Section for Health Equity Studies & Migration, Department of General Practice and Health Services Research, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, 33501 Bielefeld, Germany.
Int J Environ Res Public Health. 2022 Jun 30;19(13):8049. doi: 10.3390/ijerph19138049.
Health data of refugees and asylum seekers (ASR) is not routinely collected in Germany. Based on health data of ASR collected in 2018 in regional accommodation centres, we developed a dashboard to estimate regional burden of disease in Baden-Wuerttemberg, Germany. We aimed to find out how scientific data can support actors involved in healthcare planning for ASR in Germany and, within this scope, to explore how healthcare planning is conducted in this context. We conducted 12 qualitative semi-structured interviews including a usability test for a health data dashboard with regional decision-makers. Results showed that healthcare planning processes for ASR in Germany involve a complex set of actors in both long- and short-term decision-making. Data gained from representative surveys can support long-term decision-making and thus support the resilience of the health system, but it must balance the need for simple data presentation with transparent communication of potentially complex methods.
德国通常不会收集难民和寻求庇护者（ASR）的健康数据。我们根据 2018 年在地区收容中心收集的 ASR 健康数据，开发了一个仪表板来估计德国巴登-符腾堡地区的疾病负担。我们旨在了解科学数据如何能够支持德国参与 ASR 医疗保健规划的相关人员，并在此范围内探讨在这种情况下如何进行医疗保健规划。我们对区域决策者进行了 12 次半结构化的定性访谈，包括对健康数据仪表板的可用性测试。结果表明，德国针对 ASR 的医疗保健规划过程涉及到长期和短期决策中的一系列复杂行为者。具有代表性的调查数据可以支持长期决策，从而支持卫生系统的弹性，但它必须平衡简单数据呈现的需求与潜在复杂方法的透明沟通。
