Gesundheitswesen最新文献

{"title":"[UV protection in climate change: health policy relevance and necessary framework conditions].","authors":"Yvonne de Buhr, Inga-Marie Hübner, Eckhard Wilhelm Breitbart","doi":"10.1055/a-2623-3832","DOIUrl":"https://doi.org/10.1055/a-2623-3832","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedizin in der Pädiatrie - Akzeptanz und Zufriedenheit aus Elternperspektive.","authors":"Sarah Heimbuch, Luisa Tischler, Angelika Beyer, Yvonne Jordan, Nils Pfeuffer, Heiko Krause, Neeltje van den Berg","doi":"10.1055/a-2543-3179","DOIUrl":"https://doi.org/10.1055/a-2543-3179","url":null,"abstract":"<p><p>The telemedical networking of children's clinics of varying sizes and specializations can support healthcare close to home, especially in rural regions with structural limitations. A Regional Tele-Paediatric Network was implemented in Mecklenburg-Western Pomerania and North Brandenburg (innovation fund project RTP-Net). This study examines the question of how participating parents accepted and evaluated this form of care.Parents of paediatric patients at a participating clinic were invited to take part in the study during the observation period 02.2021 to 03.2023 study. A mixed-methods approach was used that comprised a standardized questionnaire. The interviews were transcribed, categorized according to Kuckartz and subjected to descriptive evaluation. Between 12.2023 to 02.2024, telephone interviews were conducted with parents who had agreed to be recontacted.A total of 507 cases (403 patients) were included in the RTP-Net. Data from 138 questionnaires were analyzed. 74.5% of parents found that the use of telemedicine was helpful for the treatment of their child; 88.1% could imagine that telemedicine could supplement paediatric healthcare in the future. Parents interviewed over the telephone (n=11) rated telemedicine services positively. The main advantages mentioned were saving in time and distance, availability of specialist expertise and avoidance of long waiting times. There were concerns about the lack of physical contact between telemedicine doctor and patient.Parents show a high level of acceptance of telemedicine and trust in the provision of telemedical services. Telemedicine can help parents to avoid the burden of long journeys and waiting times and improve access to specialist medical expertise. In order to improve the acceptance and satisfaction of parents, it is important to inform them about the results if the telemedical advice was based on a doctor-to-doctor consultation.Die telemedizinische Vernetzung von Kinder-Kliniken unterschiedlicher Größen und Spezialisierungen kann insbesondere in ländlichen Regionen mit strukturellen Einschränkungen eine wohnortnahe Versorgung unterstützen. In Mecklenburg-Vorpommern und Nord-Brandenburg wurde ein Regionales Telepädiatrisches Netzwerk (Innovationsfondsprojekt RTP-Net) implementiert. In dieser Publikation wird der Frage nachgegangen, wie teilnehmende Eltern diese Versorgungsform akzeptierten und bewerteten.Der Mixed-Methods-Ansatz umfasste einen deskriptiv ausgewerteten standardisierten Fragebogen für Eltern, die ihr Kind im Beobachtungszeitraum 02.2021 bis 03.2023 in einer teilnehmenden Klinik vorstellten und an der Studie teilnahmen. Zwischen 12.2023 und 02.2024 wurden telefonische Interviews mit Eltern geführt, die einer Wiederkontaktierung zugestimmt hatten. Die Interviews wurden transkribiert und inhaltlich strukturierend nach Kuckartz kategorisiert und ausgewertet.Es wurden 507 Fälle (403 Patienten) in das RTP-Net eingeschlossen. Daten aus 138 Elternfragebögen wurden analysier","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Opportunities, barriers and optimization needs of the examination of children in the 4th year of life in Saxony: a qualitative survey of physicians, day care professionals and parents].","authors":"Charlyn Görres, Alina Seibel, Maria Schwenke, Claudia Korebrits, Constanze Anders, Jon Genuneit, Birte Pantenburg, Steffi G Riedel-Heller, Margrit Löbner","doi":"10.1055/a-2577-9561","DOIUrl":"https://doi.org/10.1055/a-2577-9561","url":null,"abstract":"<p><p>The Kita examination in Saxony, conducted in the fourth year of life, is a medical service offered by the pediatric and adolescent medical service in Saxony (KJÄD). The objective of this examination is to identify early support needs in children before they start school and to initiate appropriate measures. The objective of this study is to analyze the Kita examination in Saxony with regard to the current personnel, structural, and technical framework conditions from the perspective of the physicians of the KJÄD, daycare professionals, and parents.This study uses a qualitative design. A total of n=13 telephone interviews were conducted: n=5 with physicians, n=4 with parents, and n=4 with daycare professionals. The interviews were based on semi-structured guidelines and were recorded as audio files. The recordings were then fully transcribed and analyzed using Mayring's qualitative content analysis method and MAXQDA software.The findings indicated that, in the view of all participants, the Kita examination plays a pivotal role in the early identification of support needs for school. One perceived advantage of the examination process was that it occured in a familiar environment. The presence of daycare professionals during the examination was perceived as a positive aspect. The dissemination of information via analog or digital media could be enhanced to facilitate greater accessibility for underserved families and encourage their participation in the Kita examination.The Kita examination plays a pivotal role in early intervention, offering a valuable, readily accessible supplement to the standard 'U' examinations conducted in pediatricians' practices.