no data are available concerning aspects of health behaviour among this largest immigrant population in Germany. ⋯ The different medical care system and differences in the treatment of patients could account for the less frequent use of medical services by ethnic German migrants. Actual stressors like language differences and acculturation problems are discussed as possible reasons for the increased rate of complaints among ethnic German migrants. Although they suffer from more complaints the German migrants do not seem to modify their help-seeking behaviour.
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Das Gesundheitswesen · May 2003
Comparative Study[Turkish and German patients of general practitioners--diseases, drug expectations and drug prescriptions].
to assess the diseases and complaints and the concepts for treatment of patients and drug prescriptions relative to their ethnic origin: Turkish immigrants (T) or German citizens (D). ⋯ The treatment concept of Turkish patients is more directed to drugs. They request a drug more intensively and are more convinced of the medicaments' effectiveness than German patients are. In spite of this, physicians give a prescription according to the indication of the patient independent of his ethnic origin. The insistence on a prescription is significantly higher in Turkish than in German patients.