[Alcoholism--as seen in an emergency service].
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Biomedical subjects
Publications and source records attributed to R Gassmann.
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Efforts to improve the quality of care mainly depend on sufficient capacities of staff qualifications. Professional training is of primary importance to prepare for new tasks and to reduce educational deficits. The results of an empirical study carried out by the Federal Department of Family Affairs and the Kuratorium Deutsche Altershilfe showed that legal prerequisites are insufficient and not consensual among the different states. The offers of educational programs differ extensively, the market is changing topically and the teachers' qualifications can be judged as deficient.
The changing paradigm in the health care system to focus stronger on community care also effects the care of the dying. In consequence, general practitioners are confronted with changing tasks and challenges. In an exploratory oriented study 80 general practitioners, who were recruited in one rural and one urban area were interviewed with regard to different variables of the care of the dying such as self concept, different aspects of burden, pain management, education and vocational training as well as cooperation with third parties. Main results show that age of the general practitioners and amount of burden experienced are interrelated. Further, the subject "death and dying" is hardly considered in education and training and the cooperation between the general practitioner and other health care professionals has to be extended and improved.