Gesundheitswesen最新文献

{"title":"Use of Infection Dynamic Modelling in Crisis Management at German University Hospitals during the COVID-19 Pandemic.","authors":"Antonia Bartz, Andreas Schuppert, Younes Müller, Lorenz Baum, Oliver Hinz, Christoph Streissnig, Jochen Schmitt, Simone Scheithauer, Veronika K Jaeger, André Karch","doi":"10.1055/a-2961-6456","DOIUrl":"10.1055/a-2961-6456","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic highlighted the need for university hospitals to have crisis management teams to anticipate the developing situation and plan resource allocation and staff distribution. To this end, mathematical modelling studies are a tool that can provide forecasts of future developments and their uncertainties. This study aimed to understand the role of mathematical modelling in crisis management teams at German university hospitals during the COVID-19 pandemic and to identify potential areas for improvement.</p><p><strong>Methods: </strong>As part of the project PREPARED of the Network of University Medicine, we administered questionnaires to all German university hospitals and analysed all data descriptively.</p><p><strong>Results: </strong>Data were obtained from 24 of the 36 university hospitals that existed in Germany at this time (67%). All these reported having crisis management teams during the COVID-19 pandemic that had been set up specifically for the COVID-19 pandemic and were tasked with addressing the challenges of the pandemic. Of these 24 university hospitals, 19 hospitals (79%) used results from mathematical modelling studies when making decisions concerning the distribution of operational beds, restrictions on elective care, or staff allocation. Data from the Robert Koch Institute (<i>n</i>=9, 38%), data from the hospital itself (<i>n</i>=8, 33%), and/or local/regional data (<i>n</i>=11, 46%) were used as the basis for modelling.</p><p><strong>Conclusion: </strong>Modelling results played an important role in crisis management decision making at university hospitals in Germany during the COVID-19 pandemic. Automated access to interoperable, reliable data and locally applicable models should be created to secure the validity of modelling results in future crises.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013062","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":"[Development of Data-Driven Personas to Support Age-Friendly Urban Planning].","authors":"Adele Grenz, Casper Espelage, Milena von Kutzleben, Kathrin Boerner","doi":"10.1055/a-2985-5399","DOIUrl":"https://doi.org/10.1055/a-2985-5399","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225176","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 secondary analysis of Community Health Nurse competencies in Austria: An application of the Public Health Intervention Wheel].","authors":"Linda Eberle, Harald Lidauer, Elisabeth Rappold, Harald Stummer","doi":"10.1055/a-2967-1611","DOIUrl":"10.1055/a-2967-1611","url":null,"abstract":"<p><strong>Background: </strong>Community Health Nursing (CHN) supports preventive and community-based care across individual, community, and system levels. In Austria, CHN was piloted in 117 EU-funded projects (2022-2024), guided by the Public Health Intervention Wheel (PHIW).</p><p><strong>Aim: </strong>To assess Austrian experts' views on the applicability of the PHIW and to identify competencies needed beyond basic nursing education for effective CHN practice.</p><p><strong>Methods: </strong>Qualitative secondary analysis of 15 problem-centered expert interviews; data were analyzed using Mayring's qualitative content analysis. The PHIW served as heuristic and analytical frame.</p><p><strong>Results: </strong>All PHIW sectors were deemed relevant, but unevenly emphasized. Strengths lie in counseling/education (blue), coordination/case management (green), and case-based assessment/screening (red). Marked gaps appear at community and system levels: surveillance/monitoring (red) beyond the individual, coalition building and community organizing (orange), and advocacy, policy, and social marketing (yellow) are weakly developed. Recurrent needs include public-health thinking, system and interface knowledge, and didactic skills. Case management was consistently highlighted as a key competency yet is only sparsely embedded in curricula. Communication emerged as a cross-cutting capability for relationship-building, navigation, and interprofessional collaboration.</p><p><strong>Conclusions: </strong>The PHIW is a robust orienting framework, but context-sensitive refinements are required for Austria. Clear role definitions, including care-level-specific responsibilities, structured continuing education and add-on qualifications, and a broad competency profile encompassing clinical skills, public health, prevention, as well as pedagogical, management, and networking competencies and constitutes a key prerequisite for effectively implementing integrated, population-oriented CHN practice.