Abstract

The public health service is responsible for providing medical reports for the civil service. This is commonly carried out by public health departments. In recent decades, many decisions in public management and court orders have resulted in an increased need for reports and certificates from public health officers. The content of these reports is of great financial significance. To ensure the quality of these reports, various groups from the federal states have sought to introduce standards and quality assurance measures into the medical assessment process. However, because of their quantity and diversity, report enquiries use a large proportion of the resources available to the public health service. The extent to which these tasks need to be performed by the public health service and whether they can be outsourced has been examined in the past. Expert reports will continue to be a fundamental aspect of the public health service. As a result, possible methods for reducing expenditure are presented.

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