Erzählen als Politikum - Erzählen als Hebammen und Elternprotest? Die Aktion Erzählcafés 'Der Start ins Leben'
Titelübersetzung:Storytelling as a political event - storytelling as a means of protest for parents and midwives? The "Storytelling Café - A Good Start in Life" project
Autor/in:
Colloseus, Cecilia
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 78-90
Inhalt: "Der vorliegende Beitrag stellt das bundesweite Kooperationsprojekt Erzählcafés 'Der Start ins Leben' vor. 2014 initiiert, will dieses Projekt Erfahrungen von Schwangeren und Gebärenden, aber auch von Vätern, Hebammen und Ärzt_innen sichtbar machen und diese dem negativ konnotierten Diskurs um die politische Situation der Geburtshilfe in Deutschland entgegenstellen. Es werden die Entstehung, das Vorgehen und die zentralen Ergebnisse der Aktion vorgestellt. Abschließend wird diskutiert, inwiefern die Aktion Erzählcafés Impulse sowohl für politische Protestformen und Veränderungen als auch für sozialwissenschaftliche Methodenentwicklung (im Sinne der partizipativen Forschung) geben kann." (Autorenreferat)
Inhalt: "This article presents the Germany-wide project Erzählcafés 'Der Start ins Leben' (Storytelling Café - A Good Start in Life) that was launched in 2014 as part of the political protest around birth and obstetrics that is ongoing in Germany. Its aim is to make the experiences of pregnant and birthing women, fathers, midwives and doctors visible in order to provide an alternative to the negative view of obstetrics in Germany. First, the political circumstances will be described. In a second step, the method and main results of the project will be presented. Finally, I discuss whether and how the project may be of use for bringing about political change as well as for developing new methods for the social sciences." (author's abstract)
Schlagwörter:Schwangerschaft; pregnancy; Geburtshilfe; obstetrics; Hebamme; midwife; Mutter; mother; Vater; father; Körper; body; Diskurs; discourse; Gesundheitsversorgung; health care; Geburt; birth; Erzählung; narrative; Erfahrung; experience; Federal Republic of Germany; Gebären; Erzählcafé; Narrative based Medicine; Hebammenprotest; partizipative Forschung
Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation
Titelübersetzung:Ungleichheit bei der medizinischen Versorgung in Deutschland? Theoretische und empirische Evidenz für den Facharztbesuch
Autor/in:
Gruber, Stefan; Kiesel, Markus
Quelle: Journal of Public Health, 18 (2010) 4, S 351-365
Inhalt: Aim: In view of increasing concern about a two-class system in the German health care sector, this study investigates the relevance of health insurance schemes and other socioeconomic characteristics to the level of specialist health care provision. Subjects and Methods: Referring to Ronald M. Andersen’s model of health care utilization and more content-based approaches, we implement a negative binomial hurdle regression to estimate the number of specialist visits within the last 12 months. Our data source is the German sample of the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2004. Results: The results show that men’s number of specialist visits is markedly sensitive to predisposing and enabling factors, whereas women’s health care utilization depends less on such socioeconomic characteristics. With reference to previous findings concerning general practitioner consultation, the assumption of a bipolar health care system providing general practitioner care primarily to the statutory insured and specialist care to the privately insured is supported empirically as to men. Education, which is considered to be highly correlated with health lifestyles, has a positive effect on medical health care. Every additional year of education increases by about 10% the probability of men seeking specialist consultation. Furthermore, the results indicate an unfavorable situation for the self-employed concerning health care because of their specific employment situation and health insurance coverage. Discussion: The research results suggest the existence of relevant differences in the amount of specialist consultation according to health insurance and other socioeconomic features. Further research could concentrate on the question of whether these inequalities in utilization levels indicate overprovision or underprovision of ambulant health care. Moreover, we recommend longitudinal research that is particularly suited to detangle age and cohort effects.
