Glaeske G, Augustin M, Abholz H, Banik N, Brüggenjürgen B, Hasford J, Hoffmann W, Kruse J, Lange S, Schäfer T, Schubert I, Trampisch H-J, Windeler J
Zentrum für Sozialpolitik (ZeS), Abt. Gesundheitsökonomie, Gesundheitspolitik und Versorgungsforschung, Universität Bremen.
Gesundheitswesen. 2009 Oct;71(10):685-93. doi: 10.1055/s-0029-1239517. Epub 2009 Oct 5.
On July 1, 2009, the German Network for Health Services Research [Deutsches Netzwerk Versorgungsforschung e. V. (DNVF e. V.)] approved the Memorandum III "Methods for Health Services Research", supported by the member societies mentioned as authors and published in this Journal (Gesundheitswesen 2009; 71: 505-510). This is an in-depth publication on the "epidemiological methods for health services research". Legal, political and economic steps of intervention in the medical care system modify the health services structures and processes but the impact of such interventions on the medical care users has, so far and in general, not been examined scientifically. Due to this lack of evaluation, there is, also with regard to the economic situation within the health system, no transparency of potentially severe effects on healthy and, particularly, on ill people. For this very reason, the main questions and focuses of medical care research deal with prevalence, causes and effects of over, under and inappropriate supply of health services, the interaction between diagnostics and therapy, the processes across different sectors and the complex interdependences of health services. This part of the Memorandum of Deutsches Netzwerk für Versorgungsforschung e. V. (DNVF e. V., German Network for Health Services Research) will enumerate the methods and instruments that will be used for planned studies and that have been applied for finished studies of health services research and for the evaluation of its quality and value. Health services research takes advantage of the theories and the methods of the disciplines that are involved in its studies. It does not need a specific research methodology; its methods are adapted to the specific research question. It is rather to be expected that certain issues of this research branch and its access to data will lead to the development of new methods.
2009年7月1日，德国卫生服务研究网络[德国卫生服务研究网络协会（DNVF e. V.）]批准了《备忘录III：卫生服务研究方法》，该备忘录由作为作者提及的成员协会提供支持，并发表在本杂志上（《卫生事业》2009年；71：505 - 510）。这是一篇关于“卫生服务研究的流行病学方法”的深入出版物。医疗保健系统中的法律、政治和经济干预措施改变了卫生服务的结构和流程，但到目前为止，总体而言，此类干预措施对医疗保健使用者的影响尚未得到科学检验。由于缺乏这种评估，就卫生系统内部的经济状况而言，对健康人群尤其是患病者可能产生的严重影响也缺乏透明度。正因如此，医疗保健研究的主要问题和重点涉及卫生服务供应过多、过少和不适当的患病率、原因及影响，诊断与治疗之间的相互作用，不同部门之间的流程以及卫生服务的复杂相互依存关系。德国卫生服务研究网络协会（DNVF e. V.）备忘录的这一部分将列举计划研究中将会使用以及已应用于卫生服务研究的已完成研究及其质量和价值评估的方法和工具。卫生服务研究利用其研究中所涉及学科的理论和方法。它不需要特定的研究方法；其方法是根据具体的研究问题进行调整的。可以预期，该研究领域的某些问题及其获取数据的方式将促使新方法的产生。
