Bradt K, Schütz-Langermann A, Zeck G, Winkel I
Landesinstitut für Gesundheit und Arbeit des Landes Nordrhein-Westfalen (LIGA.NRW), Ulenbergstraße 127–131, 40225 Düsseldorf.
Gesundheitswesen. 2011 Nov;73(11):722-9. doi: 10.1055/s-0031-1291292. Epub 2011 Nov 23.
In 2009, the health-care system was faced with numerous challenges resulting from the emergence and the worldwide spread of a new influenza virus. Public health authorities played a fundamental role in the management of the pandemic. The Advisory Committee for Infectious Disease Protection of the German Medical Association for Public Health Authorities (BVÖGD e.V.) requested the local public health authorities in Germany to take part in a written evaluation of the management of the new influenza pandemic in February 2010, before the official end of the influenza pandemic. The purpose of this timely analysis was to identify areas in need of improvement in preparation for similar incidents that may occur in the future. The survey showed that the communication between the various parties involved, the prompt and appropriate transmission of information, as well as the control over the overwhelming onslaught of information need to be optimised. The participants also found the practicability of the official recommendations to be lacking. The wide scale increase in workload, as seen on a national basis, required to deal with the pandemic indicates that the public health services have only very limited resources for handling crisis situations, and this must be taken into consideration when planning for coping with such matters in the future. The findings of the study participants for the national management of a pandemic coincide in most aspects with the results of other evaluations. Distinct differences in the assessment of policies were noticeable when comparing the experiences in the various German states (Bundesländer). A detailed analysis of the points at issue is necessary before possible best practice models can be developed.
2009年，医疗保健系统面临着由一种新型流感病毒的出现及全球传播所带来的诸多挑战。公共卫生当局在这场大流行的管理中发挥了基础性作用。德国公共卫生当局医学协会传染病防护咨询委员会（BVÖGD e.V.）于2010年2月，即在流感大流行正式结束之前，要求德国各地的公共卫生当局参与对新型流感大流行管理情况的书面评估。这项及时进行的分析旨在确定未来应对可能发生的类似事件时需要改进的领域。调查显示，各相关方之间的沟通、信息的及时恰当传递以及对海量信息的管控都需要优化。参与者还发现官方建议缺乏实用性。从全国范围来看，应对大流行所需的工作量大幅增加，这表明公共卫生服务部门应对危机情况的资源非常有限，在未来规划应对此类事务时必须考虑到这一点。研究参与者对全国大流行管理情况的调查结果在大多数方面与其他评估结果一致。在比较德国各州（联邦州）的经验时，政策评估存在明显差异。在可能制定出最佳实践模式之前，有必要对争议点进行详细分析。
