Structural conditions of healthcare provision and public health at the local level. A comparison of Germany, Great Britain, and Sweden

该项目分析了医疗保健提供和健康保护的结构。它侧重于旨在确保、改善和恢复个人和全体人口健康的组织单位。它还询问行为者和组织如何为实现这些目标而进行沟通和合作。重点是，第一，初级保健，第二，医院护理，第三，长期护理，第四，公共卫生。在公共卫生方面，我们主要集中在地区公共卫生中心，负责预防、促进健康和预防传染病，因此，这些中心有责任在疫情发生时保护相关人口。还将分析这些公共卫生中心(德国的GesundHeitsämter)的任务和职能，以及这些组织和有关行为者如何在Covid 19大流行期间与医疗保健系统的行为者和组织合作。然而，这并不是该项目的主要重点。该项目主要侧重于地方保健和公共卫生单位、各自的组织结构和参与行动者、协作的目标和结构，以及如何通过电子健康等数字化来支持这一进程。它询问这些结构和过程如何影响患者的医疗保健以及人口的健康保护。总而言之，该项目有以下目标：1)制定一个分析框架，用于评估地方一级的医疗保健系统和公共卫生中心的结构。2)评估德国、英国和瑞典的医疗保健系统和公共卫生单位的当地结构。3)参与者和组织之间的沟通与协作的对比分析。4)比较分析如何通过数字化过程支持交流和协作。5)比较分析医疗保健和公共卫生单位如何协作/已经协作应对Covid 19危机。

The project analyses structures of healthcare provision and health protection. It focuses on organizational units aiming at ensuring, improving, and restoring health of individuals and the overall population. It also asks how actors and organizations communicateand collaborate for achieving these goals. The focus is on, first, primary healthcare, second, hospital care, third, long-term care, and fourth, public health. With respect to public health, we concentrate on local public health centres with responsibilities in prevention, health promosion, and protection against communicable diseases.Therefore, these centres have responsibilities to protect the respective population in case of epidemics. Tasks and functions of these public health centres (Gesundheitsämter in Germany) and how these organizations and the involved actors collaborated with actorsand organizations of the healthcare system during the Covid 19 pandemic will also be analyzed. However, this is not the main focus of the project. The project focuses primarily on local healthcare and public health units, the respective organizational structurs andinvolved actors, on the goals and structure of collaboration, and how this process is supported through digitalization such as eHealth. It asks how these structures and processes influences healthcare for patients as well as health protection of the population. In summary, the project has the following goals: 1) Development of an analytic framework for the assessment of the structurs of the healthcare system and public health centres at the local level. 2) Assessment of the local structures of the healthcare system and public health units in Germany, Great Britain, and Sweden. 3)Comparative analysis of communication and collaboration of the involved actors and organizations. 4) Comparative analysis how communication and collaboration is supported through digitalization processes. 5) Comparative analysis how healthcare and public health units collaborate / have collaborated to respond to the Covid 19 crisis.