Nöst Stefan, Jahn Rosa, Aluttis Frank, Drepper Johannes, Preussler Stella, Qreini Markus, Breckenkamp Jürgen, Razum Oliver, Bozorgmehr Kayvan
Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Deutschland.
TMF - Technologie- und Methodenplattform für die vernetzte medizinische Forschung e. V., Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Jul;62(7):881-892. doi: 10.1007/s00103-019-02971-5.
Reliable data on health and primary care among asylum seekers in reception centres are not routinely available, but required to plan needs-based healthcare services.
To present the concept, development, and implementation of a routine surveillance system in reception centres for asylum seekers.
In the scope of the project PRICARE, medical records in reception centres were standardized and digitized, and continuous surveillance was enabled by means of suitable IT infrastructure. The core elements of the surveillance system were developed in three project phases using an iterative and participative design.
Federal Ministry of Health (Grant no. 2516FSB415).
Forming the basis for the surveillance, the electronic health record Refugee Care Manager® (RefCare®) was developed and gradually implemented in 13 reception centres in three federal states. For implementing the tool in daily care routines, IT infrastructure was implemented in all sites and a legally required data protection concept was established. An indicator set was developed and agreed upon for the surveillance, comprising a total of 64 indicators in four domains: morbidity, processes of care, quality of care, and syndromic alerts.
For the first time in Germany, a harmonized infrastructure spanning federal states was implemented in healthcare settings ensuring medical documentation and surveillance of health and healthcare of asylum seekers in conformity with data protection requirements. The surveillance is feasible; the long-term benefits of routine surveillance and research within the network will be assessed in the future.
难民接待中心中寻求庇护者的健康及初级保健方面的可靠数据并非常规可得，但规划基于需求的医疗服务需要这些数据。
介绍一种针对寻求庇护者的难民接待中心常规监测系统的概念、开发及实施情况。
在PRICARE项目范围内，难民接待中心的病历被标准化和数字化，并借助合适的信息技术基础设施实现持续监测。监测系统的核心要素在三个项目阶段采用迭代式参与设计得以开发。
联邦卫生部（拨款编号2516FSB415）。
作为监测的基础，开发了电子健康记录“难民护理管理器”（RefCare®），并在三个联邦州的13个难民接待中心逐步实施。为在日常护理工作中应用该工具，所有场所都配备了信息技术基础设施，并建立了法律要求的数据保护概念。开发并商定了一套用于监测的指标集，共包括四个领域的64项指标：发病率、护理流程、护理质量和症状警报。
在德国首次在医疗环境中实施了跨联邦州的统一基础设施，确保按照数据保护要求对寻求庇护者的健康及医疗情况进行医疗记录和监测。这种监测是可行的；未来将评估该网络内常规监测和研究的长期效益。
