Evidence map›Paper›PMID 34344049›Full record

ArticleGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2022

[Quantifying the Developments of Shortages in Public Health Specialists in the Public Health Service and its Effects].

Peter Tinnemann, Elke Bruns-Philipps, Jakob Schumacher

Open access · greenAbstract read
In one paragraph

Article in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. [Specific Workloads among Employees with a Migration Background in Nursing and Geriatric Care: A Systematic Review].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Pooled it
  2. Article
  3. Article
  4. [Teaching public health in human medicine studies in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  5. Article
  6. [The Struggle for Human Resources in the Reforming Public Health Service].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Peter TinnemannInstitut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charite Universitatsmedizin Berlin, Berlin, Deutschland.
Elke Bruns-PhilippsSpezielle Fachaufgaben des Öffentlichen Gesundheitsdienstes, Niedersächsisches Landesgesundheitsamt, Hannover, Deutschland.
Jakob SchumacherGesundheitsamt, Bezirksamt Reinickendorf von Berlin, Berlin, Deutschland.
Charité - Universitätsmedizin Berlin · DEGesundheitsamt · DENiedersächsisches Landesgesundheitsamt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The institutions of the Public Health Service at the level of the federal government, the states and the local authorities play a central role in public health in Germany. To manage the many practical tasks of health protection, disease prevention and health promotion in accordance with legal requirements, employees with different skills work together and contribute to social coherence. There are no empirical data on nationwide staffing levels. For years, different actors have been reporting a decreasing number of public health consultants and associated quality of public health work. The aim of this study was to quantify the public health consultant decline and to present regional trends. Regularly collected and freely available data on medical consultants registered in Germany from 1998 to 2018 were descriptively analysed with regard to developments in the number of consultants in Germany, in the regions of the Medical Associations, by specialty and age. While the total number of medical consultants in Germany has continuously increased (52%), the number of those working in administrative positions, public corporate bodies, etc. has remained relatively constant at 2%. In contrast, the number of public health consultants working in administrative offices, public corporate bodies, etc. over the last 20 years has decreased by almost 30%. Similar developments can be seen in all regions, with some even larger decreases in some regions. Bavaria is the only region with a contrasting development. There is almost no new generation of public health consultants and the number of older consultants in this field is increasing. Against this background, the availability of a sufficient number of qualified professionals to manage administrative and other tasks relevant to population medicine must be questioned. These developments threaten public health in general, public concern for vulnerable population groups in particular, and ultimately the functioning of the democratic welfare state.

Indexed as

Delivery of Health CarePublic HealthGermanyHealth Promotion

Identifiers

PMID34344049
PMCPMC11248783
OpenAlexW3188337565

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.