Evidence map›Paper›PMID 34971348›Full record

ArticleInternational journal of qualitative studies on health and well-being2022

Providing health care in politically charged contexts: a qualitative study about experiences during a public collective hunger strike of asylum seekers in Germany.

Dominik Haselwarter, Verina Wild, Katja Kuehlmeyer

Abstract read
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Article in International journal of qualitative studies on health and well-being, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Dominik HaselwarterInstitute of Ethics, History and Theory of Medicine, LMU Munich, Munich, Germany.
Verina WildEthics of Medicine, Medical Faculty, University of Augsburg, Augsburg, Germany.
Katja KuehlmeyerInstitute of Ethics, History and Theory of Medicine, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRole expectations of physicians providing health care for hunger strikers have been discussed in the context of prisons and detention centres. Ethical guidance for physicians in these situations is codified in the Declaration of Malta. In the last years, new forms of

methodsSemi-structured interviews with nine participants (physicians and paramedics) that had been involved in a public collective hunger strike of asylum seekers in Germany were conducted.

resultsWe identified three health-care provider groups: voluntary physicians, emergency service providers and medical consultants for the authorities. Role conflicts arising from multiple loyalty situations with obligations towards different stakeholders (e.g., strikers, employers, authorities) were perceived as the greatest challenge especially for voluntary doctor and emergency service provider participants. Such conflicts culminated in feeling instrumentalized for political goals.

conclusionThe results illustrate that professional challenges in the health care during a public collective hunger strike differ in various aspects from those described in the literature on custodial settings. We recommend expanding and adapting the medico-ethical guidance.

Indexed as

FastingRefugeesDelivery of Health CareGermanyHumansQualitative Researchasylum seekersdecision-makingdoctor-patient relationshipdual loyaltyhunger strikePhysician rolerole conflict

Identifiers

PMID34971348
PMCPMC8740618

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.