1. Entwicklung und Implementierung einer Medizinischen Ambulanz in einer Erstaufnahmeeinrichtung für Asylsuchende des Landes Baden-Württemberg
- Author
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Rainer Steen, Guido Adler, Bernhard Greiner, Mirjam Thomsen, Torsten M. Eckstein, Thomas Junghanss, Iris Schelletter, Thomas Krczal, Sandra Claudia Gewalt, Daniel Huhn, Detlef Lorenzen, Peta Becker von Rose, Thomas Günther, Cornelia Straßner, Wolfgang Herzog, Joachim Szecsenyi, Christoph Nikendei, Nico Reinhart, Meryl A. Manigault, Kayvan Bozorgmehr, Michiko Rodenberg, Birgit Fuchs, Katharina Wahedi, and Thomas Lutz
- Subjects
Legal liability ,business.industry ,Health Policy ,Refugee ,Medicine (miscellaneous) ,Education ,03 medical and health sciences ,0302 clinical medicine ,Documentation ,Nursing ,Mediation ,Health care ,Outpatient clinic ,Medicine ,030212 general & internal medicine ,Intersectoral Collaboration ,business ,Psychosocial ,030217 neurology & neurosurgery - Abstract
In 2015, more than 890,000 asylum seekers were registered in Germany. The provision of medical and psychosocial care for asylum seekers is facing numerous obstacles. Access to health care is mostly insufficient, particularly in initial reception centres. The present article describes the development and implementation of an interdisciplinary outpatient clinic for asylum seekers at the main registration authority in the state of Baden-Wuerttemberg operated by physicians of the University Hospital of Heidelberg and the local Medical Association in Heidelberg. A steering committee was appointed to plan and implement the interdisciplinary outpatient clinic. Semi-structured interviews with nine steering committee members were conducted to elucidate perceived barriers during the planning and implementation phase. The steering committee's strong personal commitment and the health authorities' impartial management were cited as the main contributing factors to the success of the implementation process. Significant barriers were seen in the funding of personnel, equipment, and language mediation as well as in legal liability and billing-related aspects. Results are discussed with a focus on financing, administrative and legal framework as well as language mediation, documentation and further matters that are essential to ensure high-quality care.
- Published
- 2017
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