Faculty of Medicine, Ludwig-Maximilians-Universität München, Elisabeth-Winterhalter-Weg 6, 81377Munich, Germany.
Association of the Scientific Medical Societies in Germany, Berlin, Germany.
Bull World Health Organ. 2024 Oct 1;102(10):742-748. doi: 10.2471/BLT.24.291550. Epub 2024 Aug 27.
At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, reliable, globally applicable recommendations for safe and continuous school operations were lacking.
In October 2020, the German Association of Scientific Medical Societies' task force for COVID-19 guidelines and public health researchers at Ludwig-Maximilians-Universität München initiated the rapid development of a living evidence- and consensus-based guideline to reduce severe acute respiratory syndrome coronavirus 2 transmission in schools. To facilitate transparent, structured and comprehensive decision-making with a whole-of-society perspective, they applied the WHO-INTEGRATE evidence-to-decision framework. This framework supported a broad, multisectoral composition of the guideline panel. The panel used newly synthesized evidence on nine school measures. Participating medical societies or the guideline secretariat completed evidence-to-decision tables. They also drafted recommendations for the guideline panel, who discussed and revised them during moderated consensus conferences.
In Germany, each state is responsible for organizing schooling. The German Association of Scientific Medical Societies coordinates development of evidence- and consensus-based guidelines.
The first version of the guideline was published in February 2021, and the guideline dissemination created much media attention. Of the 16 state education ministries, almost all knew about the guideline, nine recognized it as a relevant source of information and five used it to check existing directives.
The WHO-INTEGRATE framework facilitated a comprehensive assessment of school measures from the start of guideline development, considering the broad societal impact of the measures. Using the framework in rapid mode was feasible, but it fell short of its potential.
在 2019 年冠状病毒病（COVID-19）大流行开始时，缺乏可靠的、适用于全球的安全和持续学校运作建议。
2020 年 10 月，德国科学医学协会 COVID-19 指南工作组和慕尼黑路德维希-马克西米利安大学的公共卫生研究人员启动了一项快速制定活的循证和共识指南的工作，以减少学校中严重急性呼吸系统综合症冠状病毒 2 的传播。为了促进具有全社会视角的透明、结构化和全面决策，他们应用了世界卫生组织综合证据决策框架。该框架支持指南小组的广泛、多部门组成。小组使用了关于九项学校措施的新综合证据。参与的医学协会或指南秘书处完成了证据决策表。他们还为指南小组起草了建议，指南小组在经过协调的共识会议上进行了讨论和修订。
在德国，每个州都负责组织学校教育。德国科学医学协会协调循证和共识指南的制定。
该指南的第一版于 2021 年 2 月发布，指南的传播引起了媒体的广泛关注。在 16 个州教育部门中，几乎所有部门都知道该指南，其中 9 个部门认为该指南是相关信息的来源，5 个部门使用该指南来检查现有指令。
从指南制定开始，世界卫生组织综合框架就便于对学校措施进行全面评估，考虑到这些措施对全社会的广泛影响。以快速模式使用该框架是可行的，但未能充分发挥其潜力。