Schlagwörter:theory-practice; Theorie; statistische Analyse; health care delivery system; Facharzt; Gesundheitswesen; compulsory health insurance; Federal Republic of Germany; Theorie-Praxis; private health insurance; private Krankenversicherung; man; gesetzliche Krankenversicherung; inequality; statistical analysis; Lebenserwartung; medical specialist; model; health care; life expectancy; Modell; Gesundheitsversorgung; woman; Mann; theory; Ungleichheit; Specialist consultation; Health care utilization; Health insurance; Supply-induced demand; Hurdle regression
Quelle: Journal of Public Health, 19 (2010) 3, S 269-280
Inhalt: Aim: The aim of this study was to analyse the health-related quality of life (HRQOL) of primary family caregivers in comparison to the reference values of the average population. Subjects and methods: Data collection took place in the Werra-Meißner district in 2009 with a response rate of 102 primary family caregivers of frail elderly people. The health-related quality of life was measured with the Short Form 36 health survey (SF 36) and compared with the German reference values. Results: Compared to the health values of the normative sample, primary caregivers show significantly lower rates in all dimensions of health-related quality of life. In particular, caregivers between the ages of 53 to 61 report extremely low health values. Caregiving women compared to non-caregiving women have highly significant differences in all subscales of the SF 36. Caregiving men also report highly significant differences to non-caregiving men in all dimensions of the SF 36 except for Physical Functioning and General Health (p < 0.01). Caregivers in general and especially caregiving women aged 53 to 61 (midlife) were identified as at-risk groups for poor health. The latter report lower vitality and well-being, which may be a consequence of both social isolation and social impacts from multiple role demands. Conclusion: The identified high-risk groups of family caregivers, caregivers in midlife and especially caregiving women in midlife, should be supported by social measures, e.g., training courses for family caregivers, particularly in their home setting, and various types of respite care in order to sustain their health.
Schlagwörter:psychische Belastung; Gesundheit; alter Mensch; family member; Lebensqualität; Hessen; risk; health consequences; Federal Republic of Germany; häusliche Pflege; nursing care for the elderly; psychological stress; quality of life; Auswirkung; Risiko; home care; Krankheit; Altenpflege; Hesse; impact; elderly; gesundheitliche Folgen; gender-specific factors; health; Familienangehöriger; illness; family caregiver; health-related quality of life; SF 36; gender differences
Quelle: Public Health und Pflege: zwei neue gesundheitswissenschaftliche Disziplinen. Berlin, 2004, S 175-189
Inhalt: Die Autorin analysiert die Arbeitsmarktperspektiven für Pflegeberufe und die Ursachen des Pflegenotstandes im Rahmen der bisherigen Arbeitsmarktpolitik. Gesundheits- und Pflegeberufe, so die Eingangsthese, stellen einen umfangreichen Teilarbeitsmarkt dar, den sie detaillierter nach Berufen unterscheidet. Für den "Pflegenotstand" im Sinne eines Arbeitskräftemangels bei den Pflegeberufen diskutiert sie vier Ursachenbereiche (Konzentration des Leistungsgeschehens in der beruflichen Pflege, mangelnde Attraktivität der Berufe, etc.). Daran anknüpfend beschreibt sie den prognostizierten künftigen Arbeitskräftebedarf in der Kranken- und Altenpflege und mögliche künftige Strategien zur Arbeitskräftegewinnung in den Pflegeberufen. (rk)
Schlagwörter:Pflegepersonal; nursing staff; Gesundheitsberuf; health occupations; Gesundheit; health; Gesundheitswesen; health care delivery system; Gesundheitspolitik; health policy; Krankheit; illness; Federal Republic of Germany; Arbeitsmarktpolitik; labor market policy; Pflege; caregiving; Krankenpflege; nursing; Altenpflege; nursing care for the elderly; Pflegeberuf; nursing occupation; Arbeitsmarkt; labor market; Gesundheitswirtschaft; health industry; Beschäftigungsentwicklung; employment trend; Arbeitsmarktentwicklung; labor market trend; gender-specific factors; Pflegeheim; nursing home