Raspe H H, Zink A
Institut für Sozialmedizin, Medizinischen Universität Lübeck.
Z Rheumatol. 1992 Jan-Feb;51(1):14-9.
During the last few years epidemiologic research on rheumatic diseases in the Federal Republic of Germany has been sponsored, primarily, by the Ministry of Research and Technology. The projects, either completed, ongoing or planned, concentrate on health services research, population studies of the prevalence of specific diseases or complaints (rheumatoid arthritis, back pain, juvenile chronic arthritis, osteoarthritis) and clinical epidemiology, especially concerning early arthritis. As a result of the general shortage of public funds, less projects could be sponsored than expected. The aim of the Ministry to establish research organizations that will continue to exist even if public funding is curtailed seems to be jeopardized. Therefore, not only the federal government, but also the federal states and institutions like the Deutsche Forschungsgemeinschaft should be engaged in this field. More groups should have the opportunity to work in epidemiology of rheumatic diseases, and groups which are able to work in close connection with basic scientists and rheumatological clinicians should be institutionally affiliated on a permanent basis. This is critical for the further development of this discipline which is important for health services research, quality assurance, as well as for analytical research and prevention.
在过去几年中,德意志联邦共和国对风湿性疾病的流行病学研究主要由研究与技术部资助。已完成、正在进行或计划开展的项目主要集中在卫生服务研究、特定疾病或病症(类风湿性关节炎、背痛、青少年慢性关节炎、骨关节炎)患病率的人群研究以及临床流行病学,尤其是关于早期关节炎的研究。由于公共资金普遍短缺,得到资助的项目比预期的要少。该部建立即使在公共资金削减时仍能继续存在的研究机构的目标似乎受到了威胁。因此,不仅联邦政府,而且联邦各州以及德国研究联合会等机构都应参与这一领域。应有更多的团体有机会从事风湿性疾病流行病学研究,并且能够与基础科学家和风湿病临床医生密切合作的团体应在机构上长期保持附属关系。这对于该学科的进一步发展至关重要,该学科对卫生服务研究、质量保证以及分析研究和预防都很重要。