Thom Julia, Walther Lena, Eicher Sophie, Hölling Heike, Junker Stephan, Peitz Diana, Wilhelm Julia, Mauz Elvira
Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Apr;66(4):379-390. doi: 10.1007/s00103-023-03678-4. Epub 2023 Feb 27.
The continuous and systematic surveillance of the health of populations is fundamental for effective public health practice. In light of the growing importance of mental health within population health, a Mental Health Surveillance for Germany is being established at the Robert Koch Institute. Its aim is to continually provide reliable information on the current state and development of the mental health of the population.Three surveillance strategies are currently being pursued: 1) Regular comprehensive assessments aim to describe the mental health status of the population using a wide range of indicators and data sources and to observe long-term developments. They build on existing work in epidemiology and health services research. 2) High-frequency monitoring of a selection of indicators is used for the early detection of trends. 3) A continuous literature review collates current findings on mental health developments in the COVID-19 pandemic on a monthly basis. The latter two strategies were implemented in response to new information needs in the pandemic.This paper describes and discusses these three strategies and their functions, limitations, and potential for development. Their results are communicated through different forms of reporting and serve to identify needs for action and research in public mental health. The further development and long-term operation of the Mental Health Surveillance as a whole has the potential to facilitate the achievement of public mental health objectives and to contribute on different levels to the improvement of population health.
对人群健康进行持续、系统的监测是有效的公共卫生实践的基础。鉴于心理健康在人群健康中的重要性日益增加,德国罗伯特·科赫研究所正在建立一项德国心理健康监测。其目的是持续提供有关人群心理健康现状和发展的可靠信息。目前正在推行三种监测策略:1)定期全面评估旨在使用广泛的指标和数据源描述人群的心理健康状况,并观察长期发展情况。它们建立在流行病学和卫生服务研究的现有工作基础之上。2)对一系列指标进行高频监测,用于早期发现趋势。3)持续的文献综述每月整理有关新冠疫情中心理健康发展的当前研究结果。后两种策略是为应对疫情中的新信息需求而实施的。本文描述并讨论了这三种策略及其功能、局限性和发展潜力。其结果通过不同形式的报告进行传达,并用于确定公共心理健康方面的行动和研究需求。作为一个整体,心理健康监测的进一步发展和长期运作有可能促进公共心理健康目标的实现,并在不同层面上为改善人群健康做出贡献。