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Potentially avoidable visits to the physician's office: an exploratory observational study].","authors":"Max Geraedts, Christian Song Pham","doi":"10.1055/a-2592-5957","DOIUrl":"https://doi.org/10.1055/a-2592-5957","url":null,"abstract":"<p><p>In order to harmonize supply and demand in the outpatient sector, current figures are needed on the number of visits to physicians' offices and their rationale. Since the introduction of partially flat-rate remuneration in the outpatient sector in 2008, only uncertain estimates are possible on the basis of billing data.On the basis of direct observation in physicians' offices, the number and reasons for visits to the physician's office are to be recorded and their potential avoidability estimated.In 11 GP practices (4 practices), general specialist practices (6 practices) and specialized specialist practices (1 practice), all visits to the physician's office in a given week were documented with regard to the reason for and type of contact as well as the age and gender of the patients. To this number, the practices added the patients' utilization of the services in the entire quarter and previous quarter as well as the total number of all cases seen in the practice per quarter. Frequencies and differences in relation to practice types, age groups and gender were analyzed descriptively and using Chi² tests.A total of 3266 practice contacts (57% by women, 43% by men) were recorded. There were 2.9 visits to GPs and 1.9 visits to specialists per patient per quarter. In the case of GPs, 40% of patients aged<60 years visited the practice because of an acute illness, while the leading reason for patients aged 60+was to collect a referral or prescription (50%). The most prominent reason for visits to a specialist was the monitoring of chronic illnesses for younger patients (36%) and older patients (51%). Explicit contact with a GP was made by 58% of those under 60 and 32% of those over 59, while 70 and 73%, respectively of such patients saw a specialist. Extrapolated, every citizen had 16.9 contacts with a physician's office per year.The explorative study provides indications of the extent of avoidable contacts with physicians' offices, in that half of the contacts with over 59-year-olds were only to collect prescriptions, findings etc. and 41% of contacts with specialists were routine check-ups, the necessary frequency of which is unclear.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[WHO clinical practice guidelines for influenza: an update].","authors":"Jana Meixner, Barbara Nußbaumer-Streit, Isolde Sommer","doi":"10.1055/a-2571-3357","DOIUrl":"10.1055/a-2571-3357","url":null,"abstract":"<p><p>Every year, more than one billion people around the world are infected with influenza, an acute infection of the respiratory tract. Influenza spreads from person to person through air, contaminated hands or objects. Antiviral and immunomodulatory drugs are available for treatment of patients and prophylaxis of exposed persons. Reverse transcription polymerase chain reaction (RT-PCR), nucleic acid amplification tests (NAATs) and rapid tests are available for the diagnosis of influenza. Objective The aim of this World Health Organization (WHO) guideline is to provide recommendations for the diagnosis, drug treatment and prophylaxis of influenza.This updated guideline has been developed in accordance with standards for trustworthy guidelines. The recommendations are based on systematic reviews on safety and effectiveness. They take into account the magnitude of benefits and harms of treatments, the reliability of the evidence, and the needs of patients and healthcare professionals.For non-severe influenza, there is a conditional recommendation to use baloxavir if the risk of severe illness is high. Antivirals are not recommended if the risk is low. There is also a strong recommendation against the use of antibiotics if bacterial co-infection is unlikely. Oseltamivir is conditionally recommended for severe influenza. Not recommended are peramivir and zanamivir, as well as macrolide antibiotics (in the absence of co-infection), mTOR inhibitors and plasma therapy, and corticosteroids. Baloxavir and oseltamivir are conditionally recommended for prophylaxis in asymptomatic persons who have been exposed to seasonal influenza viruses and would be at very high risk of becoming hospitalised. For zoonotic influenza, laninamivir and zanamivir are also conditionally recommended in addition to baloxavir and oseltamivir, regardless of individual risk. For diagnosis, the use of NAAT or digital immunoassay (DIA) for suspected non-severe influenza and nucleic acid amplification test (NAAT) for suspected severe influenza is recommended.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical Crisis Intervention in the Somatic Setting: A Scoping Review].","authors":"Hanna Batzoni, Markus Witzmann","doi":"10.1055/a-2570-0000","DOIUrl":"https://doi.org/10.1055/a-2570-0000","url":null,"abstract":"<p><p>Patients, relatives and staff ('second victims') often experience stressful events in the clinical setting, such as deaths, serious diagnoses or acts of violence, which can lead to stress and crises. The aim of the scoping review was to identify the existing literature on psychosocial support services in somatic clinics and associated differences, e. g. in the target group(s).Comprehensive database searches and hand searches were conducted (including CINAHL, BASE, MEDLINE via PubMed, Springer Medizin). Only English- and German-language articles dealing with psychosocial support services in somatic medicine were included.A total of 68 publications were included. The results showed a heterogeneity and complexity of psychosocial support services as well as an increased discussion of psychosocial stress in everyday clinical practice. Psychosocial support services were reported to contribute to psychological and emotional relief, improve mental health and increase patient safety. Furthermore, the implementation of comprehensive peer support programmes was demonstrated to engender annual savings in excess of €1.5 billion within the healthcare system.