Health reporting

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Health reporting ( GBE for short ), also known as medical statistics out of date , is used to inform politics , science, actors in the health system and the interested public. Health reporting presents and interprets aspects relevant to health that are often related to the population or to the region. The central aspects of health reporting include, for example:

The data sources in health monitoring are essentially the official statistics , the statistics of the players in the health system ( health insurance , physicians' associations , medical associations , etc.) and surveys or other surveys.

Because of the strong interdependencies of health and health behavior with the social situation, socio-structural data are also included in health reporting insofar as they can help to explain health phenomena. Under the paradigm of a comprehensive definition of health, a strict separation of social and health reporting does not make sense.

Health reporting in Germany

Health reporting is carried out in Germany at the federal, state and municipal levels and by various other institutions.

At the federal level, information and data on the health status and health care of the population are provided by the federal health reporting system (GBE) at the Robert Koch Institute . The topics range from diseases, complaints and risk factors to subjective health and health-related quality of life. The use of prevention and care offers as well as the structures and costs of the health care system are also dealt with. The Federal Statistical Office and the Robert Koch Institute provide extensive data in the federal health reporting information system. The GBE regularly publishes special issues, the online publication series GBE compact and the report "Health in Germany" at larger intervals.

Information on the state of health, health behavior and health care is made possible by health monitoring at the Robert Koch Institute. One branch of the study is KiGGS , the study on the health of children and adolescents in Germany by the Robert Koch Institute (RKI). KiGGS was carried out for the first time in Germany between 2003 and 2006. Around 17,600 children and adolescents up to the age of 17 took part in the basic survey. This should make it possible to make long-term comparable statements on the state of health nationwide, as almost all families agreed that the children should be interviewed again in the next few years. One result: In 22 percent of the children and adolescents examined there are psychological abnormalities, and the use of drugs by children and adolescents requires more attention, especially in the area of self-medication . The data collection on KiGGS Wave 1 ended in June 2012. The two other branches of study of health monitoring at the RKI are DEGS, the study on adult health in Germany, which is also an examination and survey study, and GEDA, Gesundheit in Deutschland aktuell , a survey study.

A " First Women's Health Report of the Federal Government" was published in 2001. The 700-page book also goes to the living world , a women studied health risks and social situation in East and West, typically female professions, the impact of domestic violence. He mentions ways of promoting health.

Indicator set of the countries

At the state level, there is a "catalog of the health reporting of the federal states" which was adopted in the current version in 2003 by the conference of health ministers of the federal states (GMK). The state institute for the public health service in North Rhine-Westphalia was in charge of the current version of the indicator set of the states. This catalog contains around 300 indicators on various health-related topics, which are intended to enable a comparable database at the federal state level. Since not all data are equally available in the federal states, a selection of so-called core indicators was made within the indicator set, which should be available uniformly in all federal states. Data are available on the websites of the responsible ministries, state institutions or state statistical offices.

The indicators are arranged according to subject areas. Subject areas are included

  1. Demographic information
  2. Population and population-specific framework conditions of the health system
  3. Health status of the population (mortality and morbidity, disease groups)
  4. Health-related behaviors
  5. Health risks from the natural and technical environment
  6. Health care institutions
  7. Use of health care services
  8. Occupations and number of employees in health care
  9. Healthcare training
  10. Expenses and funding
  11. Costs in selected areas

Municipal level

At the municipal level there are very different health reports that also deal with specific local health problems. Community health reporting is a relatively new task for the public health service . In addition, due to the federal system, it is not legally anchored in the same way in all federal states. Even where there is a legal basis, the implementation differs significantly depending on the local conditions, e.g. depending on the health science expertise, the regional information situation and the embedding in planning structures. State regulations for the establishment of health-political structures, which make the establishment of a communal health reporting necessary as a basis for planning, play an important role.

Reports of the actors on individual aspects

The Techniker Krankenkasse (TK) has traditionally dealt in its annual health reports since 2000 with incapacity for work as well as drug prescriptions for the labor force. The basis of the evaluations is routinely recorded and anonymized data on the members of the Techniker Krankenkasse who are subject to social security contributions or who are registered as unemployed. The TK Health Report 2010 allows a review of ten years of health reporting and contains, among other things, evaluations of sick leave by age and gender, federal states, diagnoses and occupational groups.

The health insurance company DAK uses its documents in the annual DAK health reports to examine the sickness rate in its community of insured persons. The sick leave serves as an important indicator for those affected, the economic burden on the companies involved in the contributions, health insurance companies and of course the economy as a whole. In addition, the causes of illness in individual occupations are questioned.

There have been similar publications by the Gmünder ErsatzKasse (today: Barmer GEK ) annually since 1998 under the title "GEK Health Report ". This series was continued from 2006 under the title "GEK report outpatient medical care". Among other things, it contained evaluations of sick leave by age and gender, by region, by diagnosis and by occupational group.

Health reporting in Austria

Health reports are drawn up in Austria at the federal and state level and, more recently, also at the municipal level. In addition, there are health reports for individual population groups (e.g. women's health report, men's health report, children's health report) or for certain sectors (e.g. on oncological and palliative care in Tyrol). The health reports are created by different institutions or authors, so that supra-regional and methodological uniformity and comparability of the reports is not always guaranteed. Gesundheit Österreich GmbH / Division of the Austrian Federal Institute for Health Care (GÖG / ÖBIG) has been active in health reporting (GBE) at federal and state level since 2000, has repeatedly addressed the need for uniformity and comparability of reports, including at international level Guidelines from WHO and EU on GBE pointed out.

