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Entwicklung und Implementierung einer Medizinischen Ambulanz in einer Erstaufnahmeeinrichtung für Asylsuchende des Landes Baden-Württemberg

Authors :
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
Thomas Lutz
Source :
Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen. 126:31-42
Publication Year :
2017
Publisher :
Elsevier BV, 2017.

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.

Details

ISSN :
18659217
Volume :
126
Database :
OpenAIRE
Journal :
Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Accession number :
edsair.doi.dedup.....14256f34b2579bf84317d4871ad83cf7
Full Text :
https://doi.org/10.1016/j.zefq.2017.07.011