Gesundheitswesen最新文献

{"title":"[Health authorities in crisis management: lessons learned from the coronavirus pandemic].","authors":"Nils B Heyen, Claudia Schlüfter","doi":"10.1055/a-2833-6148","DOIUrl":"https://doi.org/10.1055/a-2833-6148","url":null,"abstract":"<p><strong>Abstract: </strong>This article reports on a small study on crisis management by health authorities in Germany during the coronavirus pandemic. One aim of the study was to analyse the challenges, successes and role of digital innovations in the context of the pandemic. To this end, eight guided interviews were conducted with nine managers and employees from various health authorities. At the beginning of the pandemic, the lack of digitalisation (fax-based reporting processes) and scarce human resources were the main challenges. Flexibility and pragmatic action on the part of managers, as well as good teamwork, proved to be essential factors for efficiency and resilience. Digital tools, often even applications developed in-house, also contributed significantly to contact tracing and more efficient reporting. For future crises, respondents called for a legal framework that would enable health authorities to be more agile in their work, as well as faster digitalisation with interoperable interfaces and uniform standards. In addition, they recommended structured knowledge management, a modular toolbox for crisis plans and the expansion of intersectoral and supraregional networking structures.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785824","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":"Healthcare situation before long-term care - A cohort study of AOK-insured individuals aged 60 years and older in Germany.","authors":"Susanne Schnitzer, Christine Haeger, Till Baldenius, Kathrin Jürchott, Susann Behrendt, Stefan Blüher","doi":"10.1055/a-2776-2382","DOIUrl":"https://doi.org/10.1055/a-2776-2382","url":null,"abstract":"<p><strong>Background: </strong>The number of people in Germany in need of long-term care has increased more sharply in recent years than previously projected. The question of what role healthcare utilization plays in the lead-up to potential long-term care dependency has rarely been addressed to date. The aim of the present study was to describe healthcare utilization over a five-year period preceding the onset of care dependency.</p><p><strong>Method: </strong>This cohort study analyzed routine data from AOK-insured individuals for the period 2016-2021. The data basis consisted of linked routine data from all AOK health and long-term care insurance funds. The sample included AOK insured persons aged 60 and over who received a care degree classification for the first time in 2021. Inpatient hospital stays, general practitioner services, and prescriptions for therapeutic appliances and assistive aids were analyzed for the 20 quarters prior to the onset of care dependency and stratified by age (<80 /≥80 years) and gender.</p><p><strong>Results: </strong>In 2021, 345,945 AOK-insured individuals (58.9% women, mean age 79.7 years) were newly classified with a care degree. In the last quarter before the onset of care dependency, the proportion of people with hospital stays increased significantly, especially for men aged 60-79. The use of general practitioner services remained consistently high - over 90% per quarter - for the cohort aged 80+, while a continuous but lower-level increase was observed among the younger male cohort. The utilization of assistive aids increased over the observation period (14-33%).</p><p><strong>Conclusions: </strong>The results suggest that there is prevention potential particularly among the cohort aged 60-79, which should be more intensively utilized. To this end, more detailed insights into diseases and events that lead to a spike in hospitalizations shortly before the onset of care dependency are needed. Furthermore, research is required into the protective effects of specific therapeutic and assistive aids, and whether they are currently being used appropriately. Finally, the findings point to possible access barriers in health care, which should ideally be explored through a linkage of routine and survey data.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785838","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":"[Challenges, expectations and wishes in the use of colorectal cancer screening: a qualitative study of people with a Turkish and Afghan migration history].","authors":"Alena Allak, Diana Wahidie, Yüce Yilmaz-Aslan, Patrick Brzoska","doi":"10.1055/a-2801-3544","DOIUrl":"10.1055/a-2801-3544","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to examine the challenges and needs of people with a Turkish and Afghan migration history when using colorectal cancer screening.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 18 people with a Turkish and Afghan migration history aged between 42 and 75 years. The participants were selected based on various socio-demographic characteristics to ensure a heterogeneous sample. The interviews were conducted in German and, if necessary, in Turkish or Dari, transcribed and analyzed using qualitative content analysis according to Kuckartz and structured according to Bronfenbrenner's socio-ecological model.