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Long-Term Development of Competencies and Methods Using the Example of SOPESS as Part of Preschool Health Examinations - Background and Approaches of the KOMET-SEU Project].","authors":"Dorothée Malonga Makosi, Christiane Diefenbach, Klaus Simon, Julia Christin Jaščenoka, Jenny Maurer, Brigitte Borrmann, Navdeep S Sidhu, Jochem König, Ute Thyen, Jon Genuneit, Monika Daseking, Michael S Urschitz","doi":"10.1055/a-2577-9620","DOIUrl":"https://doi.org/10.1055/a-2577-9620","url":null,"abstract":"<p><p>Preschool health examination is one of the main tasks of the German public health service. The social-paediatric screening used in this process is SOPESS, the validated tool for assessing the developmental status of preschool children. The results enable tracking of developmental abnormalities across regions and over time, as well as deriving individual and preventive action requirements. In practice, however, the data show relevant method-related heterogeneity across teams and public health services that cannot be explained solely by differences in the study population. This affects the data validity and their optimal use for regional prevention planning and health reporting.The KOMET-SEU project aimed, on the one hand, to assess and illustrate method-related heterogeneity and its causes, and to develp and evaluate an online training program, on the other, to strengthen public health service in its implementation and documentation of SOPESS, to reduce the data's heterogeneity and to support data usage.The project was based on the Public Health Action Cycle and used a logical model as a theoretical basis. To develop and evaluate the online training, quantitative and qualitative methods were combined. The objectives were achieved in four work packages (WP): WP 1 established the statistical basis for assessing and depiction of method-related heterogeneity. WP 2 used surveys done with employees of the public health services to examine the causes of heterogeneity and relevant contextual factors for data collection. In WP 3, that information was used to construct and test an online training program. WP 4 implemented that training in several public health services and evaluated its processes and effects. Detailed results of the WP can be found in this issue of \"Das Gesundheitswesen\".The mixed-methods approach and participatory intervention development should help strengthen the skills of the employees of public health services in using the SOPESS and expand examinational competences within the teams. Thus, the KOMET-SEU project could make an important contribution to supporting the public health service in the use of SOPESS data. Whether it will be possible to reduce the heterogeneity in the SOPESS data itself must be investigated further. The ground-work has been laid.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencing digital technologies: The importance of feeling safe in healthcare - A qualitative participatory design.","authors":"Peter Minartz, Carmen Vondeberg, Laura Obert, Christian Bleck, Bernhard Hemming, Mara Vöcking, Claudia Ose, Matti Znotka, Diana Cürlis, Anne Karrenbrock, Frank Oehmichen, Peter Heistermann, Silke Kuske","doi":"10.1055/a-2560-1100","DOIUrl":"https://doi.org/10.1055/a-2560-1100","url":null,"abstract":"<p><p>Digital technologies are increasingly used in healthcare. In this context, perceived safety plays a critical role in their acceptance and implementation. Previous research had focused more on data security or specific digital technologies. There has also been a lack of participatory approaches to consider and empower healthcare recipients (and relatives), providers, and technology experts to broaden the phenomenon.The aim of this study was to present a comprehensive perspective on the needs, influencing factors and related outcomes in the context of feeling safe with digital technologies in healthcare.A qualitative, exploratory, and participatory methodology was used with five guide-based focus group workshops. Each workshop explored one of five digital technology demonstrations provided at the beginning: (1) electronic health records (EHR), (2) robotics, (3) artificial intelligence (AI), (4) smart home, and (5) smart hospital. All participants were invited for a guide-based discussion. The study focused on the levels of 'involvement' and 'collaboration' by also empowering participation. The workshop target groups were actively involved in the development and execution of the workshops and were empowered. The data were analysed via a content analysis approach, with a mostly inductive procedure.Feeling safe was found to affect thoughts, emotions, and actions. For example, a higher level of perceived safety increased the acceptance of digital technologies, whereas a lower level of perceived safety decreased it. The corresponding needs and influencing factors differed in terms of their scope and focus depending on the context. The aspect of 'control' was most frequently addressed by all the target groups and was viewed as relevant in all the workshops. In general, digital technologies were viewed as supplements rather than substitutes for healthcare providers.This study extends beyond the current state of research on perceived safety and the use of digital technologies in healthcare by providing a comprehensive overview of the corresponding needs and influencing factors at various levels, such as the individual, community-organizational, and system-society levels. The perceived safety of healthcare recipients and providers related to digital technologies should be taken into consideration to achieve positive implementation outcomes.