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Erschienen in: International Journal of Public Health 1/2017

22.09.2016 | Original Article

(Non-)utilization of pre-hospital emergency care by migrants and non-migrants in Germany

verfasst von: Diana Kietzmann, Daniela Knuth, Silke Schmidt

Erschienen in: International Journal of Public Health | Ausgabe 1/2017

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Abstract

Objectives

This study was designed to explore the utilization and non-utilization of pre-hospital emergency care by migrants and non-migrants, and the factors that influence this behaviour.

Methods

A cross-sectional representative German survey was conducted in a sample of 2.175 people, 295 of whom had a migration background. An additional sample of 50 people with Turkish migration background was conducted, partially in the Turkish language. Apart from socio-demographics, the utilization of emergency services and the reasons for non-utilization were assessed.

Results

Migrants had a higher utilization rate of pre-hospital emergency care (RR = 1.492) than non-migrants. Furthermore, migrants who were not born in Germany had a lower utilization rate (RR = 0.793) than migrants who were born in Germany. Regarding non-utilization, the most frequently stated reasons belonged to the categories initial misjudgment of the emergency situation and acting on one’s own behalf, with the latter stated more frequently by migrants than by non-migrants.

Conclusions

To prevent over-, under-, and lack of supply, it is necessary to transfer knowledge about the functioning of the medical emergency services, including first aid knowledge.
Literatur
Zurück zum Zitat Allerbeck KR, Hoag WJ (1985) Wenn deutsche Ausländer befragen. Zeitschrift für Soziologie 14:241–246CrossRef Allerbeck KR, Hoag WJ (1985) Wenn deutsche Ausländer befragen. Zeitschrift für Soziologie 14:241–246CrossRef
Zurück zum Zitat Aminzadeh F, Dalziel WB (2002) Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 39:238–247CrossRefPubMed Aminzadeh F, Dalziel WB (2002) Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 39:238–247CrossRefPubMed
Zurück zum Zitat Anson O, Carmel S, Levin M (1991) Gender differences in the utilization of emergency department services. Women Health 17:91–104CrossRefPubMed Anson O, Carmel S, Levin M (1991) Gender differences in the utilization of emergency department services. Women Health 17:91–104CrossRefPubMed
Zurück zum Zitat Blohm M, Diehl C (2001) Wenn Migranten Migranten befragen. Zum Teilnahmeverhalten von Einwanderern bei Bevölkerungsbefragungen. Zeitschrift für Soziologie 30:223–242CrossRef Blohm M, Diehl C (2001) Wenn Migranten Migranten befragen. Zum Teilnahmeverhalten von Einwanderern bei Bevölkerungsbefragungen. Zeitschrift für Soziologie 30:223–242CrossRef
Zurück zum Zitat Borde T, David M (2003) Gibt es Besonderheiten bei der Inanspruchnahme klinischer Notfallambulanzen durch Migrantinnen und Migranten? In: Borde T, David M (eds) Gut versorgt?. Migrantinnen und Migranten im Gesundheits- und Sozialwesen, Mabuse Borde T, David M (2003) Gibt es Besonderheiten bei der Inanspruchnahme klinischer Notfallambulanzen durch Migrantinnen und Migranten? In: Borde T, David M (eds) Gut versorgt?. Migrantinnen und Migranten im Gesundheits- und Sozialwesen, Mabuse