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065002","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":"[Inclusive Medicine in Germany: Recommendations for Action and Future Prospects from the \"Inclusive Medicine 2026\" Symposium in Fulda].","authors":"Carlos Plappert, Sebastian Bönisch, Madita Bahr, Tatjana Baier, Friederike Herms, Hüseyin Ince, Roland Koch, Martin C Koch, Tillmann Kühn, Lena Mack, Stephan Martin, Thomas Mayer, Ayse Oluk, Burkert Pieske, Birgit Pohler, Katharina Rathmann, Robert Schier, Jörg Simon, Annegret Elisabeth Werner","doi":"10.1055/a-2967-1750","DOIUrl":"https://doi.org/10.1055/a-2967-1750","url":null,"abstract":"<p><strong>Background: </strong>People with intellectual disabilities (ID) experience a high burden of disease, substantially reduced life expectancy, and limited access to healthcare services. Despite international human rights commitments, significant inequalities in prevention, health promotion, and healthcare persist compared with the general population. The aim of the Inclusive Medicine Conference 2026 was to identify key challenges and to develop participatory recommendations for a sustainable and inclusive healthcare system.</p><p><strong>Methods: </strong>A multidisciplinary and participatory future workshop was conducted during the Inclusive Medicine Conference in Fulda, involving approximately 100 participants from healthcare, academia, disability support services, self-advocacy organizations, health insurers, as well as people with ID and their relatives. Discussions took place in four moderated working groups focusing on financing, responsibility, coordination, and education. Recommendations were documented, discussed in plenary, and consolidated.</p><p><strong>Results: </strong>The main challenges did not lie in the lack of medical possibilities but in structural deficiencies of the healthcare system. Key deficits were identified in financing, allocation of responsibilities, cross-sectoral coordination, and education and training. Ten recommendations for action were developed from the discussions. In addition, a nationwide Research and Translation Network for Inclusive Health was established to systematically integrate healthcare delivery, research, evidence generation, and knowledge translation.</p><p><strong>Conclusions: </strong>The challenges of inclusive healthcare are well described. However, the primary need today lies less in further problem identification than in the development, evaluation, and sustainable implementation of evidence-based models of care. Interdisciplinary networks, living labs, and shared data infrastructures represent key prerequisites for achieving this goal.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149520","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":"[New data reveals regional differences in the availability of abortions].","authors":"Rona Torenz, Heike Vollmer, Daphne Hahn","doi":"10.1055/a-2957-3282","DOIUrl":"10.1055/a-2957-3282","url":null,"abstract":"<p><strong>Background: </strong>Since a legislative change in November 2024, the Federal Statistical Office (StBA) is permitted to process data on abortion statistics below the federal state level. The aim of this analysis is to describe regional differences in the availability of abortions in Germany and to evaluate the usefulness of the new regionalized data.</p><p><strong>Method: </strong>The regionalized data made available for the first time for the 2023 reference year was evaluated at the level of regional planning regions. The analysis is based on two indicators: the availability index, which compares regional capacities with state-specific demand, and the proportion of cross-border care provision. On this basis, a regional typology was developed based on Gannon and Pullan (2025).</p><p><strong>Results: </strong>We found significant regional differences. In western Germany in particular, there are many regions with low availability alongside a few regional and supraregional care centers that also serve neighboring regions or federal states. In eastern Germany, self-sufficient regions predominate. Overall, around two-thirds of the regions could be typified.</p><p><strong>Conclusion: </strong>The new data enables differentiated statements to be made about the regional availability of abortions. However, their significance is limited by rounding and spatial aggregation carried out by the StBA. Further indicators and supplementary analyses are necessary to comprehensively assess regional access to abortion care.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931304","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":"[Transdisciplinary collaboration between public health and university institutions: Reflection and recommendations for action from the BMG-funded collaborative research project I.N.Ge].","authors":"Emily Piontkowski, Hannah Richter, Anja Herrmann, Pierre Braun, Stefan Brockmann, Jana Hailer, Brigitte Joggerst, Susanne Minkwitz, Fabian Nill, Nadja Oster, Gottfried Roller, Peter Schäfer, Uwe Stengele, Michael Weiler, Kersten Wolfers, Stefanie Joos, David Häske, Monika A Rieger","doi":"10.1055/a-2918-6206","DOIUrl":"https://doi.org/10.1055/a-2918-6206","url":null,"abstract":"<p><strong>Background: </strong>The necessity for collaborations between the public health service (PHS) and university institutions is becoming increasingly apparent. Political measures such as the Pact for the PHS call for stronger networking in order to gain scientific insights more quickly, transfer them into practice and promote evidence-based health measures. This requirement was subjected to rigorous testing as part of the BMG-funded joint project Infektionsschutz.Neu.Gestalten (I.N.Ge).