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A qualitative interview study to streamline integration of patient participation in research].","authors":"Anna-Francesca Jessica Di Meo, Feyza Gökce, Lisa Pfeiffer, Clara Teusen, Jan Gehrmann, Caroline Jung-Sievers, Antonius Schneider, Jochen Gensichen, Karolina De Valerio, Gabriele Pitschel-Walz","doi":"10.1055/a-2445-5498","DOIUrl":"10.1055/a-2445-5498","url":null,"abstract":"<p><p>Integration of the patient perspective in research projects is essential to strengthen the relevance and quality of research results. In order to rectify the lack of structured procedures for patient integration in German research projects, this study summarises the currently available knowledge in a simplified practice-oriented checklist for researchers.Through 13 semi-structured qualitative interviews conducted with members of a research group in December 2022, this study explored patient participation possibilities and barriers. The inductive-deductive coding and analysis in the software MAXQDA led to a standardized checklist development for seamless patient integration across similar contexts and research fields.Of 13 experts, nine researchers (69%) incorporated patient insights into their work, covering topics, concepts, focus prioritization, and study materials. Four researchers (31%) faced barriers due to the absence of guidelines. More than 90% recognized potential for patient integration in topic prioritization, concept formation, evaluation, result review, and interpretation. Researchers highlighted barriers such as patient's limited scientific basis, restricted access, and knowledge gaps in patient interaction. Among the respondents, 56% pointed to training needs and 44% to structural barriers such as workload, unclear funding, guidelines and stakeholder involvement. The resulting checklist includes six sub-categories, each with an average of four sub-items, which operationalise the integration process.Current research lacks effective patient inclusion processes due to inadequate access, tools, and knowledge. While immediate training can address some challenges, longer-term changes in policy and funding are necessary. With the new checklist, researchers receive a support tool to integrate the patient perspective in their projects in a systematic manner.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"318-327"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Development Of Long-Term Care Dependency And Utilisation Of Long-Term Care Services From 2017 To 2022 In Germany, Saxony-Anhalt: Analysis Of Health Insurance Data].","authors":"Stephanie Heinrich, Steffen Fleischer, Gabriele Meyer","doi":"10.1055/a-2366-9419","DOIUrl":"10.1055/a-2366-9419","url":null,"abstract":"<p><strong>Background: </strong>Saxony-Anhalt has the highest old-age dependency ratio among the German federal states. The proportion of long-term care-dependent people can be expected to increase in the future, given the aging of the population. The SARS-CoV-2 pandemic has influenced nursing care, reduced the utilisation of services and led to changes in care arrangements. The aim of this study was to analyse the development of long-term care-dependency in Saxony-Anhalt, Germany, taking into account the legal changes, the pandemic and the development after the lifting of the contact ban.</p><p><strong>Method: </strong>The analysis uses aggregated and anonymised health claims data from people insured with AOK Saxony-Anhalt from 2017 to 2022 in need of long-term care. Changes over time in the use of various care services were analysed.</p><p><strong>Results: </strong>In 2017, 64,591 people insured in the statutory health insurance AOK Saxony-Anhalt (AOK ST) were in need of long-term care. The prevalence increased continuously throughout the observation years. For the lowest level of care (minor impairment of independence), the most significant and strongest increase was recorded in the first years after its introduction from 2017-2019. The majority of people in need of long-term care (41-44%) were in the category of care level 2 (considerable impairment of independence). Overall, the proportion of cash benefits has risen steadily since 2017, from 40.5% to 50.3% in 2022. At the same time, the proportion of long-term care in nursing homes decreased at all care levels. The trend toward less nursing home care has become stronger since 2017 and particularly since the onset of the SARS-CoV-2 pandemic in 2020.</p><p><strong>Conclusion: </strong>Since the introduction of the new definition of the need for long-term care in Germany, the analysis shows an increase in the number of people in need of long-term care, with those with considerable impairment of independence making up the largest proportion. There has been a significant increase in the number of people receiving cash benefits and a decline in nursing home care. Compared to the nationwide data of health claims, data show a greater use of nursing services in home-based arrangements. The analysis during the COVID-19 pandemic shows a trend towards home care, but no fundamental change. Special situations such as contact restrictions may have influenced the use of care services. Future research should examine the design of home care arrangements and the needs of those affected in greater detail.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"328-336"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}