{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:50Z","timestamp":1740126770249,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Einleitung Ziel der Untersuchung ist es zu analysieren, ob Unterschiede\n                    zwischen Menschen mit und ohne Migrationsgeschichte in durchgef\u00fchrten\n                    Selbsthilfema\u00dfnahmen vor einer Inanspruchnahme der Notaufnahme bestehen\n                    und ob es Zusammenh\u00e4nge zwischen Selbsthilfema\u00dfnahmen und einer\n                    ad\u00e4quaten Inanspruchnahme der Notaufnahme gibt.<\/jats:p><jats:p>\n          Methodik Datengrundlage f\u00fcr die sekund\u00e4rbasierte Analyse\n                    ist die EUMaR-Studie, die von Juli 2018 bis Juli 2019 durchgef\u00fchrt\n                    wurde, mit dem Ziel, Ursachen f\u00fcr die unangemessen h\u00e4ufige\n                    Nutzung von Notfallambulanzen durch Migranten zu identifizieren. Ziel unserer\n                    Studie ist es, Unterschiede der durchgef\u00fchrten\n                    Selbsthilfema\u00dfnahmen und den Bev\u00f6lkerungsgruppen anhand mehrerer\n                    multiplen logistischer Regressionen zu analysieren. Der Zusammenhang zwischen\n                    durchgef\u00fchrten Selbsthilfema\u00dfnahmen und ad\u00e4quater\n                    Nutzung der Notfallambulanz wird mit einer multiplen logistischen Regression und\n                    anhand von Interaktionen quantifiziert.<\/jats:p><jats:p>\n          Ergebnisse Migranten der ersten Generation weisen ein h\u00f6heres Odds\n                    Ratio auf, eine Notfallambulanz eigeninitiiert aufzusuchen (OR=1,28;\n                    95% KI, 1,01\u20131,61), wie Menschen ohne Migrationsgeschichte.\n                    Zudem weist diese Gruppe ein geringeres Odds Ratio auf, etwas gegen ihre\n                    Beschwerden zu unternehmen (OR=0,70; 95% KI, 0,56\u20130,86).\n                    Befragte, welche eigeninitiiert die Notfallambulanz aufsuchten, weisen ein\n                    geringeres Odds Ratio bez\u00fcglich der ad\u00e4quaten Nutzung der\n                    Notfallambulanz auf (OR=0,41; 95% KI, 0,34\u20130,50).\n                    Befragte, welche zuvor Vitalparameter (z.\u2009B. Blutdruck) gemessen haben,\n                    haben ein h\u00f6heres Odds Ratio, die Notfallambulanz ad\u00e4quat zu\n                    nutzen (OR=1,28; 95% KI, 1,02\u20131,59). Die erhaltenen\n                    Sch\u00e4tzer durch die Interaktionsmodelle waren mit gro\u00dfen\n                    Unsicherheiten verbunden.<\/jats:p><jats:p>\n          Schlussfolgerung Zugangsbarrieren zum Gesundheitssystem, Medikamenten oder\n                    zu medizinischen Hilfsmittelen bei Migranten der ersten Generation,\n                    k\u00f6nnten das erh\u00f6hte Odds Ratio erkl\u00e4ren, dass diese\n                    Bev\u00f6lkerungsgruppe vermehrt eigeninitiiert eine Notfallambulanz\n                    aufsucht, sowie das geringere Odds Ratio, etwas gegen die Beschwerden zu\n                    unternehmen. Eine Hypothese unserer Studie ist, dass die Messung der\n                    Vitalparameter dazu beitragen kann, den individuellen Gesundheitszustand besser\n                    zu beurteilen.<\/jats:p>","DOI":"10.1055\/a-2098-3597","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T23:00:58Z","timestamp":1696978858000},"page":"346-353","source":"Crossref","is-referenced-by-count":0,"title":["Selbsthilfema\u00dfnahmen als Determinanten der Inanspruchnahme\n                    einer Notfallambulanz bei Menschen mit und ohne Migrationsgeschichte in\n                    Deutschland"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4867-7139","authenticated-orcid":false,"given":"Jannis","family":"Tr\u00fcmmler","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & International Public Health,\n                    School of Public Health, Bielefeld University, Bielefeld, Germany"},{"name":"Institute of Medical Sociology, Centre for Health and Society, Medical\n                    Faculty, Heinrich Heine University Duesseldorf, Dusseldorf,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Razum","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & International Public Health,\n                    School of Public Health, Bielefeld University, Bielefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Rahel","family":"Poetter","sequence":"additional","affiliation":[{"name":"Campus Virchow Clinic, Clinic for Gynecology with Center for\n                    Oncological Surgery, Charit\u00e9 University Medicine Berlin, Berlin,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odile","family":"Sauzet","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & International Public Health,\n                    School of Public Health, Bielefeld University, Bielefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"ref3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s00101-016-0142-y","article-title":"Zentrale Notaufnahme \u2013 Update 2016","volume":"65","author":"M Zimmermann","year":"2016","journal-title":"Anaesthesist"},{"key":"ref4","first-page":"927","article-title":"Die Zukunft der Notfallversorgung in Deutschland","volume":"57","author":"R Messerle","year":"2018","journal-title":"Urol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s00038-016-0904-y","article-title":"(Non-)utilization of pre-hospital emergency care by migrants and non-migrants in\n                    Germany","volume":"62","author":"D Kietzmann","year":"2017","journal-title":"Int J Public Health"},{"key":"ref6","first-page":"8","article-title":"Adequate Utilization of Emergency Services in Germany: Is There a Differential\n                    by Migration Background?","author":"O Sauzet","year":"2021","journal-title":"Front Public Health"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1093\/eurpub\/ckx057","article-title":"International migrants\u2019 use of emergency departments in Europe compared\n                    with non-migrants\u2019 use: a systematic review","volume":"28","author":"S H Cred\u00e9","year":"2018","journal-title":"Eur J Public Health"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s40985-016-0019-2","article-title":"Social and health epidemiology of immigrants in Germany: past, present and\n                    future","volume":"37","author":"O Razum","year":"2016","journal-title":"Public Health Rev"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1177\/1468018116655267","article-title":"Restricted entitlements and access to health care for refugees and immigrants:\n                    The example of Germany","volume":"16","author":"O Razum","year":"2016","journal-title":"Glob Soc Policy"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/01.mej.0000228451.15103.89","article-title":"Emergency outpatient services in the city of Berlin: Factors for appropriate use\n                    and predictors for hospital admission","volume":"13","author":"M David","year":"2006","journal-title":"Eur J Emerg Med Off J Eur Soc Emerg Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1108\/IJHCQA-05-2017-0089","article-title":"High-cost sharing policies and non-urgent emergency department visits","volume":"31","author":"H. 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