<p>The impact of social inequality on health is clearly visible in both primary care and the public health service (ÖGD). Primary care teams face the challenges of implementing preventive measures even though they often lack the necessary structural and financial resources. At the same time, the ÖGD has access to the population and opportunities for municipal intervention that have so far been insufficiently linked to primary care. Three workshops organized by the professional associations German Society for General Practice and Family Medicine (DEGAM), German Society for Social Medicine and Prevention (DGSMP), and German Society for Public Health (DGÖG) discussed possibilities for closer cooperation. The results show that better networking at the local level, facilitated by the ÖGD, as well as interprofessional collaboration and appropriate remuneration are key prerequisites for the effective implementation of prevention. Professional associations should strengthen their cooperation; issue political statements to address the social determinants of health; and, in the long term, integrate competencies for structural prevention into general medical education and the training and further education of the ÖGD. A&#xa0;cross-disciplinary working group with digital communication structures, clear goals, and quality criteria can facilitate implementation. The aim is to strengthen links between primary care practices, make resources available locally, and utilize public health expertise in primary care. This will enable prevention to be strengthened in the long term as a&#xa0;joint task of primary care and the public health service.</p>

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Verhältnisprävention als gemeinsame Aufgabe für Allgemeinmedizin, Sozialmedizin und Öffentlichen Gesundheitsdienst – Bericht von 3 Kongress-Workshops

  • Thomas Kloppe,
  • Susanne Pruskil,
  • Jeffrey Butler,
  • Sinah Evers,
  • Edmund Fröhlich,
  • Frank Lehmann,
  • Claudia Mews,
  • Dominik Röding,
  • Annett Salzwedel,
  • Johannes Hauswaldt

摘要

The impact of social inequality on health is clearly visible in both primary care and the public health service (ÖGD). Primary care teams face the challenges of implementing preventive measures even though they often lack the necessary structural and financial resources. At the same time, the ÖGD has access to the population and opportunities for municipal intervention that have so far been insufficiently linked to primary care. Three workshops organized by the professional associations German Society for General Practice and Family Medicine (DEGAM), German Society for Social Medicine and Prevention (DGSMP), and German Society for Public Health (DGÖG) discussed possibilities for closer cooperation. The results show that better networking at the local level, facilitated by the ÖGD, as well as interprofessional collaboration and appropriate remuneration are key prerequisites for the effective implementation of prevention. Professional associations should strengthen their cooperation; issue political statements to address the social determinants of health; and, in the long term, integrate competencies for structural prevention into general medical education and the training and further education of the ÖGD. A cross-disciplinary working group with digital communication structures, clear goals, and quality criteria can facilitate implementation. The aim is to strengthen links between primary care practices, make resources available locally, and utilize public health expertise in primary care. This will enable prevention to be strengthened in the long term as a joint task of primary care and the public health service.