Abstract
ABSTRACTBackground: The human resources required on large cruise ships can only be secured with crew members from different countries of origin with different health statuses. Method: The present secondary data analysis is to determine whether there is an increased frequency of treatment for crew members for certain diseases or injuries, or a difference in the frequency of treatment for certain groups and/or countries of origin; whether an increased use of dental procedures could be confirmed, and their average costs. The data were collected over six months in 2015 from a major cruise ship company. Results: There were 1,627 treatments for 1,026 crew members. The illness and injury rates were significantly different both in the occupational groups (p < .001) as well as the countries of origin (p = .004). It was confirmed that dental procedures were most frequent (n = 915 cases), in particular for Asian crew members; in contrast to Germans they had a 1.6-fold higher chance of dental procedures.Conclusions: A mixed calculation for dental and jaw treatments for the crew members and the expected passenger treatments would justify the employment of a dentist on the ship. However, medical follow-up costs for crew members on board could be minimised by a previous thorough assessment of their state of health.
Highlights
The growing demand for cruises requires additional, and even larger, cruise ships with the corresponding crew
The use of the treatments by the crew members were distributed amongst the occupational groups as follows: 39% (n = 628) gastronomy, 12% (n = 201) management, 19% (n = 313) leisure sector, 23% (n = 377) service, and 7% (n = 108) nautical
The ranking order of the first treatments did not differ from the order of the total treatments (Figure 1)
Summary
The growing demand for cruises requires additional, and even larger, cruise ships with the corresponding crew. Sufficient personnel can only be secured by recruiting crew members from different countries of origin. These crew members have different health statuses. The human resources required on large cruise ships can only be secured with crew members from different countries of origin with different health statuses. Method: The present secondary data analysis is to determine whether there is an increased frequency of treatment for crew members for certain diseases or injuries, or a difference in the frequency of treatment for certain groups and/or countries of origin; whether an increased use of dental procedures could be confirmed, and their average costs. Medical follow-up costs for crew members on board could be minimised by a previous thorough assessment of their state of health
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