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[公共卫生服务内部及面向公共卫生服务的指南:关于当前实际需求的在线调查结果]

[Guidelines Within And For Public Health Services: Results Of An Online Survey On Current Practical Needs].

作者信息

Arnold Laura, Steinisch Maria, Kuehne Anna, Schwabe Anna, Jakubowski Elke, Scholten Anjali, Stratil Jan M

机构信息

Akademie für Öffentliches Gesundheitswesen, Team Angewandte ÖGD-Forschung und Transfer, Düsseldorf, Germany.

Department of International Health, Care and Public Health Research Institute-CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.

出版信息

Gesundheitswesen. 2025 Jan;87(1):57-61. doi: 10.1055/a-2406-4786. Epub 2024 Oct 8.

Abstract

Evidence-based guidelines are recognized and well-established in everyday medical practice. However, in the Public Health Service (PHS), evidence-based guidelines are not yet widely available. To promote the development of guidelines within and for the ÖGD, the Federal Joint Committee (GBA) issued a funding directive in June 2024. This study presents the results of an online survey on the prioritization of guideline topics in the ÖGD, conducted by the German Society for Public Health Services (DGÖG). The survey focused on 17 guideline topics proposed by the GBA, which were divided into six task areas. Out of over 900 participants, comprehensive responses from nearly 500 respondents were analyzed, 85% of whom work in local health departments. The results showed that all 17 guideline topics were assigned high or very high priority. Particularly frequently prioritized were the areas of infection hygiene monitoring, medical expert assessment, and psychosocial emergency care. Additionally, experts highlighted dental screening, health literacy on oral health, and monitoring of drinking and bathing water. The qualitative analysis further identified additional relevant topics, including health reporting and planning, health promotion and prevention, child welfare, as well as crisis management and communication. The survey provides insights into the priority topics for guidelines as perceived by practitioners and ÖGD researchers. The results underscore the significant need for evidence-based guidelines in and for the ÖGD and provide valuable insights for further development and prioritization.

摘要

循证指南在日常医疗实践中已得到认可且确立已久。然而,在公共卫生服务(PHS)领域,循证指南尚未广泛可得。为推动针对地方公共卫生服务机构(ÖGD)内部并为其制定指南,联邦联合委员会(GBA)于2024年6月发布了一项资助指令。本研究展示了德国公共卫生服务协会(DGÖG)开展的一项关于ÖGD指南主题优先级的在线调查结果。该调查聚焦于GBA提出的17个指南主题,这些主题被分为六个任务领域。在900多名参与者中,分析了近500名受访者的全面回复,其中85%在地方卫生部门工作。结果显示,所有17个指南主题都被赋予了高或非常高的优先级。感染卫生监测、医学专家评估和心理社会急救领域尤其常被列为优先事项。此外,专家们强调了牙科筛查、口腔健康方面的健康素养以及饮用水和洗浴用水监测。定性分析还确定了其他相关主题,包括健康报告与规划、健康促进与预防、儿童福利以及危机管理与沟通。该调查提供了从业者和ÖGD研究人员所认为的指南优先主题的相关见解。结果强调了ÖGD内部及针对ÖGD制定循证指南的迫切需求,并为进一步发展和确定优先级提供了有价值的见解。

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