</p><p><strong>Methods: </strong>The collaborative process was reflected through the utilisation of the participatory World Café method. Partners from local health authorities and university discussed and analyzed their key experiences. These experiences were systematically evaluated using cluster analysis. This analysis identified central aspects of the type of collaboration, methodology and organisation.</p><p><strong>Results: </strong>The analysis indicates that a joint research project such as I.N.Ge require a well-defined distribution of roles, early and continuous coordination, and a shared understanding of scientific work and research. The collaboration resulted in a more profound understanding of each other's working methods and facilitated mutual knowledge transfer. Challenges experienced were the presence of different institutional structures, cultures and working environments, as well as limited human resources. Furthermore, the expectations of priority tasks and objectives differed between the institutions.</p><p><strong>Discussion: </strong>The analysis shows that transdisciplinary collaborations between the PHS and university institutions facilitates the establishment of a robust scientific foundation within the PHS, while contributing the practical relevance of university research. At the same time, it is clear that the structural disparities between administrative and scientific institutions continue to pose a challenge and must be addressed in order to enable sustainable collaborations.</p><p><strong>Conclusion: </strong>The findings indicate the necessity for long-term cooperative structures to ensure the sustainable integration of scientific expertise in the PHS. Collaborations should be made as permanent as possible, equipped with adequate resources and supported by clear communication and decision-making channels. Based on this, recommendations for action to strengthen and further cooperations can be derived.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116680","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":"[Formation of disease- and needs-related homogeneous groups of insured persons - PopGrouper 1.0].","authors":"Anna Braun, Thomas G Grobe, Chrissa Tsatsaronis, Peter Reschke, Karen Kinder, Maria Klemt, Danny Wende, Claudia Schulte, Klaus Focke, Edgar Steiger, Mandy Schulz, Thomas Czihal, Wilm Quentin, Reinhard Busse","doi":"10.1055/a-2872-0161","DOIUrl":"10.1055/a-2872-0161","url":null,"abstract":"<p><strong>Objective: </strong>Population-based classification systems are used in various countries to assess and present healthcare needs. The PopGroup project aimed to develop such a classification system for the German healthcare context. Version 1.0 of the PopGrouper is now available and assigns each person to exactly one PopGroup (PG). This article builds on a previous publication on the grouping of diseases with assignments of severity levels and explains the next steps for the mutually exclusive grouping of all insured persons across several levels, thus completing the methodological description of the grouper.</p><p><strong>Methodology: </strong>For the development of version 1.0, training and test data from a total of 8.8 million insured persons of the BARMER health insurance fund for the year 2022 were used in a ratio of 4 to 1. After an initial content and clinically oriented grouping, further splits were carried out algorithmically using decision lists and regression trees. This resulted in a set of rules that can be used also for grouping of other populations.</p><p><strong>Results: </strong>All individuals were assigned to exactly one of 10, 427, or 610 groups and finally into 776 PGs across 4 hierarchical levels. PGs explained 38.8% of the variance in insurance-related documented health care costs in test data. After applying the grouping rules to data from 2021 and 2023, the results were similar, with explained variance shares across all grouping levels tending to be higher in 2023 than in 2022.</p><p><strong>Conclusion: </strong>The PopGrouper 1.0 is the first population-based grouper adapted for statutory health insurance data in Germany that is comprehensively documented and free to use. The grouper has proven useful for data from the years 2021 to 2023, for which complete grouping rules already exist. The grouper should be updated for future years, while also examining to what extent simplifications of the grouper and its maintenance are possible without loss of quality.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"619-628"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284448","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":"[On the history of school entry examinations in Germany - a source-based contribution from the beginnings to the Bielefeld Agreement].","authors":"Fabian Standl, Heribert Stich","doi":"10.1055/a-2871-6542","DOIUrl":"10.1055/a-2871-6542","url":null,"abstract":"<p><strong>Aim of the study: </strong>The aim of this study was to conduct a medical-historical analysis of the origins of school entry examinations (SEE) in Germany and their subsequent development up to the first formal supra-regional standardization in the 1960s.