</p><p><strong>Results: </strong>Lack of knowledge, inadequate medical education, cultural and religious beliefs, language barriers and low risk perception were the main barriers to participation in colorectal cancer screening. Women and people with a low educational status were less informed about screening options and were less likely to utilize them. The respondents reported mostly positive experiences with previous screenings but would like to see more comprehensive and culturally sensitive information.</p><p><strong>Conclusions: </strong>Diversity-sensitive educational measures, nationwide dissemination of information, multilingual information and targeted information events are necessary to promote informed decision-making about participation in colorectal cancer screening among people with Turkish and Afghan migration history. General practitioners, as key information providers and confidants, play a crucial role in this context. Further research is needed to develop specific strategies to improve colorectal cancer screening.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133393","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":"[Secondary Data Analysis with Patient Receipts: Experiences with Two Innovation Fund Projects].","authors":"Helene Könnecke, Isabel Jalaß, Philipp Bläser","doi":"10.1055/a-2715-0986","DOIUrl":"https://doi.org/10.1055/a-2715-0986","url":null,"abstract":"<p><strong>Abstract: </strong>Secondary data analyses with health insurance data are a central component of health services research, especially with regard to studies of the G-BA's Innovation Fund. It is, however, not always possible to systematically access the health insurance data required for the evaluation. As a result, intervention participants insured by health insurers not involved in the project cannot be included in the evaluation. The collection and analysis of individual patient receipts represents an alternative to the systematic use of routine data by participating health insurances. The heterogeneity of individual patient receipts, the predominantly paper-based transmission and individual digitization pose challenges in dealing with individual patient receipts.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785786","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":"[Outpatient cancer counseling centers in Germany: A comparative analysis of the range of services, quality standards and structural features in 2015 and 2023].","authors":"Jochen Ernst, Anne-Kathrin Köditz, Hannah Kleinhaus, Svenja Heyne, Anja Mehnert-Theuerkauf, Joachim Weis, Susanne Kuhnt","doi":"10.1055/a-2826-9286","DOIUrl":"https://doi.org/10.1055/a-2826-9286","url":null,"abstract":"<p><strong>Background: </strong>Outpatient psychosocial cancer counseling centers (KBS) are a central pillar of psycho-oncological care, offering a comprehensive range of services. Standards for quality assurance at KBS have been in place since 2016. Since 2020, health insurance companies have been able to cover part of the costs of KBS.</p><p><strong>Objective: </strong>This article provides an overview of the services offered by KBS and compares the quality characteristics of KBS for adult cancer patients in 2015 and 2023.</p><p><strong>Materials and methods: </strong>The quantitative analysis is based on two nationwide KBS surveys. A questionnaire was sent to all KBS registered with the Heidelberg Cancer Information Service after contact was established. The survey covered the general conditions of the KBS and quality characteristics (e. g., staff, quality assurance, services). The data were evaluated univariately (absolute and relative frequencies, mean comparisons). Significance was tested using the Chi2 or ANOVA test. The effect size was indicated using Cramer's V or Eta², depending on the data level.</p><p><strong>Results: </strong>In 2023, 117 (of 191) KBS participated in the study, compared to 106 (of 151) KBS in 2015. There were no differences between the survey dates in terms of the general conditions of the KBS (e. g., length of existence). Positive changes can be seen in the personnel structure in 2023, particularly with regard to multi-professional teams (64% vs. 46% of KBS; p<0.01) and the number of permanently employed counselors (4.1 vs. 2.6; p<0.001). A significant increase in the degree of fulfillment can also be observed for other quality characteristics in 2023. The range of services has hardly changed, but was significantly expanded in 2023 with regard to psychoeducation (89.7% vs. 64.2% of KBS, p<0.001). The 2023 data show a need for optimization, including with regard to psychological counseling services. At both points in time, the KBS were mixed-financed, but in 2023, health insurance funding predominated.</p><p><strong>Conclusion: </strong>Our 2023/2015 analysis shows significant improvements in many areas with regard to the quality characteristics of the KBS. This should also be seen in the context of health insurance funding for KBS (§65e SGB V). Analyses are still pending on the extent to which this changes the existing care situation (e. g., comprehensive outpatient services) and how the quality improvements at KBS are reflected in patient benefits and satisfaction.