In order to establish GBE as a continuous, politically relevant process, the “Health Reporting Platform” was founded at GÖG / ÖBIG in 2003. Representatives of the BMGFJ, all nine federal states and the main association of Austrian social insurance agencies are invited to the platform meetings that take place twice a year (in spring and autumn) . The organization and moderation of the platform meetings is carried out by GÖG / ÖBIG. As part of this platform, the participants repeatedly expressed their wish for a uniform framework for the health reports.

The meetings of the health reporting platform in autumn 2006 and spring 2007 were used, among other things, to develop recommendations on the design and function of health reports in Austria. These recommendations on health reporting were agreed in the health reporting platform and subsequently also presented at the state medical directors' conference on April 17, 2007. In the future, the recommendations are intended to contribute to uniformity, comparability and the targeted use of GBE in Austria.

Health reporting in Switzerland

In 1993, a comprehensive report was published for the first time, Health in Switzerland . 15 years later, Gesundheit was published for the second time in Switzerland. National Health Report 2008 . This describes the health of the population from the perspective of social health determinants. Many of the chronic diseases are also determined by external influences (socio-economic factors such as education, occupation and income; socio-cultural factors such as gender roles, ethnic origin or social status). Individual behavior also influences the state of health. The report believes that health policy should help shape social conditions in such a way that as many people as possible have access to basic health and health inequalities are reduced. In doing so, it follows the approach of multisectoral health policy .

In 2015, the third national health report was published with a focus on chronic diseases.

The Federal Statistical Office has been publishing statistical overview reports on health in Switzerland since 2012. In particular, it presents the most important results of the Swiss health survey . The 2014 health statistics report presents the framework conditions and determinants of health, the state of health of the population, the use of medical services and care, the health care system as well as its costs and financing.

The 2019 health statistics were published on October 29, 2019.

WHO health report

As a World Health Report, a report by the World Health Organization appears annually on the global health situation, health care and existing problems. It has been published in English, French, Russian and Spanish in Geneva since 1995 .

See also

literature

  • Federal health reporting: objectives, tasks and possible uses. (PDF) In: GBE compact. Robert Koch Institute, 2010, accessed September 25, 2012 .
  • Health in Germany. (PDF) In: Health report for Germany. Robert Koch Institute, 2006, accessed September 25, 2012 .
  • Federal Ministry for Family, Seniors, Women, Youth (Ed.): Report on the health situation of women in Germany. An inventory taking into account the different developments in West and East Germany (= publication series of the Federal Ministry for Family, Seniors, Women and Youth. 209). 3rd, unchanged edition. W. Kohlhammer, Stuttgart 2002, ISBN 3-17-017155-0 .
  • Ralf Reintjes, Silvia Klein (Ed.): Health reporting and surveillance. Measure, decide, act. Hans Huber, Bern 2007, ISBN 978-3-456-84441-1 .

Individual evidence

  1. ^ Manfred Stürzbecher : Medical statistics. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 950.
  2. ↑ rki.de
  3. ^ Robert Koch Institute (ed.): Health in Germany. Federal health reporting. Jointly supported by RKI and Destatis. Retrieved on April 20, 2020 (eng).
  4. ^ T. Lampert, K. Horch, S. List et al.: Federal health reporting: objectives, tasks and possible uses. (= GBE compact. 1/2010). Edited by the Robert Koch Institute Berlin. rki.de
  5. ↑ a b kiggs-studie.de
  6. ^ Y. Du, H. Knopf: Self-medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). In: British Journal of Clinical Pharmacology . BJCP. 68, 4, Oct. 2009, pp. 599-608, ISSN  0264-3774 . PMID 19843063 .
  7. ↑ Hans-Ulrich Melchert: drug surveys as a data source for the GBE. In: Robert Koch Institute (Ed.): The Federal Health Survey. Component of health surveillance in Germany. Robert Koch Institute, Berlin 2002, ISBN 3-89606-135-6 , p. 17ff.
  8. ↑ degs-studie.de
  9. ↑ geda-studie.de
  10. ↑ B. Szagun, D. Starke: Prevention and health reporting in the ÖGD - conditions and opportunities. In: Federal Health Gazette - Health Research - Health Protection. 48, 2005, pp. 1125-1129.
  11. ^ O. von dem Knesebeck, B. Badura et al.: Evaluation of a health policy intervention at the municipal level - the model project "Local coordination of health and social care" in North Rhine-Westphalia. In: Healthcare. 63, 2001, pp. 35-41.
  12. ^ Ministry of Labor, Social Affairs Baden-Württemberg: AG Location Factor Health: Report of the project group "Municipal Health Conferences". In: Health Strategy Baden-Württemberg. AG Location Factor Health of the Health Forum Baden-Württemberg, Reutlingen 2010.
  13. ↑ TK Health Report 2010
  14. ↑ Walter Weiss (Ed.): Health in Switzerland. Seismo-Verlag, ISBN 978-3-908239-11-6 .
  15. ↑ Katharina Meyer (Ed.): Health in Switzerland. Verlag Hans Huber, Bern 2008, ISBN 978-3-456-84626-2 . Visible  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Toter Link / bookview.libreka.de  
  16. ↑ Swiss Health Observatory (Ed.) Health in Switzerland - focus on chronic diseases. Hogrefe Verlag, Bern, ISBN 978-3-456-85566-0 .
  17. ↑ Obsan publications.
  18. ↑ FSO Health Statistics 2014 ( Memento of the original from April 2, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. . @1@ 2Template: Webachiv / IABot / www.bfs.admin.ch
  19. ↑ Health statistics 2019
  20. ↑ No hospital, no doctor, no midwife. In: The time . Nov 22, 2010.
  21. ^ Website of the World Health Report

Web links

National statistical offices

Other actors: