{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T18:10:39Z","timestamp":1719598239209},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2022,7]]},"abstract":"Zusammenfassung<\/jats:title>\n Hintergrund Neben der medizinischen Grundversorgung von\n Gefl\u00fcchteten sollte eine Einbindung in das \u00f6rtliche\n gesundheitliche Regelversorgungssystem gew\u00e4hrleistet werden. Erste Daten\n lassen vermuten, dass eine Impfl\u00fccke unter gefl\u00fcchteten\n (Schul-)Kindern entstanden sein k\u00f6nnte, die sich auf den Zeitraum der\n ersten allgemeinen Inaugenscheinnahme bei Ankunft (der ersten zentralen\n Gesundheitsma\u00dfnahme) und dem \u00dcbergang in das \u00f6rtliche\n gesundheitliche Versorgungssystem bezieht.<\/jats:p>\n Ziel Ziel dieser Studie war die Erhebung eines Meinungsbildes\n niedergelassener P\u00e4diater \u00fcber den Impfstatus der Kinder von\n Gefl\u00fcchteten zur \u00dcberpr\u00fcfung, ob eine SOLL-IST-Differenz\n im Masern-, Mumps-, R\u00f6teln- (Varizellen-)Impfschema zwischen den\n Zeitr\u00e4umen der Erstaufnahme und der Einschulungsuntersuchung entstanden\n sein k\u00f6nnte. Einsch\u00e4tzungen \u00fcber hemmende sowie\n f\u00f6rdernde Faktoren sollten Handlungsfelder zur systematischen Anbindung\n an das medizinische Regelversorgungssystem generieren.<\/jats:p>\n Methode Die Analysen erfolgten mittels qualitativer Experteninterviews\n sowie einer quantitativen Fragebogenerhebung zur Erfassung des Meinungsbildes\n niedergelassener P\u00e4diater in M\u00fcnster.<\/jats:p>\n Ergebnisse Die Einsch\u00e4tzungen zeigten, dass keine eindeutige\n Impfl\u00fccke bei (Schul-)Kindern gefl\u00fcchteter Familien vorhanden\n ist. Eine Herausforderung besteht in der systematischen Anbindung an das\n \u00f6rtliche ambulante Regelversorgungssystem. Kritische Faktoren waren\n inad\u00e4quate Impfaufkl\u00e4rungen, Sprachbarrieren und h\u00e4ufige\n Aufenthaltsortswechsel. Die Impfeinstellung und das Impfverhalten\n Gefl\u00fcchteter wurden als \u00e4u\u00dferst positiv bewertet.\n Internationale Standards, insbesondere die Sphere-Standards, finden im Rahmen\n der Fl\u00fcchtlingshilfe in der praktischen Umsetzung zu wenig\n Beachtung.<\/jats:p>\n Schlussfolgerung Auf Grundlage der Ergebnisse konnten Handlungsfelder zur\n Pr\u00e4vention von Impfl\u00fccken bei Gefl\u00fcchteten sowie zur\n systematischen Anbindung an das ambulante Regelversorgungssystem identifiziert\n werden. Die Sphere-Standards als internationale Standards sollten dabei\n bewusster eingearbeitet werden.<\/jats:p>","DOI":"10.1055\/a-1585-1679","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:15:30Z","timestamp":1635898530000},"page":"575-580","source":"Crossref","is-referenced-by-count":0,"title":["Meinungsbild von P\u00e4diatern zum Impfstatus von\n gefl\u00fcchteten Kindern \u2013 Herausforderungen einer medizinischen\n Anbindung an das ambulante Regelversorgungssystem"],"prefix":"10.1055","volume":"84","author":[{"given":"Lara","family":"Jablonowski","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Hygiene, Universit\u00e4tsklinikum\n M\u00fcnster, M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Gardemann","sequence":"additional","affiliation":[{"name":"Kompetenzzentrum Humanit\u00e4re Hilfe, Fachhochschule\n M\u00fcnster, M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Smollich","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Ern\u00e4hrungsmedizin,\n Universit\u00e4tsklinikum Schleswig-Holstein - Campus L\u00fcbeck,\n L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Kuczius","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Hygiene, Universit\u00e4tsklinikum\n M\u00fcnster, M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"487","DOI":"10.17886\/EpiBull-2017-057","article-title":"Eine Sch\u00e4tzung der Pr\u00e4valenz von Tuberkulose bei Asylsuchenden\n in Deutschland","volume":"43","author":"S Stadtm\u00fcller","year":"2017","journal-title":"Epid Bull"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1093\/rsq\/21.3.255","article-title":"Humanitarian principles and standards","volume":"21","author":"J McClellan","year":"2002","journal-title":"Refug Surv Q"},{"key":"ref5","volume-title":"The Sphere Handbook. 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In: Blank B, G\u00f6gercin S, Sauer K, Schramkowski\n B, Hrsg. 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