评估基于证据和共识的指导方针对控制SARS-CoV-2在德国学校的传播对决策过程的影响:一个多组件的定性分析
Katharina Wabnitz1,2, Mike Rueb3,4, Eva A Rehfuess3,4
1Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Ludwig-Maximilians-Universität München, Elisabeth-Winterhalter-Weg 6, 81377, Munich, Germany. kathy.wabnitz@ibe.med.uni-muenchen.de.
Health research policy and systems
|December 20, 2023
概括
德国学校在COVID-19期间的公共卫生指南得到了许多决策者的认可,但由于可用性问题而产生了不同的影响. 需要进一步的研究,以改善公共卫生紧急情况的指导方针制定.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 由于COVID-19的流行,学校的传染控制措施产生了不确定性.
- 一个跨学科小组为德国学校制定了基于证据的指导方针.
- 该研究评估了指南对决策过程的影响.
研究的目的:
- 在COVID-19大流行期间评估公共卫生指南对学校政策的意识和影响.
- 了解决策者如何在实践中使用指南.
- 确定在教育环境中实施指南的促进者和障碍者.
主要方法:
- 根据"信息自由法",向德国联邦各州的教育,家庭和卫生部发送询问.
- 与参与学校措施的决策者进行半结构面试 (n=20).
- 与指南制定小组成员进行半结构化采访.
- 调查答复和采访数据的定性内容分析.
主要成果:
- 该指南被9/16个联邦州的教育部承认,并于5/16作为参考使用.
- 参与者评价了指南的基于证据和共识的方法,但指出了上下文特异性和可用性的局限性.
- 决策者与其他证据来源一起咨询了指南,对其整体影响的看法是不同的.
结论:
- 德国联邦各州的一些决策机构知道并考虑了公共卫生指南.
- 指南的影响受到可用性和特定环境因素的影响.
- 建议将指南的制定适应公共卫生紧急情况,并进一步研究指南的影响.
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