Jakubowski Elke, Rau Cornelius, Quellhorst Sibylle, Sothmann Peter, Plenge-Bönig Anita, Niessen Johannes
Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover.
Altonaer Kinderkrankenhaus, Hamburg.
Gesundheitswesen. 2017 Aug;79(8-09):599-604. doi: 10.1055/s-0043-101513. Epub 2017 Jun 14.
The massive increase in the number of refugees represents a great challenge to German cities. In Hamburg, 40 868 asylum seekers were registered in 2015, of which 22 315 remained in the city. The goal of the health administration is to provide primary medical care in response to specific health risks and needs of refugees while allowing them to be swiftly integrated into the standard health care system. Public authorities, charities and civil society are working hand in hand. In all reception centres in Hamburg, medical consultations with translation services are offered in fully equipped medical container practices. For every 1 000 refugees, a full-time doctor and a medical assistant are available. In addition to contractual staff, employees of contractually integrated hospitals are participating in the provision of medical care. Systematic collection of data on the health condition of the refugees as well as strengthening public health services are key factors in the planning and improvement of services in the future. Healthier living conditions and access to the standard health care system provide an opportunity to facilitate successful integration of refugees into society.
难民数量的大幅增加给德国城市带来了巨大挑战。2015年，汉堡登记了40868名寻求庇护者，其中22315人留在了该市。卫生管理部门的目标是针对难民的特定健康风险和需求提供初级医疗服务，同时使他们能够迅速融入标准医疗体系。公共当局、慈善机构和民间社会正在携手合作。在汉堡的所有接待中心，配备齐全的医疗集装箱诊所提供配有翻译服务的医疗咨询。每1000名难民配备一名全职医生和一名医疗助理。除了合同制员工外，合同制综合医院的员工也参与医疗服务的提供。系统收集难民健康状况数据以及加强公共卫生服务是未来服务规划和改进的关键因素。更健康的生活条件和获得标准医疗体系的机会为促进难民成功融入社会提供了契机。
