Noack, Eva Maria

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Jablonka, Alexandra"],["dc.contributor.author","Schmidt, Tobias"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-06-01T09:42:55Z"],["dc.date.available","2021-06-01T09:42:55Z"],["dc.date.issued","2021"],["dc.description.abstract","Hintergrund Zur Bekämpfung der SARS-CoV-2-Pandemie wurden in Deutschland Mitte März 2020 weitgehende Kontaktbeschränkungen erlassen (sog. Lockdown). Die vorliegende Arbeit soll klären, welche Auswirkungen diese Maßnahmen auf Rettungsdiensteinsätze hatten. Material und Methoden Retrospektive Auswertung von 6668 Einsatzprotokollen von vier Rettungswachen in Ostniedersachsen der beiden ersten Quartale 2020. Deskription und teststatistischer Vergleich der Einsätze sechs Wochen vor den Kontaktbeschränkungen mit einem gleich großen Zeitraum nach deren Erlass. Ergebnisse In den sechs Wochen im Lockdown gab es 17,7 % weniger Einsätze als in den Wochen vor dem Lockdown. Insbesondere zeigte sich eine Abnahme von Einsätzen wegen Atemwegserkrankungen um 40,6 % (91 Fälle), die insbesondere auf den Rückgang von Pneumonien und exazerbierten chronisch-obstruktiven Lungenerkrankungen (COPD) zurückgeht. Gleichzeitig zeigte sich ein Anstieg des durchschnittlichen Alters der Patienten mit einer Verringerung des Anteils der unter 65-Jährigen. Veränderungen bei psychiatrischen Erkrankungen, verstorbenen oder verletzten Patienten oder der Verweigerung von Behandlung und Transport wurden nicht beobachtet. Insgesamt wurden im Zeitraum 67 Patienten (1,0 %) mit Verdacht auf oder bestätigter COVID-19-Erkrankung behandelt. Diskussion Im Rettungsdienst zeigt sich eine Reduktion der Einsätze in Folge der Kontaktbeschränkungen, wobei diese nicht so stark ausfällt, wie für Notaufnahmen beschrieben wurde. Dieser Rückgang könnte auf eine Reduktion insbesondere weniger schwerer Erkrankungsfälle und jüngerer Patienten zurückzuführen sein. Auffällig ist die Reduktion von Pneumonien und exazerbierter COPD. Dies könnte einerseits bedeuten, dass Kontaktbeschränkungen das Infektionsgeschehen bei anderen Atemwegserkrankungen reduziert haben, aber ebenfalls, dass Patienten Krankenhausbehandlungen vermeiden wollten."],["dc.description.abstract","Background As a response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, extensive contact restrictions were imposed by law in Germany as in other European countries. The present study intends to clarify the effect of these restrictions on emergency medical service (EMS) operations. Materials and methods Retrospective chart review of EMS operation protocols over the first 6 months of 2020 ( n  = 6668 rescue missions) in four rescue stations in eastern Lower Saxony (Germany). Description and statistical comparison of operations 6 weeks before the restrictions with an equally long period after the order of the restrictions (“lockdown”). Results During the 6 weeks after the lockdown the frequency of rescue operations decreased by 17.7%. In particular, there was a 40.6% ( n  = 91) decrease of emergency cases with respiratory diseases, mainly due to a decline of pneumonia and exacerbated chronic–obstructive pulmonary disease (COPD). At the same time, patients’ mean age increased with fewer patients under 65 years. There were no changes in the frequency of psychiatric disorders, deceased or injured patients, or refusal of treatment and transport. A total of 67 patients with suspected or confirmed SARS-CoV‑2 infection (1.0%) were observed during this period. Discussion EMS experienced a reduction of operations as a result of contact restrictions, although not as pronounced as was recently described for emergency rooms. This supports the hypothesis that the reduction is particularly evident in less severe cases and in younger patients. The reduction in pneumonia and COPD cases is striking. On the one hand, this could indicate that contact restrictions reduce the incidence of other respiratory infections and their impact on chronic respiratory disorders, but it could also mean that patients try to avoid hospital treatment."],["dc.identifier.doi","10.1007/s10049-021-00873-1"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85385"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Auswirkung des COVID-19-Lockdowns auf Rettungseinsätze"],["dc.title.translated","Impact of the COVID-19 lockdown on emergency medical service operations"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Health Services Research"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2020-12-10T18:38:58Z"],["dc.date.available","2020-12-10T18:38:58Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1186/s12913-020-05098-5"],["dc.identifier.eissn","1472-6963"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17212"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/77493"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Overcoming language barriers in paramedic care: a study protocol of the interventional trial ‘DICTUM rescue’ evaluating an app designed to improve communication between paramedics and foreign-language patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","6306"],["dc.bibliographiccitation.issue","17"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-04-14T08:32:34Z"],["dc.date.available","2021-04-14T08:32:34Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.3390/ijerph17176306"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83953"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.publisher","MDPI"],["dc.relation","DICTUM Friedland - Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Grenzdurchgangslager Friedland"],["dc.relation.eissn","1660-4601"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Medical Characteristics of Foreign Language Patients in Paramedic Care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.journal","Zeitschrift für Rheumatologie"],["dc.bibliographiccitation.lastpage","11"],["dc.bibliographiccitation.volume","May 6"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Heesen, Gloria"],["dc.contributor.author","Dopfer-Jablonka, Alexandra"],["dc.contributor.author","Mikuteit, Marie"],["dc.contributor.author","Niewolik, Jacqueline"],["dc.contributor.author","Steffens, Sandra"],["dc.contributor.author","Schröder, Dominik"],["dc.creator.author","Frank Müller"],["dc.creator.author","Stephanie Heinemann"],["dc.creator.author","Eva Hummers"],["dc.creator.author","Eva Maria Noack"],["dc.creator.author","Gloria Heesen"],["dc.creator.author","Alexandra Dopfer-Jablonka"],["dc.creator.author","Marie Mikuteit"],["dc.creator.author","Jacqueline Niewolik"],["dc.creator.author","Sandra Steffens"],["dc.creator.author","Dominik Schröder"],["dc.date.accessioned","2022-05-07T01:54:33Z"],["dc.date.available","2022-05-07T01:54:33Z"],["dc.date.issued","2022"],["dc.description.abstract","Immunocompromised people are less likely to be vaccinated, despite an increased benefit of many vaccinations in terms of benefit-risk assessment, including the vaccines against SARS CoV-2 (COVID-19). Attitudes, expectations, and experiences with previous vaccinations influence the decision to get vaccinated."],["dc.identifier.doi","10.1007/s00393-022-01213-5"],["dc.identifier.pmid","35523964"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108140"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/107676"],["dc.language.iso","de"],["dc.relation","DEFEnse Against COVID-19 STudy"],["dc.relation.eissn","1435-1250"],["dc.relation.issn","0340-1855"],["dc.relation.issn","1435-1250"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.subject.gro","Immunosuppression; SARS-CoV‑2; Vaccination; Vaccination acceptance; Vaccine Uptake; Vaccine hesitancy"],["dc.title","Impfeinstellung, Erwartungen und Impferfahrung von Immunsupprimierten bei COVID-19 Impfungen - Ergebnisse einer Längsschnittstudie"],["dc.title.alternative","Immunosuppressed people's beliefs, expectations, and experiences with COVID-19 vaccinations: Results of a longitudinal study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","20"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Rettungsdienst"],["dc.bibliographiccitation.lastpage","25"],["dc.bibliographiccitation.volume","Jg 43"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Geisler, Philipp"],["dc.contributor.author","Schmid, Sybille"],["dc.contributor.author","John, Mathias"],["dc.contributor.author","Wächter, Thomas"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-08-24T17:28:48Z"],["dc.date.available","2021-08-24T17:28:48Z"],["dc.date.issued","2020-11"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88798"],["dc.language.iso","de"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.issn","0178-2525"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Sprachbarrieren im Rettungsdienst in Zeiten von Covid-19: Kann eine App helfen?