Führer Amand, Korn Marie, Brzoska Patrick
Martin-Luther-Universität Halle-Wittenberg, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Profilzentrum Gesundheitswissenschaften, Halle (Saale), Deutschland.
Martin-Luther-Universität Halle-Wittenberg, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Profilzentrum Gesundheitswissenschaften, Halle (Saale), Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2020 Dec;158-159:1-9. doi: 10.1016/j.zefq.2020.09.004. Epub 2020 Nov 22.
In response to the large number of asylum seekers coming to Germany since 2015, lots of informational materials, translation aids, leaflets, etc. have been developed. However, hardly any of these materials have been evaluated with respect to their acceptance and usability in clinical practice. The aim of the present study was to exemplarily evaluate the 'Health Booklet for Asylum Seekers' that has been in use in Saxony-Anhalt since 2017.
A cross-sectional survey was combined with qualitative interviews in an explanatory sequential mixed methods design. The survey included general practitioners (n=41), nursing staff (n=7), refugees (n=19) and other stakeholders (n=30); the Systems Usability Scale (SUS) was used to assess the usability of the booklet. The qualitative part of the study involved 35 interviews with the above-mentioned participants and two focus group discussions with physicians and refugees; the aim was to better understand the different actors' perception of usability.
Most general practitioners did not know the booklet and had never used it before, but were eager to make use of it in the future. Overall, the booklet was rated as highly usable by 65 % of all respondents, while the median score in the SUS was above the threshold value for good usability. Respondents explained that the booklet improved patient care, helped patients to better understand the health care system and their health issues, increased patient autonomy and has symbolic value as an expression of diversity management.
The different stakeholders predominantly perceived the health booklet to be a useful tool and assumed that its application in clinical practice would help alleviate some of the practical problems in providing medical care for asylum seekers.
自2015年以来，大量寻求庇护者涌入德国，为此开发了许多信息材料、翻译辅助工具、传单等。然而，这些材料几乎没有一项在临床实践中的可接受性和可用性方面得到评估。本研究的目的是对自2017年以来在萨克森-安哈尔特州使用的《寻求庇护者健康手册》进行示例性评估。
采用解释性序列混合方法设计，将横断面调查与定性访谈相结合。调查对象包括全科医生（n = 41）、护理人员（n = 7）、难民（n = 19）和其他利益相关者（n = 30）；使用系统可用性量表（SUS）评估手册的可用性。研究的定性部分包括对上述参与者进行35次访谈，以及与医生和难民进行两次焦点小组讨论；目的是更好地了解不同行为者对可用性的看法。
大多数全科医生不了解该手册，以前也从未使用过，但他们渴望在未来使用它。总体而言，65%的受访者认为该手册具有很高的可用性，而SUS的中位数得分高于良好可用性的阈值。受访者解释说，该手册改善了患者护理，帮助患者更好地理解医疗保健系统及其健康问题，增强了患者的自主性，并且作为多样性管理的一种体现具有象征价值。
不同的利益相关者主要认为健康手册是一种有用的工具，并认为在临床实践中应用该手册将有助于缓解为难民提供医疗服务时的一些实际问题。
