[Language barriers in the care for pediatric immigrant patients -- results of a pilotstudy among pediatricians in Germany]. / Sprachbarrieren in der Betreuung von Patienten mitMigrationshintergrund ­ Ergebnisse einer Pilotstudiezu den Erfahrungen von Kinder- und Jugendärzten

BACKGROUND: In 2010, 19.3% of German inhabitants were either first or second generation immigrants. Language barriers can potentially impair quality of care of this heterogenous group of patients. It has not yet been studied how pediatricians practicing in Germany experience and cope with language barriers. METHODS: We conducted a written survey among participants of the 105th annual meeting of the German Society of Pediatrics in 2009. The questionnaire was newly developed and consisted of 39 items and 3 open questions. Frequency distribution and cross tables were used for descriptive analysis of categorical data. RESULTS: 229 participants returned the questionnaire (40% in inpatient care, 33% in private practice, 26% in public outpatient services). 75% of participants are confronted with language barriers regularly. The most widespread strategy to overcome barriers is using bilingual colleagues, employees or patient family members as interpreters. The opportunity to access professional interpreters depends on the care setting (22% [inpatient care] vs. 5% [private practice] vs. 28% [public outpatient service]). 91% claim that the expenditure of time to organize professional interpreting services is high. CONCLUSION: The results of the pilot project suggest that the possibilities to overcome language barriers largely depend on the care setting. A high amount of organizational work and vague financing currently limit the use of professional interpreting services. However, health politics and science increasingly demand their use.

[Referrer satisfaction as a quality criterion: developing an questionnaire for measuring the quality of services provided by a radiology department]. / Wie zufrieden sind die klinischen Partner mit der Arbeit eines radiologischen Instituts? -- Entwicklung und Testung eines Fragebogens.

PURPOSE: To develop a questionnaire for measuring referring physician satisfaction and to conduct a pilot study in which this questionnaire is given to all physicians referring patients to the authors' radiology department. MATERIALS AND METHODS: After qualitative pre-testing and adjustment of the prototype questionnaire, data were collected using the finalized standardized questionnaire comprising 29 indicators rated on a 4-point ordinal scale mailed with a personalized cover letter to the total referring physician population of a radiology department (n = 727). The replies, rated 1 - 4, were entered into a data entry mask for statistical analysis. RESULTS: The response rate was 33.8 %. The indicators with the highest satisfaction rating were the range of examinations offered ("very satisfied": 79.3 % mean 3.79), the quality of the technical equipment used for MRI and CT (79.3 %, 3.79) and mammography (82.5 %, 3.82), and the quality of the images yielded by these procedures (74.5 %, 3.73 and 82.2 %, 3.83). Dissatisfaction was relatively high with the indicators "time to receipt of the written report" (28.3 % "not very satisfied" or "not at all satisfied", mean 2.97), "time to receipt of the X-ray images" (18.2 %, 3.07) and "availability of previous findings" (20.9 %, 3.05); satisfaction was higher among external referring physicians (p < 0.05). Physicians rated the importance of these three indicators as relatively high ("very important": 62.4 %, 54.3 % and 49.6 %). Other indicators showing a similar level of dissatisfaction were "car parking availability" (24.1 %, 3.01), "patient waiting time" (27.4 %, 2.87) and "patient environment" (21.2 %, 2.99), although these factors were rated as less important ("very important": 33.0 %, 33.7 % and 40.4 %). CONCLUSION: This questionnaire constitutes a standardized validated instrument for assessing referring physician satisfaction with a radiology department. The data from this pilot study highlight areas for potential improvement. Deployment of such a questionnaire in different radiology departments could serve to establish best practice benchmarks.

[Referrer satisfaction as a quality criterion: developing an questionnaire for measuring the quality of services provided by a radiology department]. / Wie zufrieden sind die klinischen Partner mit der Arbeit eines radiologischen Instituts? -- Entwicklung und Testung eines Fragebogens.

PURPOSE: To develop a questionnaire for measuring referring physician satisfaction and to conduct a pilot study in which this questionnaire is given to all physicians referring patients to the authors' radiology department. MATERIALS AND METHODS: After qualitative pre-testing and adjustment of the prototype questionnaire, data were collected using the finalized standardized questionnaire comprising 29 indicators rated on a 4-point ordinal scale mailed with a personalized cover letter to the total referring physician population of a radiology department (n = 727). The replies, rated 1 - 4, were entered into a data entry mask for statistical analysis. RESULTS: The response rate was 33.8 %. The indicators with the highest satisfaction rating were the range of examinations offered ("very satisfied": 79.3 % mean 3.79), the quality of the technical equipment used for MRI and CT (79.3 %, 3.79) and mammography (82.5 %, 3.82), and the quality of the images yielded by these procedures (74.5 %, 3.73 and 82.2 %, 3.83). Dissatisfaction was relatively high with the indicators "time to receipt of the written report" (28.3 % "not very satisfied" or "not at all satisfied", mean 2.97), "time to receipt of the X-ray images" (18.2 %, 3.07) and "availability of previous findings" (20.9 %, 3.05); satisfaction was higher among external referring physicians (p < 0.05). Physicians rated the importance of these three indicators as relatively high ("very important": 62.4 %, 54.3 % and 49.6 %). Other indicators showing a similar level of dissatisfaction were "car parking availability" (24.1 %, 3.01), "patient waiting time" (27.4 %, 2.87) and "patient environment" (21.2 %, 2.99), although these factors were rated as less important ("very important": 33.0 %, 33.7 % and 40.4 %). CONCLUSION: This questionnaire constitutes a standardized validated instrument for assessing referring physician satisfaction with a radiology department. The data from this pilot study highlight areas for potential improvement. Deployment of such a questionnaire in different radiology departments could serve to establish best practice benchmarks.

[Households and families in 1982: on the analysis and description of household and family structure using representative population surveys]. / Haushalte und Familien 1982. Zur Erfassung und Beschreibung von Haushalts- und Familienstrukturen mit Hilfe reprasentativer Bevolkerungsumfragen

"This study tests the feasibility of describing household and family structure by means of survey data. Rather than presenting new results, it focuses on alternative ways of obtaining information on the social structure. A typology of households and families is formulated and empirically reconstructed using data from the German General Social Survey (ALLBUS) of 1982; the results are compared with official data from the 1981 'microcensus'. There is a remarkable correspondence between the ALLBUS data and those from the 'microcensus'. This result--along with a range of more general advantages--demonstrates the potential of survey data for social structural analysis, especially for the analysis of household and family structure." (summary in ENG)