TY  - THES
A1  - Rost, Michael
T1  - Genetisch bedingte und genetisch mitbedingte Erkrankungen im Krankengut einer Allgemeinarztpraxis
T1  - Genetic diseases in the clinic of  a general practitioner
N2  - Statistische Erfassung von genetisch bedingten und genetisch mitbedingten Erkrankungen einer Allgemeinarztpraxis. Es soll verdeutlicht werden, dass die Allgemeinmedizin und die Humangenetik im Rahmen der drastischen genetischen Entwicklung der Forschung enger zusammenarbeiten und die Lehre in der Ausbildung der Allgemeinmediziner intensivierte werden sollte.
N2  - A statistic of genetic diseases in the clinic of a general practitioner. General medicine and human genetic should strengthen their cooperation and the teaching of the general practitioners should be intensified in genetic things.
KW  - Allgemeinmedizin
KW  - Genetik
KW  - Primary care
KW  - genetics
Y1  - 2003
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-8906
ER  - 
TY  - JOUR
A1  - Rauch, Sebastian
A1  - Arnold, Louisa
A1  - Stuerner, Zelda
A1  - Rauh, Juergen
A1  - Rost, Michael
T1  - A true choice of place of birth? Swiss women’s access to birth hospitals and birth centers
JF  - PLoS ONE
N2  - While the place of birth plays a crucial role for women’s birth experiences, the interest in out-of-hospital births has increased during the Covid-19 pandemic. Related to this, various international policies recommend enabling women to choose where to give birth. We aimed to analyze Swiss women’s choice between birth hospitals and birth centers. Employing spatial accessibility analysis, we incorporated four data types: highly disaggregated population data, administrative data, street network data, addresses of birth hospitals and birth centers. 99.8% of Swiss women of childbearing age were included in the analysis (N = 1.896.669). We modelled car travel times from a woman’s residence to the nearest birth hospital and birth center. If both birth settings were available within 30 minutes, a woman was considered to have a true choice. Only 58.2% of women had a true choice. This proportion varied considerably across Swiss federal states. The main barrier to a true choice was limited accessibility of birth centers. Median travel time to birth hospitals was 9.8 (M = 12.5), to birth centers 23.9 minutes (M = 28.5). Swiss women are insufficiently empowered to exercise their reproductive autonomy as their choice of place of birth is significantly limited by geographical constraints. It is an ethical and medical imperative to provide women with a true choice. We provide high-resolution insights into the accessibility of birth settings and strong arguments to (re-)examine the need for further birth centers (and birth hospitals) in specific geographical areas. Policy-makers are obligated to improve the accessibility of birth centers to advance women’s autonomy and enhance maternal health outcomes after childbirth. The Covid-19 pandemic offers an opportunity to shift policy.
KW  - Switzerland
KW  - birth hospitals
KW  - access
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-300159
VL  - 17
IS  - 7
ER  -