{"title":"[Recommendations for action for SARS-CoV-2 testing concepts for asymptomatic healthcare workers].","authors":"Susanne H Liebe, Anna Walendi, Lukas Brethfeld","doi":"10.1007/s40664-023-00496-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>When implementing SARS-CoV‑2 testing concepts in healthcare facilities, different laws and regulations of equal rank apply. In the light of experienced impediments in translating legal requirements appropriately into legally secure concepts on an operational level, the objective of this paper was to develop corresponding specific recommendations for action.</p><p><strong>Methods: </strong>On the basis of guiding questions on previously identified fields of action, a focus group consisting of representatives of administration, different medical disciplines, and special interest groups discussed critical aspects of implementation using a holistic approach. The transcribed contents were analyzed through inductive development and deductive application of categories.</p><p><strong>Results: </strong>All contents of discussion could be matched with the identified categories legal backgrounds, requirements and objectives of testing concepts in healthcare facilities, responsibilities for implementing in operational decision-making chains, and implementing SARS-CoV‑2 testing concepts.</p><p><strong>Implications: </strong>The correct implementation of the legal requirements into legally compliant SARS-CoV‑2 testing concepts in healthcare facilities previously required the involvement of ministries, representatives of different medical disciplines and professional associations, employer and employee representatives and data privacy experts as well as representatives of possible cost bearers. In addition, an integrative and enforceable composition of laws and regulations is necessary. Defining objectives for testing concepts is significant for the following operational process flows that need to consider aspects of employee data privacy as well as providing additional personnel for fulfilling the tasks. Also, in future one central issue of healthcare facilities concerns the finding of solutions for IT interfaces for information transfer to employees in accordance with data privacy.</p>","PeriodicalId":43038,"journal":{"name":"Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie","volume":"73 3","pages":"97-111"},"PeriodicalIF":0.3000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975865/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40664-023-00496-y","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/1 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background and objective: When implementing SARS-CoV‑2 testing concepts in healthcare facilities, different laws and regulations of equal rank apply. In the light of experienced impediments in translating legal requirements appropriately into legally secure concepts on an operational level, the objective of this paper was to develop corresponding specific recommendations for action.
Methods: On the basis of guiding questions on previously identified fields of action, a focus group consisting of representatives of administration, different medical disciplines, and special interest groups discussed critical aspects of implementation using a holistic approach. The transcribed contents were analyzed through inductive development and deductive application of categories.
Results: All contents of discussion could be matched with the identified categories legal backgrounds, requirements and objectives of testing concepts in healthcare facilities, responsibilities for implementing in operational decision-making chains, and implementing SARS-CoV‑2 testing concepts.
Implications: The correct implementation of the legal requirements into legally compliant SARS-CoV‑2 testing concepts in healthcare facilities previously required the involvement of ministries, representatives of different medical disciplines and professional associations, employer and employee representatives and data privacy experts as well as representatives of possible cost bearers. In addition, an integrative and enforceable composition of laws and regulations is necessary. Defining objectives for testing concepts is significant for the following operational process flows that need to consider aspects of employee data privacy as well as providing additional personnel for fulfilling the tasks. Also, in future one central issue of healthcare facilities concerns the finding of solutions for IT interfaces for information transfer to employees in accordance with data privacy.
期刊介绍：
Zielsetzung der Zeitschrift Das Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie ist eine der ältesten deutschsprachigen wissenschaftlichen Fachzeitschriften im Bereich Arbeit, Umwelt, Gesundheit und Sicherheit. Es bietet ein Forum für frei eingereichte Originalartikel, Übersichten, Short Communications und Kasuistiken. Die Fachzeitschrift ermöglicht einen wissenschaftlichen Erfahrungsaustausch und stellt optimale Problemlösungen zur Verfügung. Die Zielgruppen der Zeitschrift sind Arbeitsmediziner, Sozialmediziner, Umweltmediziner, Sicherheitsingenieure, Arbeitswissenschaftler sowie andere Gruppen und Institutionen, die eng mit der Arbeits-, Sozial- und Umweltmedizin sowie dem Arbeitsschutz und der Ergonomie verbunden sind. Durch vertiefende Forschungsartikel und Übersichten werden Fachpersonen aus der Arbeits-, Sozial- und Umweltmedizin über neue medizinische Entwicklungen und Gesetze in der Prävention, Diagnose und Rehabilitation von umweltbedingten Erkrankungen und arbeitsbedingten Verletzungen und Erkrankungen auf dem Laufenden gehalten. Originalarbeiten und Übersichten liefern Ergebnisse der aktuellen Forschung und deren Integration in die tägliche Praxis. Die Spanne der Themen reicht dabei von toxikologischen Fragestellungen über die Reise- und Tropenmedizin und Public-Health-Aspekten bis hin zur Versorgungsforschung und Ergonomie. Aims & Scope Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie is one of the oldest scientific journals devoted to the field of work, environment, health and safety, edited in the German language. It offers a forum for freely submitted original articles, reviews, short communications and case reports. The journal enables a scientific exchange of experience and provides optimal solutions to problems. The target groups of the journal are occupational physicians, safety engineers, occupational scientists and other groups and institutions closely related to occupational, safety and environmental medicine as well as industrial safety and ergonomics. In-depth research articles and reviews keep occupational, social and environmental medicine professionals up to date on new medical developments and laws in the prevention, diagnosis and rehabilitation of environmentally induced conditions and work-related injuries and illnesses. Original papers and review articles provide results of the current research and their integration into daily practice. Topics range from the fields of toxicology, travel/tropical medicine and public health aspects to health services research and ergonomics. Review: All articles of Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie undergo a peer review process. Declaration of Helsinki: All manuscripts submitted for publication presenting results from studies on probands or patients must comply with the Declaration of Helsinki. Indexed in Emerging Sources Citation Index (ESCI), Embase and Scopus
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