Zurück zum Zitat Correa-Velez I, Sundararajan V, Brown K, Gifford SM (2007) Hospital utilisation among people born in refugee-source countries: an analysis of hospital admissions, Victoria, 1998–2004. Med J Aust 186:577–580PubMed Correa-Velez I, Sundararajan V, Brown K, Gifford SM (2007) Hospital utilisation among people born in refugee-source countries: an analysis of hospital admissions, Victoria, 1998–2004. Med J Aust 186:577–580PubMed
Zurück zum Zitat Dingoyan D, Schulz H, Mosko M (2012) The willingness to participate in health research studies of individuals with Turkish migration backgrounds: barriers and resources. Eur Psychiatry 27(Suppl 2):4–9CrossRef Dingoyan D, Schulz H, Mosko M (2012) The willingness to participate in health research studies of individuals with Turkish migration backgrounds: barriers and resources. Eur Psychiatry 27(Suppl 2):4–9CrossRef
Zurück zum Zitat Gabler S, Häder S (2002) Idiosyncrasies in telephone sampling-the case of Germany. Int J Pub Opin Res 14:339–345CrossRef Gabler S, Häder S (2002) Idiosyncrasies in telephone sampling-the case of Germany. Int J Pub Opin Res 14:339–345CrossRef
Zurück zum Zitat Harkness JA (2008) Comparative survey research: goals and challenges. In: de Leeuw JJ, Hox JJ, Dillmann DA (eds) International handbook of survey methodology. Lawrence Erlbaum Associates, New York, pp 56–77 Harkness JA (2008) Comparative survey research: goals and challenges. In: de Leeuw JJ, Hox JJ, Dillmann DA (eds) International handbook of survey methodology. Lawrence Erlbaum Associates, New York, pp 56–77
Zurück zum Zitat Hjern A, Haglund B, Persson G, Rosen M (2001) Is there equity in access to health services for ethnic minorities in Sweden? Eur J Pub Health 11:147–152CrossRef Hjern A, Haglund B, Persson G, Rosen M (2001) Is there equity in access to health services for ethnic minorities in Sweden? Eur J Pub Health 11:147–152CrossRef
Zurück zum Zitat Hussain-Gambles M, Atkin K, Leese B (2004) Why ethnic minority groups are under-represented in clinical trials: a review of the literature. Health Soc Care Community 12:382–388CrossRefPubMed Hussain-Gambles M, Atkin K, Leese B (2004) Why ethnic minority groups are under-represented in clinical trials: a review of the literature. Health Soc Care Community 12:382–388CrossRefPubMed
Zurück zum Zitat Killinger E (2009) Die Besonderheiten der Arzthaftung im medizinischen Notfall. Springer, BerlinCrossRef Killinger E (2009) Die Besonderheiten der Arzthaftung im medizinischen Notfall. Springer, BerlinCrossRef
Zurück zum Zitat Koch G (2008) Zur Entwicklung Interkultureller Kompetenz im Studium. Theoretische und pragmatische Ansatzpunkte. In: Bahl A (ed) Kompetenzen für die globale Wirtschaft Begriffe—Erwartungen—Qualifikationsansätze. Bertelsmann Verlag, Bielefeld, pp 189–207 Koch G (2008) Zur Entwicklung Interkultureller Kompetenz im Studium. Theoretische und pragmatische Ansatzpunkte. In: Bahl A (ed) Kompetenzen für die globale Wirtschaft Begriffe—Erwartungen—Qualifikationsansätze. Bertelsmann Verlag, Bielefeld, pp 189–207
Zurück zum Zitat Li G, Lau JT, McCarthy ML, Schull MJ, Vermeulen M, Kelen GD (2007) Emergency department utilization in the United States and Ontario, Canada. Acad Emerg Med 14:582–584CrossRefPubMed Li G, Lau JT, McCarthy ML, Schull MJ, Vermeulen M, Kelen GD (2007) Emergency department utilization in the United States and Ontario, Canada. Acad Emerg Med 14:582–584CrossRefPubMed
Zurück zum Zitat Mayring P (2010) Qualitative Inhaltsanalyse: Grundlagen und Techniken. Beltz, WeinheimCrossRef Mayring P (2010) Qualitative Inhaltsanalyse: Grundlagen und Techniken. Beltz, WeinheimCrossRef
Zurück zum Zitat Norredam M, Krasnik A, Sorensen TM, Keiding N, Michaelsen JJ, Nielsen AS (2004) Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents. Scand J Pub Health 32:53–59CrossRef Norredam M, Krasnik A, Sorensen TM, Keiding N, Michaelsen JJ, Nielsen AS (2004) Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents. Scand J Pub Health 32:53–59CrossRef
Zurück zum Zitat Norredam M, Mygind A, Nielsen AS, Bagger J, Krasnik A (2007) Motivation and relevance of emergency room visits among immigrants and patients of Danish origin. Eur J Pub Health 17:497–502CrossRef Norredam M, Mygind A, Nielsen AS, Bagger J, Krasnik A (2007) Motivation and relevance of emergency room visits among immigrants and patients of Danish origin. Eur J Pub Health 17:497–502CrossRef
Zurück zum Zitat Ong BN, Yip MP, Feng S, Calhoun R, Meischke HW, Tu SP (2012) Barriers and facilitators to using 9-1-1 and emergency medical services in a limited English proficiency Chinese community. J Immigr Minor Health 14:307–313CrossRefPubMed Ong BN, Yip MP, Feng S, Calhoun R, Meischke HW, Tu SP (2012) Barriers and facilitators to using 9-1-1 and emergency medical services in a limited English proficiency Chinese community. J Immigr Minor Health 14:307–313CrossRefPubMed
Zurück zum Zitat Rue M, Cabre X, Soler-Gonzalez J, Bosch A, Almirall M, Serna MC (2008) Emergency hospital services utilization in Lleida (Spain): a cross-sectional study of immigrant and Spanish-born populations. BMC Health Serv Res 8:81CrossRefPubMedPubMedCentral Rue M, Cabre X, Soler-Gonzalez J, Bosch A, Almirall M, Serna MC (2008) Emergency hospital services utilization in Lleida (Spain): a cross-sectional study of immigrant and Spanish-born populations. BMC Health Serv Res 8:81CrossRefPubMedPubMedCentral
Zurück zum Zitat Schenk L (2002) Migrantenspezifische Teilnahmebarrieren und Zugangsmöglichkeiten im Kinder- und Jugendgesundheitssurvey. Gesundheitswesen 64:59–68CrossRef Schenk L (2002) Migrantenspezifische Teilnahmebarrieren und Zugangsmöglichkeiten im Kinder- und Jugendgesundheitssurvey. Gesundheitswesen 64:59–68CrossRef
Zurück zum Zitat Schenk L, Neuhauser H (2005) Methodische Standards für eine migrantensensible Forschung in der Epidemiologie. Epidemiologie und Gesundheitsberichterstattung 48:279–286 Schenk L, Neuhauser H (2005) Methodische Standards für eine migrantensensible Forschung in der Epidemiologie. Epidemiologie und Gesundheitsberichterstattung 48:279–286
Zurück zum Zitat Sheikh M, Nugus PI, Gao Z, Holdgate A, Short AE, Al Haboub A, Macintyre CR (2011) Equity and access: understanding emergency health service use by newly arrived refugees. Med J Aust 195:74–76PubMed Sheikh M, Nugus PI, Gao Z, Holdgate A, Short AE, Al Haboub A, Macintyre CR (2011) Equity and access: understanding emergency health service use by newly arrived refugees. Med J Aust 195:74–76PubMed
Zurück zum Zitat Statistisches Bundesamt (2015) Bevölkerung und Erwerbstätigkeit. Bevölkerung mit Migrationshintergrund—Ergebnisse des Mikrozensus 2014. Statistisches Bundesamt, Wiesbaden Statistisches Bundesamt (2015) Bevölkerung und Erwerbstätigkeit. Bevölkerung mit Migrationshintergrund—Ergebnisse des Mikrozensus 2014. Statistisches Bundesamt, Wiesbaden
Metadaten
Titel
(Non-)utilization of pre-hospital emergency care by migrants and non-migrants in Germany
verfasst von
Diana Kietzmann
Daniela Knuth
Silke Schmidt
Publikationsdatum
22.09.2016
Verlag
Springer International Publishing
Erschienen in
International Journal of Public Health / Ausgabe 1/2017
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-016-0904-y

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