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","360"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Vaccines"],["dc.bibliographiccitation.volume","10"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Schäning, Jennifer"],["dc.contributor.author","Müller, Frank"],["dc.creator.author","Eva Maria Noack"],["dc.creator.author","Jennifer Schäning"],["dc.creator.author","Frank Müller"],["dc.date.accessioned","2022-02-28T13:24:47Z"],["dc.date.available","2022-02-28T13:24:47Z"],["dc.date.issued","2022"],["dc.date.updated","2022-03-23T08:37:44Z"],["dc.description.abstract","Language barriers are obstacles in receiving vaccinations against COVID-19. They jeopardize informed consent, vaccination safety, and a positive immunization experience. We have developed a multilingual app to overcome language barriers when dealing with vaccination candidates with a limited proficiency in the locally spoken language. We applied the Spiral Technology Action Research (STAR) model to create the app within a discursive process involving healthcare professionals (HCPs) from vaccination sites, literature searches and guidelines, and field trials at vaccination centers. In a real-world pilot test, we assessed the usability and feedback for further improvement. Our efforts resulted in an app that facilitates communication with vaccination candidates in 40 languages, each with over 500 phrases that can be played back or displayed as text. In the pilot test, the app demonstrated its usability, and was well accepted by the vaccination candidates (n = 20). The app was mainly used to inform about the risks and benefits of the SARS-CoV-2 vaccination. Some HCPs struggled to navigate the comprehensive content and the pilot test exposed the need for additional phrases. The STAR model proved to be flexible in adapting to dynamic pandemic conditions and changing recommendations. This multilingual app overcomes language barriers in healthcare settings, promoting vaccines to migrants with limited language proficiency."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2022"],["dc.identifier.doi","10.3390/vaccines10030360"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/102593"],["dc.language.iso","en"],["dc.relation","Digitale vielsprachige und rechtssichere Impfaufklärung"],["dc.relation.eissn","2076-393X"],["dc.relation.issn","2076-393X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-SA 2.5"],["dc.subject.gro","language barriers"],["dc.subject.gro","limited language proficiency"],["dc.subject.gro","migrants"],["dc.subject.gro","health equity"],["dc.subject.gro","vaccine hesitancy"],["dc.subject.gro","SARS-CoV-2 pandemic"],["dc.subject.gro","COVID-19 vaccination"],["dc.subject.gro","sign language"],["dc.title","A Multilingual App for Providing Information to SARS-CoV-2 Vaccination Candidates with Limited Language Proficiency: Development and Pilot"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","e21586"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Journal of Medical Internet Research. Mhealth & Uhealth"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2021-06-01T09:42:21Z"],["dc.date.available","2021-06-01T09:42:21Z"],["dc.date.issued","2021"],["dc.description.abstract","Background In emergencies, language barriers may have dangerous consequences for the patients. There have been some technical approaches to overcome language barriers in medical care but not yet in the prehospital emergency care setting. The use of digital technologies in health care is expanding rapidly. Involving end users at all stages of the development process may help to ensure such technologies are usable and can be implemented. Objective We aimed to develop a digital communication tool that addresses paramedic needs in the specific circumstances of prehospital emergency care and helps paramedics to overcome language barriers when providing care to foreign-language patients. Methods We actively engaged paramedics and software designers in an action-oriented, participatory, iterative development process, which included field observations, workshops, background conversations, questionnaires on rescue missions, studying the literature, and preliminary testing in the field. Results With input from paramedics, we created an app with 600 fixed phrases supporting 18 languages. The app includes medical history–taking questions, phrases asking for consent, and phrases providing specific additional information. Children as patients, as well as their carers and other third parties, can be addressed with appropriate wording. All phrases can be played back audibly or displayed as text. The comprehensive content is grouped into categories and adapted to diverse scenarios, which makes the tool rapidly usable. The app includes a function to document patient responses and the conversation history. For evaluation in a clinical study, the app is run on a smartphone with extra speakers to be of use in noisy environments. The use of prototypes proved valuable to verify that the content, structure, and functions discussed in theory were of value and genuinely needed in practice and that the various device control elements were intuitive. Conclusions The nature