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785755","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":"[Discussion paper: Digital falls prevention services for older adults].","authors":"Michaela Groß, Daniel Schoene, Patrick Roigk, Michael Schwenk, Uwe Dresel, Katharina Gordt-Oesterwind, Bettina Wollesen","doi":"10.1055/a-2825-1609","DOIUrl":"https://doi.org/10.1055/a-2825-1609","url":null,"abstract":"<p><strong>Abstract: </strong>Falls and their consequences have significant health-economic implications in Germany. Tailored exercise training is among the most effective interventions for fall prevention in older adults. However, conventional in-person training programs alone are insufficient to provide nationwide fall prevention and effectively reduce fall-related injuries. Digital interventions have the potential to complement and enhance traditional fall prevention programs, improving accessibility and reaching a broader population. Despite this potential, no evidence-based digital fall prevention programs are currently available in Germany. Moving forward, it is essential to develop, evaluate, and implement digital, evidence-based solutions to strengthen fall prevention efforts. Achieving this goal requires regulatory frameworks that support innovation rather than impede it with excessive bureaucratic hurdles. Additionally, digital applications should be designed to be intuitive and accessible for users while ensuring compliance with current data protection standards.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785850","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":"[Survey of Nursing Staff in a Long-Term Care Facility: Results of a Repeated Cross-Sectional Study and Demonstration of a FHIR-Based Data Analysis Approach].","authors":"Jeton Iseni, Erlis Haxholli, Steffen Netzband, Amela Brechlin, Walter Swoboda","doi":"10.1055/a-2857-8310","DOIUrl":"https://doi.org/10.1055/a-2857-8310","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844501","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":"Health research requires the linking of healthcare-related data.","authors":"Wolfgang Hoffmann, Neeltje van den Berg, Jochen Schmitt, Peter Ihle, Gabriele Anton, Thomas Datzmann, Bianca Franke, Max Geraedts, Simone Gloystein, Sabine Hanß, Philipp Heinrich, Elisa Henke, Anne Hennings, Peter Heuschmann, Thomas Illig, Monika Kraus, Caroline Lang, Gabriele Müller, Anne Neumann, Steffen Ortmann, Vishnu Priya, Jens-Peter Reese, Ulrich Sax, Simone Scheithauer, Olaf Schoffer, Martin Sedlmayr, Sebastian Claudius Semler, Enno Swart, Frank Wissing, Sylke Ruth Zeißig, Ralf Heyder","doi":"10.1055/a-2780-8325","DOIUrl":"https://doi.org/10.1055/a-2780-8325","url":null,"abstract":"<p><p>Linking project data and data from routine clinical practice with healthcare-related data is essential for German healthcare research in order to answer complex questions validly and efficiently. Currently, fragmented data sources, heterogeneous legal requirements, and a lack of infrastructure prevent the optimal use and linking of these data. The Network University Medicine (NUM) is therefore developing a dedicated data infrastructure to link primary study data and routine clinical data with external healthcare-related data (e. g., data from statutory and private health insurance companies, data from cancer registries of the federal states, and data from registration offices). The position paper describes the various data worlds, including examples from epidemiological and clinical research that illustrate the added value and challenges of data linkage. In particular, it presents the new structures of the data acceptance and processing center (DAAeD) in the NUM, which is intended to enable quality-assured, data protection-compliant receipt and linkage of data. Standardized application and approval procedures as well as innovative privacy-preserving record linkage procedures are central to this. International experience, including from Scandinavia and the UK, demonstrates the benefits of such infrastructures for research and healthcare. In conclusion, we advocate rapid political and institutional implementation of the recommendations described in order to make health research in Germany competitive in international comparison and to ensure sustainable, patient-centered health care.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718412","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":"[Teaching in the Interdisciplinary Area of Health Economics, Health Systems, and Health Care: Status and Developments at Medical Faculties in Germany].","authors":"Annina Althaus, Christine Holmberg","doi":"10.1055/a-2855-0783","DOIUrl":"10.1055/a-2855-0783","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692862","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":"[Gender differences in the willingness to transition to interprofessional general practice teams].","authors":"Michaela Trompke, Katharina Zeiser, Lisa Schumacher, Dominik Weissenburger, Marco Roos","doi":"10.1055/a-2854-0128","DOIUrl":"10.1055/a-2854-0128","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692861","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}