Kurth B-M, Ziese T, Tiemann F
Robert Koch-Institut, Berlin.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2005 Mar;48(3):261-72. doi: 10.1007/s00103-004-1001-6.
An assessment of the existing elements of a health monitoring system in Germany is given. Based on the analysis of deficits, the necessity for a comprehensive health monitoring system is recognised. The authors suggest starting points for the development of such a system in Germany by integrating different actors and taking into account different interests. The proposed system is based on a modular principle and allows for continuity as well as flexibility. As one key element in this monitoring system, a longitudinal health study is suggested, which allows the observation of developments in health matters as well as the evaluation of health policy actions. A plan for the step-wise development and testing of the health monitoring system is presented. Cooperation and data networking are essential elements. Whereas the flexible parts of the monitoring system should be financed by interested partners and customers, a basic sustainable financial support is a prerequisite. This paper provides arguments for the implementation of a health monitoring system and the need for long-term funding.
对德国健康监测系统的现有要素进行了评估。基于对缺陷的分析，认识到建立一个全面健康监测系统的必要性。作者通过整合不同行为主体并考虑不同利益，提出了在德国发展这样一个系统的出发点。所提议的系统基于模块化原则，兼具连续性和灵活性。作为该监测系统的一个关键要素，建议开展一项纵向健康研究，以观察健康问题的发展情况并评估健康政策行动。提出了健康监测系统逐步发展和测试的计划。合作和数据联网是关键要素。监测系统的灵活部分应由感兴趣的合作伙伴和客户提供资金，但基本的可持续财政支持是前提条件。本文为实施健康监测系统及长期资金需求提供了论据。