</p><p><strong>Methods: </strong>Based on a systematic evaluation of archival primary sources from federal and state archives, a historical-critical analysis of the institutional, normative, and administrative development of school entry examinations was conducted. Selected subject-specific scientific publications were additionally incorporated.</p><p><strong>Results: </strong>In Prussia, the earliest forms of school medical examinations can be traced back to 1838. In the course of the implementation of compulsory schooling, all German states had established school health surveillance instruments of varying scope and structure by 1871. Over time, these instruments were continuously formalized and adapted to prevailing health policy paradigms. Initially, SEE primarily served military and population health objectives. During the Weimar Republic, social compensatory and individual medical aspects gained increasing importance, before the examinations were ideologically instrumentalized for racial selection during the National Socialist period. After 1945, somatic health aspects initially dominated in West Germany. However, the federal structure of the Federal Republic resulted in substantial regional heterogeneity in content and implementation. From the mid-1960s onward, this heterogeneity led to the first supra-regional harmonization efforts, culminating in the so-called Bielefeld Agreement.</p><p><strong>Conclusion: </strong>The development of SEE in Germany represents a historically evolving and dynamic process, closely linked to changing political, social, and public health frameworks that shaped their functions and objectives over time.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"606-614"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844543","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":"[What matters most? Quality of life preferences in lung cancer care treatment from the perspective of patients and physicians: A systematic review].","authors":"Sophie Friebel, Ksenia Ibler, Martin Emmert","doi":"10.1055/a-2887-7962","DOIUrl":"10.1055/a-2887-7962","url":null,"abstract":"<p><strong>Objectives: </strong>Lung cancer has a high priority in the oncological care and can lead to considerable restrictions in quality of life. For patient-centered care, preferences of patients should be the focus of treatment. The current study situation indicates heterogeneous patient and physician preferences in healthcare. The aim of this study is to use a systematic literature review to identify the preferences of lung cancer patients regarding the importance of quality of life dimensions and to compare these with those of the treating physicians.</p><p><strong>Methods: </strong>A systematic literature review was conducted in databases (The Cochrane Library, PubMed via Medline). The literature search included primary studies for the period 2012 to 2024 in English and German and was supplemented by a hand search using the snowball method. The study results were aggregated, categorized according to the patient and physician perspective and core statements were derived. The study quality was assessed using checklists from the Critical Appraisal Skills Programme (CASP).</p><p><strong>Results: </strong>Out of 9,781 publications, 21 studies were identified that focused on quality of life dimensions and their preferences in lung cancer care. Of these, 16 studies focused on the patient, two on the physician and three on both perspectives. A total of 46 dimensions relating to quality of life were identified. For patients, nausea, fatigue/fatigue, financial difficulties/worries and pain are among the most important quality of life dimensions. For physician's, nausea, vomiting, financial difficulties/worries and the risk of side effects are most relevant. Aspects of the psychological and functional dimension play a central role from the patient's perspective, but have not yet been taken into account in physician-related studies.</p><p><strong>Conclusion: </strong>The results show heterogeneous preferences regarding the importance of quality of life dimensions between lung cancer patients and doctors. This underlines the need to take greater account of patient and physician preferences in everyday care. These findings can improve doctor-patient communication, promote holistic, patient-centered treatment and contribute to improving the quality of life of lung cancer patients in the long term.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"573-584"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151672","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":"[Correction: Application-accompanying performance measurement for Digital Health Applications: Optimisation from a healthcare research perspective for targeted and healthcare-relevant performance measurement].","authors":"Ursula Kramer, Theresa Sophie Busse, Nikolas Dietzel, Ria Heinrich, Pascal Kemmerer, Anna Niemeyer, Jutta G Richter, Susanne Singer, Michael Zeiler, Madlen Scheibe","doi":"10.1055/a-2963-7026","DOIUrl":"10.1055/a-2963-7026","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"88 10","pages":"e8"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185279","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}