利用世界卫生组织-国际综合框架为学校制定 COVID-19 指南,德国。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI:10.2471/BLT.24.291550
Eva A Rehfuess, Lisa Pfadenhauer, Monika Nothacker, Brigitte Strahwald
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引用次数: 0

摘要

问题:在冠状病毒病 2019(COVID-19)大流行之初,缺乏可靠的、全球适用的学校安全和持续运营建议:2020 年 10 月,德国科学医学协会 COVID-19 指南工作组和慕尼黑路德维希-马克西米利安大学的公共卫生研究人员启动了一项以证据和共识为基础的活指南的快速开发工作,以减少严重急性呼吸系统综合征冠状病毒 2 在学校的传播。为了从全社会的角度促进透明、有序和全面的决策,他们采用了世界卫生组织的 "从证据到决策"(WHO-INTEGRATE evidence-to-decision)框架。该框架支持指导小组的广泛、多部门组成。该小组使用了九项学校措施的最新综合证据。参与的医学协会或指南秘书处完成了证据到决策表格。他们还为指南小组起草了建议,并在主持的共识会议上进行了讨论和修订:在德国,各州负责组织学校教育。相关变更:该指南的第一版于 2021 年 2 月发布,指南的传播引起了媒体的广泛关注。在 16 个州的教育部中,几乎所有部委都知道该指南,9 个承认它是相关的信息来源,5 个利用它来检查现有的指令:世卫组织综合框架有助于在制定指导方针之初就对学校措施进行全面评估,并考虑 到这些措施的广泛社会影响。在快速模式下使用该框架是可行的,但没有发挥其潜力。
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Using the WHO-INTEGRATE framework to develop a COVID-19 guideline for schools, Germany.

Problem: At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, reliable, globally applicable recommendations for safe and continuous school operations were lacking.

Approach: In October 2020, the German Association of Scientific Medical Societies' task force for COVID-19 guidelines and public health researchers at Ludwig-Maximilians-Universität München initiated the rapid development of a living evidence- and consensus-based guideline to reduce severe acute respiratory syndrome coronavirus 2 transmission in schools. To facilitate transparent, structured and comprehensive decision-making with a whole-of-society perspective, they applied the WHO-INTEGRATE evidence-to-decision framework. This framework supported a broad, multisectoral composition of the guideline panel. The panel used newly synthesized evidence on nine school measures. Participating medical societies or the guideline secretariat completed evidence-to-decision tables. They also drafted recommendations for the guideline panel, who discussed and revised them during moderated consensus conferences.

Local setting: In Germany, each state is responsible for organizing schooling. The German Association of Scientific Medical Societies coordinates development of evidence- and consensus-based guidelines.

Relevant changes: The first version of the guideline was published in February 2021, and the guideline dissemination created much media attention. Of the 16 state education ministries, almost all knew about the guideline, nine recognized it as a relevant source of information and five used it to check existing directives.

Lessons learnt: The WHO-INTEGRATE framework facilitated a comprehensive assessment of school measures from the start of guideline development, considering the broad societal impact of the measures. Using the framework in rapid mode was feasible, but it fell short of its potential.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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