Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Volume 62, Issue 7, 2019, Pages 881-892

Health and primary care surveillance among asylum seekers in reception centres in Germany: concept, development, and implementation [Surveillance der Gesundheit und primärmedizinischen Versorgung von Asylsuchenden in Aufnahmeeinrichtungen: Konzept, Entwicklung und Implementierung] (Review)

Nöst S. , Jahn R. , Aluttis F. , Drepper J. , Preussler S. , Qreini M. , Breckenkamp J. , Razum O. , Bozorgmehr K.*
  • a Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Germany
  • b Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Germany
  • c Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Germany
  • d TMF – Technologie- und Methodenplattform für die vernetzte medizinische Forschung e. V., Berlin, Germany
  • e Institut für medizinische Biometrie und Informatik, Universitätsklinikum Heidelberg, Heidelberg, Germany
  • f Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Germany
  • g Fakultät für Gesundheitswissenschaften, AG Epidemiologie & International Public Health, Universität Bielefeld, Bielefeld, Germany
  • h Fakultät für Gesundheitswissenschaften, AG Epidemiologie & International Public Health, Universität Bielefeld, Bielefeld, Germany
  • i Abteilung Allgemeinmedizin und Versorgungsforschung, AG Soziale Determinanten, Equity & Migration, Universitätsklinikum Heidelberg, INF 130.3, Heidelberg, 69120, Germany

Abstract

Background: Reliable data on health and primary care among asylum seekers in reception centres are not routinely available, but required to plan needs-based healthcare services. Objectives: To present the concept, development, and implementation of a routine surveillance system in reception centres for asylum seekers. Methods: In the scope of the project PRICARE, medical records in reception centres were standardized and digitized, and continuous surveillance was enabled by means of suitable IT infrastructure. The core elements of the surveillance system were developed in three project phases using an iterative and participative design. Funding: Federal Ministry of Health (Grant no. 2516FSB415). Results: Forming the basis for the surveillance, the electronic health record Refugee Care Manager® (RefCare®) was developed and gradually implemented in 13 reception centres in three federal states. For implementing the tool in daily care routines, IT infrastructure was implemented in all sites and a legally required data protection concept was established. An indicator set was developed and agreed upon for the surveillance, comprising a total of 64 indicators in four domains: morbidity, processes of care, quality of care, and syndromic alerts. Conclusions: For the first time in Germany, a harmonized infrastructure spanning federal states was implemented in healthcare settings ensuring medical documentation and surveillance of health and healthcare of asylum seekers in conformity with data protection requirements. The surveillance is feasible; the long-term benefits of routine surveillance and research within the network will be assessed in the future. © 2019, Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature.

Author Keywords

electronic health records Quality of healthcare Routine data Population surveillance Asylum seekers

Index Keywords

Germany primary medical care refugee human Refugees morbidity funding asylum seeker Humans Epidemiological Monitoring medical documentation Electronic Health Records Review electronic health record receptive field Delivery of Health Care concept formation primary health care health care delivery health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067872553&doi=10.1007%2fs00103-019-02971-5&partnerID=40&md5=adad83643f97daec58a3a69486b19827
DOI: 10.1007/s00103-019-02971-5
ISSN: 14369990
Cited by: 1
Original Language: German