Experiences of the German public health service with the implementation of a new infections disease control act - Results of focus group discussions
Experiences of the German public health service with the implementation of a new infections disease control act - Results of focus group discussions
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DOI：
10.1055/s-2004-813454
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发表时间：
2004-08-01
期刊：
影响因子：
1.1
通讯作者：
Krause, G
中科院分区：
文献类型：
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作者：
Krause, G
2001年颁布的新的《传染病控制法》导致德国公共卫生服务的结构和组织发生了深远的变化，特别是在监测应报告的疾病方面。我们与来自德国14个州(以下)的54名PHS员工进行了焦点小组讨论，以调查实施情况，以及哪些方面可以进一步改进。举行了四次焦点小组讨论，每次讨论的议程都相同，有13人或14人参加。这些捐款在讨论期间被记录下来，后来输入数据库并进行编码。编码概括在9个主题标题中。很明显，IDCA的实施基本上得到了很好的接受，州政府部门和罗伯特·科赫研究所(联邦公共卫生机构)的支持也得到了很好的接受。然而，特别是引入了一项强制性的食品处理员指示，造成了一些最初的困难。关于应通报疾病清单，有些疾病被省略，有些则被认为是可有可无的。总体而言，地方卫生部门的人员配备不足受到了批评。与此同时，已确定的问题的很大一部分已经得到解决；其他问题的解决办法正在进行中。然而，有些问题只有通过修改国际开发协会才能解决。总体而言，焦点小组讨论是使监测系统的设计适应当地卫生部门需要的有用工具。
The new infectious disease control act (IDCA) enacted in 2001 has resulted in far-reaching structural and organisational changes in German public health service (PHS) especially in respect of the surveillance of notifiable diseases. We conducted focus group discussions with 54 employees of the PHS from 14 German states (Under) in order to investigate how implementation has been received and what could be improved further. Four focus group discussions each based on an identical agenda were performed with 13 or 14 participants. The contributions were taken down during the discussions and later entered into a data base and encoded. Encoding was summarised in 9 subject headings. It became clear that the implementation of the IDCA was mostly well accepted and the support by state departments and the Robert Koch-Institute, the Federal Public Health institution, was well received. However, especially introduction of a mandatory instruction of food handlers caused some initial difficulties. Concerning the list of notifiable diseases some diseases had been omitted whereas some were considered dispensable. Overall the insufficient staffing of local health departments was criticised. A major portion of the identified problems has in the meanwhile been solved; for others, solutions are under way. Some of the problems, however, would only be solvable by modification of the IDCA. Overall the focus group discussions were a useful tool to adapt the design of the surveillance system to the needs of local health departments.