of the paramedic work environment places specific demands on the communication options used and need for such devices. The active involvement of paramedics in the development process allowed us to understand and subsequently consider their experience-based knowledge. Software designers could understand the paramedics’ work environment and consider respective needs in the menu navigation and design principles of the app. We argue that the development of any medical software product should actively involve both end users and developers in all phases of the development process. Providing the users with the opportunity to influence technology development ensures that the result is closer to their needs, which can be seen as crucial for successful implementation and sustainable use. Trial Registration German Clinical Trials Register DRKS00016719; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00016719 International Registered Report Identifier (IRRID) RR2-10.1186/s12913-020-05098-5"],["dc.identifier.doi","10.2196/21586"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85226"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","2291-5222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Designing an App to Overcome Language Barriers in the Delivery of Emergency Medical Services: Participatory Development Process"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-08-12T07:46:11Z"],["dc.date.available","2021-08-12T07:46:11Z"],["dc.date.issued","2021"],["dc.description.abstract","Zusammenfassung Hintergrund Im Rettungsdienst können, im Gegensatz zum stationären Setting, adäquate Dolmetscher häufig nicht ohne Weiteres hinzugezogen werden. Gleichzeitig erfordern Notfallsituationen aber eine rasche Anamnese und ein Assessment als Basis für jedes therapeutische Handeln. Material und Methoden Eine Smartphone-App, die auf 18 Sprachen eine basale Kommunikation mittels 600 fest eingesprochener unterschiedlicher Phrasen auf 20 Sprachen ermöglicht, wurde über 6 Monate in vier Rettungswachen pilotiert. Abschließend wurde die Nutzbarkeit der App durch das gesamte Rettungsdienstpersonal in einer Fragebogenstudie unter Verwendung des System Usability Scores und des AttrakDiff-Fragebogens bewertet. Ergebnisse Die Rücklaufquote betrug 48,5 % und n  = 48 Fragebögen wurden ausgewertet. Das Durchschnittsalter der Befragten betrug 36 Jahre und fast zwei Drittel waren männlichen Geschlechts. Der System Usability Score zeigte im Median 67,5 Punkte, was eine grenzwertig gute Nutzbarkeit zeigte. Im AttrakDiff-Fragebogen zeigte sich die pragmatische Qualität mit durchschnittlich 0,69 (SD 0,86), die hedonische Qualität mit 0,59 (SD 0,58) und die Attraktivität (ATT) mit 0,64 Punkten (SD 0,83). Die Durchschnittswerte zeigen zufriedenstellende Werte jeweils oberhalb der neutral markierenden Grenze von 0. Auffällig zeigte sich, dass in wesentlichen Bewertungskriterien diejenigen Rettungsdienstkräfte, die angaben, die App bereits aktiv im Einsatz mit Patienten genutzt zu haben, die App signifikant besser einschätzten. Diskussion Vor dem Hintergrund, dass es sich bei der untersuchten App um ein komplexes Arbeitswerkzeug handelt, werden die Nutzbarkeit und Attraktivität als insgesamt gut eingeschätzt, wobei in der Nutzung erfahrene Rettungskräfte diese noch positiver einschätzten. Dies könnte auf eine Art Schwellenangst hindeuten, einer bereits durch Sprach- und kulturelle Barrieren geprägten Rettungssituation mit einer ebenfalls recht komplexen Intervention zu begegnen."],["dc.description.abstract","Abstract Background Communication with foreign-speaking patients in emergency medical situations can be challenging. In contrast to the inpatient setting, adequate interpreters are often not readily available in emergency services. At the same time, however, emergency situations require rapid assessment as the basis for any treatment. Materials and methods A smartphone app that enables basic communication in 18 languages using 600 different phrases was piloted over a period of 6 months in four emergency medical service stations. Finally, the usability of the app was evaluated by the whole rescue service staff in a questionnaire study using the System Usability Score and the AttrakDiff questionnaire. Results The response rate was 48.5% and n  = 48 questionnaires were evaluated. The average age of the respondents was 36 years and almost two-thirds were male. The System Usability Score showed a median of 67.5 points, indicating borderline good usability. The AttrakDiff questionnaire showed pragmatic quality with an average of 0.69 (SD 0.86), hedonic quality with 0.59 (SD 0.58), and attractiveness (ATT) with 0.64 points (SD 0.83). The