Gesundheitspolitik

Rosenbrock, Rolf; Gerlinger, Thomas

doi:10.1007/978-3-658-01966-2_6

Cited by 40 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Germany, ambulatory healthcare is separated, regarding organisation and reimbursement mode, from the hospital care and the rehabilitation sector. GPs, specialists and dentists in the ambulatory healthcare sector provide services in their private practices [ 34 ]. Most of their services are covered by statutory health insurance for nearly 90% of the population; however, private co-payments for additional services are possible [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Providing ambulatory healthcare for people aged 80 and over: Views and perspectives of physicians and dentists from a qualitative survey

et al. 2022

View full text Add to dashboard Cite

Background People aged 80 and over frequently face complex chronic conditions and health limitations, including oral health problems, which are primarily addressed by ambulatory (i.e., outpatient) healthcare. This demographic development is expected to affect the provision of care. However, few studies have investigated physicians’ and dentists’ views across the various medical disciplines in non-institutional settings. This study investigated how healthcare providers perceive caring for very old people, and how they feel healthcare should be designed for this patient group. Methods A qualitative online survey comprising nine open-ended items was conducted among physicians and dentists practicing in the ambulatory healthcare sector in North Rhine-Westphalia, Germany. Apart from child and adolescent healthcare, no medical specialties were excluded. The results were analysed using Kuckartz’ approach of structuring qualitative content analysis. A descriptive codebook was developed first. After coding all the material, recurring patterns between the topics were investigated and compared between two groups of participants, physicians and dentists. Results N = 77 cases were included in the analysis, from which n = 21 originated from the field of ambulatory general practice care and internal medicine, n = 19 from specialties (e.g., neurology, urology), and n = 37 from dentistry. Caring for patients aged 80 and over was perceived as challenging because of complex health conditions and treatments such as multimorbidity and polypharmacy, and patients’ cognitive and physical limitations. In characterizing good care in older age, both groups found individual care important, as well as empathetic interactions and good collaboration in networks of healthcare providers. Inadequate reimbursement and limited resources and time were the most important barriers to providing good care, while one of the most important facilitators was healthcare providers’ attitude and motivation. Conclusions Physicians’ and dentists’ conceptions of good healthcare are in line with the conceptualization of patient-centred care. However, the transfer in everyday care delivery is hampered by the current design of healthcare structures. Healthcare providers feel overstrained by the increasing demands placed on them. Adaptations for improvement should focus on building strong networks of cooperating health professions, especially including dental care, and local social support structures.

show abstract

Section: Methodsmentioning

confidence: 99%

“…GPs, specialists and dentists in the ambulatory healthcare sector provide services in their private practices [ 34 ]. Most of their services are covered by statutory health insurance for nearly 90% of the population; however, private co-payments for additional services are possible [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Providing ambulatory healthcare for people aged 80 and over: Views and perspectives of physicians and dentists from a qualitative survey

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The review suggests that the only context in which differential vulnerability within the society is discussed explicitly is the health sector. In a crisis situation with limited availability of medical services, the classification and prioritization of groups of patients, based on survival rates and available resources, seems to be widely accepted across different contexts (Rosenbrock and Gerlinger, 2004;Christian et al, 2014;BSI, 2016). Differences between rural and urban communities are mentioned in case of emergency water supply, where scarcely populated rural areas pose bigger challenges for authorities to provide the statutorily determined minimum supply (BBK, 2013(BBK, , 2016a.…”

Section: Thematic Foci and Context Of Applicationmentioning

confidence: 99%

The role of minimum supply and social vulnerability assessment for governing critical infrastructure failure: current gaps and future agenda

Garschagen

Sandholz

2018

Nat. Hazards Earth Syst. Sci.

View full text Add to dashboard Cite

Abstract. Increased attention has lately been given to the resilience of critical infrastructure in the context of natural hazards and disasters. The major focus therein is on the sensitivity of critical infrastructure technologies and their management contingencies. However, strikingly little attention has been given to assessing and mitigating social vulnerabilities towards the failure of critical infrastructure and to the development, design and implementation of minimum supply standards in situations of major infrastructure failure. Addressing this gap and contributing to a more integrative perspective on critical infrastructure resilience is the objective of this paper. It asks which role social vulnerability assessments and minimum supply considerations can, should and do – or do not – play for the management and governance of critical infrastructure failure. In its first part, the paper provides a structured review on achievements and remaining gaps in the management of critical infrastructure and the understanding of social vulnerabilities towards disaster-related infrastructure failures. Special attention is given to the current state of minimum supply concepts with a regional focus on policies in Germany and the EU. In its second part, the paper then responds to the identified gaps by developing a heuristic model on the linkages of critical infrastructure management, social vulnerability and minimum supply. This framework helps to inform a vision of a future research agenda, which is presented in the paper's third part. Overall, the analysis suggests that the assessment of socially differentiated vulnerabilities towards critical infrastructure failure needs to be undertaken more stringently to inform the scientifically and politically difficult debate about minimum supply standards and the shared responsibilities for securing them.

show abstract

“…The review suggests that the only context in which differential vulnerability within the society is discussed explicitly is the health sector. In a crisis situation with limited availability of medical services, the classification and prioritization of groups of patients, based on survival rates and available resources, seems to be widely accepted across different contexts (Rosenbrock & Gerlinger 2004, Christian et al 2014, BSI 2016. Differences between rural and urban communities are mentioned in case of emergency water supply, where scarcely 15 populated rural areas pose bigger challenges for authorities to provide the statutorily determined minimum supply (BBK 2013,…”

Section: Social Vulnerabilitymentioning

confidence: 99%

Linking critical infrastructure resilience to social vulnerability through minimum supply concepts: review of gaps and development of an integrative framework

Garschagen

Sandholz

2017

Preprint

View full text Add to dashboard Cite

Abstract.Increased attention has lately been given to, first, social vulnerability reduction and, second, critical infrastructure management 10 in the context of natural hazards and disasters. However, strikingly little efforts have been made in linking the two in a coherent manner conceptually and practically. Addressing this gap is the objective of this paper. In its first part, it provides a structured review on achievements and remaining gaps in the management of critical infrastructure and the understanding of social vulnerability towards failures during and after disasters. Special attention is given to the current state of minimum supply concepts. In its second part, the paper then responds to the identified gaps by developing a novel conceptual framework on the 15 linkages of critical infrastructure management, social vulnerability and minimum supply. The framework is meant to guide future research as well as policy making and practical action. It facilitates and guides the conceptualization of (i) causal relationships between these three components, (ii) the assessment of system states in each component and (iii) the normative and political choices that need to be made explicit and tackled for turning the concept into policy and action. The paper closes by sketching out recommendations for a future research and practice agenda to close the detected gaps. 20

show abstract

Gesundheitspolitik

Cited by 40 publications

References 23 publications

Providing ambulatory healthcare for people aged 80 and over: Views and perspectives of physicians and dentists from a qualitative survey

Providing ambulatory healthcare for people aged 80 and over: Views and perspectives of physicians and dentists from a qualitative survey

The role of minimum supply and social vulnerability assessment for governing critical infrastructure failure: current gaps and future agenda

Linking critical infrastructure resilience to social vulnerability through minimum supply concepts: review of gaps and development of an integrative framework

Contact Info

Product

Resources

About