Zusammenfassung
Partizipation dient der Verbesserung der Protektion und Prävention von Krankheit und der Provision einer kindgerechten Gesundheitsversorgung. Die Umsetzung des salutogenen Partizipationsmodells beruht auf internationalen Gesetzesregelungen, die zusammen mit anderen, nationalen Regelungen Rahmenbedingungen schaffen wollen. Partizipation beruht auf bioethischen Grundlagen, die subjektive, objektive, interaktionelle und systemische Sichtweisen berücksichtigen. Partizipation setzt eine sozioethische Haltung der Behandler und ihre Kompetenz in der Kommunikation mit Kindern sowie die Entwicklung von Gesundheitskompetenz bei Kindern voraus. Partizipation von europäischen Kindern in der Medizin hat sich trotz der gesetzlichen Grundlagen bisher nicht ausreichend durchgesetzt. Es ist offensichtlich kein isoliert nationales Problem, sondern eine internationale Herausforderung. Unterschiedliche Länder, Berufsgruppen und Generationen haben verschiedene Vorstellungen von Partizipation. Die Implementierung von Partizipation in der Kindermedizin erfordert nicht nur adäquate Gesetzesregelungen, sondern eine professionelle und soziokulturelle Kompetenz – also Grundhaltung – aller Behandler sowie „empowerment“ von Kindern, um im Rahmen der medizinischen Kooperation einen Konsensus und bessere Heilungsergebnisse zu erzielen.
Abstract
Participation serves to improve protection and prevention of diseases and the provision of healthcare treatment suitable for children. The implementation of the salutogenic participation model is based on international legal regulations which together with other national regulations strive to achieve the framework conditions. Participation is based on bioethical principles which consider subjective, objective, interactional and systemic perspectives. Participation requires a socioethical behavior of the person treating, a competence in communication with children and the development of healthcare training of children. Participation of European children in medicine has not yet become sufficiently established despite the legal foundations. This is obviously not an isolated national problem but an international challenge. Different countries, professional groups and generations have different conceptions of participation. The implementation of participation in pediatric medicine requires not only adequate legal regulation but also professional and sociocultural competence, a basic prerequisite for all treating personnel and empowerment of children in order to achieve a consensus and improved curative results within the framework of medical cooperation.
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Einhaltung ethischer Richtlinien
Interessenkonflikt. J.H.H. Ehrich, L. Damm, U. Leiss, A.I. Guerreiro und S. Lenton geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Ehrich, J., Damm, L., Leiss, U. et al. Partizipation europäischer Kinder in der Medizin. Paediatr. Paedolog. Austria 49 (Suppl 1), 19–24 (2014). https://doi.org/10.1007/s00608-014-0169-8
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DOI: https://doi.org/10.1007/s00608-014-0169-8