average values show satisfying results above the neutral limit of 0. It was observed that those rescue workers who stated that they had already actively used the app with patients rated the app significantly better. Discussion Given that the app studied is a complex work tool, its usability and attractiveness were rated as overall good, and paramedics who had already used the app rated it even more positively. This could indicate a hesitancy by some paramedics to use a complex digital tool in complex situations that are already characterized by language and cultural barriers."],["dc.identifier.doi","10.1007/s10049-021-00913-w"],["dc.identifier.pii","913"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88637"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-448"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Nutz- und Bedienbarkeit einer App zur Überwindung von Sprachbarrieren im Rettungsdienst"],["dc.title.translated","Usability of an app to overcome language barriers in paramedic care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","45"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Na Ratunek"],["dc.bibliographiccitation.lastpage","48"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Geisler, Philipp"],["dc.contributor.author","Schmid, Sybille"],["dc.contributor.author","John, Mathias"],["dc.contributor.author","Wächter, Thomas"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-08-24T17:33:14Z"],["dc.date.available","2021-08-24T17:33:14Z"],["dc.date.issued","2020-05"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88799"],["dc.language.iso","other"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.issn","1896-8546"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Bariery językowe w ratownictwie medycznym w czasach COVID-19. Czy aplikacja może pomóc?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","315"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Primary Care"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Holman, Harland"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schröder, Dominik"],["dc.contributor.author","Noack, Eva M."],["dc.date.accessioned","2022-12-12T08:14:49Z"],["dc.date.available","2022-12-12T08:14:49Z"],["dc.date.issued","2022-12-06"],["dc.date.updated","2022-12-11T04:11:38Z"],["dc.description.abstract","Abstract\r\n \r\n Background\r\n Providing medical care to newly arrived migrants presents multiple challenges. A major challenge is a lack of a common language in the absence of language interpretation services. We examine the multilingualism of German physicians and clinical psychotherapists providing ambulatory care.\r\n \r\n \r\n Methods\r\n We retrieved publicly available data from the Associations of Statutory Health Insurance Physicians provider registry of three German federal states (Lower Saxony, Saarland, Bavaria). We selected and grouped relevant practice-based disciplines. We used descriptive statistics to analyze the provider’s multilingualism among different disciplines.\r\n \r\n \r\n Results\r\n 69.6% of ambulatory providers offer consultations only in German. 15.5% of providers reported offering consultations in one additional non-German language, and 14.9% in two or more additional languages. Most common additional languages were English (28.6%) and French (9.9%). 1.4% of providers reported offering consultation in at least one language of the Middle Eastern region (Arabic, Dari, Hebrew, Kurdish, Pashtu, Farsi, and Turkish). There were differences in the offered languages between the medical disciplines with the highest mean rates found for gynecologists and obstetricians, urologists, and general surgeons. Psychotherapeutic disciplines offered consultation in other languages significantly less often.\r\n \r\n \r\n Conclusion\r\n Our study suggests a significant numeric mismatch in the number of providers offering consultations in the languages of people seeking protection in Germany. The resulting language barriers are compromising equitable access and quality of care."],["dc.identifier.citation","BMC Primary Care. 2022 Dec 06;23(1):315"],["dc.identifier.doi","10.1186/s12875-022-01926-1"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/118498"],["dc.language.iso","en"],["dc.publisher","BioMed Central"],["dc.relation.issn","2731-4553"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.holder","The Author(s)"],["dc.subject","Language proficiency"],["dc.subject","Primary care"],["dc.subject","Migration"],["dc.subject","Language barrier"],["dc.title","Multilingual competencies among ambulatory care providers in three German Federal States"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]