Das Gesundheitswesen
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Das Gesundheitswesen · Nov 1992
[Data protection and data access (I): federal data protection law and the social welfare code with reference to carrying out occupational medicine epidemiologic studies in Germany].
The regulations applicable to research in occupational epidemiology are the federal data protection (confidentiality) law (BDSG), the social welfare code (SGB), medical professional secrecy regulations and the federal statistics law (BStatG). The SGB, medical professional secrecy, and BStatG codes take precedence over BDSG rulings. This paper discusses BDSG and SGB. ⋯ The concept of "informed consent" is discussed in detail, including the requirements for a legal form for informed consent. The legal codes of the BDSG, professional secrecy, and BStatG permit the transfer of personal data if the individuals concerned remain anonymous. This paper deals in detail with the concept of "anonymity".(ABSTRACT TRUNCATED AT 250 WORDS)
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The historical development of Hospital hygiene is described showing in particular the demands made on the construction of operating units deduced from this evolution. Modes of infection inside operating units are considered and possible measures to interrupt these are discussed. ⋯ In addition, update requests are put forward such as ambulatory operation and new operating methods such as minimal-invasive operating, as well as new hygienic hazards arising from the increase of equipment inside operating theatres. An additional section deals with the fundamental ideas of DIN 1946, part 4, as far as operating units are concerned.
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Das Gesundheitswesen · Jul 1992
[The concept of continuing education in medical service--competence of physicians in counseling in the field of (social) medicine, law and economics].
The paper describes the performance of continuing education programmes of the Medical Advisory Services in Germany and explains the methodical background. Elements of conceptional structure comprise basic and advanced seminars, professional und special training courses. Realizations of this training concept are described with special regard to demand, utilisation and acceptance with prospects of future.
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Das Gesundheitswesen · Jun 1992
[Public health and citizen involvement--guidelines and general practice in Herne].
Health problems cannot be solved only by expanding medical and other systems of service. Limitations of these services are not only set by costs, but also by the disease patterns themselves. ⋯ The public health system has the specific duty of initiating and establishing these new approaches to health promotion and coping with disease. A model for these new municipal health policies is presented with reference to medical practice in the city of Herne in the Ruhr area of Germany.