Gesundheitswesen最新文献

{"title":"Kurs aufs Riff.","authors":"Manfred Wildner","doi":"10.1055/a-2528-0506","DOIUrl":"https://doi.org/10.1055/a-2528-0506","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"87 4","pages":"243-245"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053007","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: Risk factors for a severe course of COVID-19 in a hotspot clinic during the first and second wave of the SARS-CoV-2 pandemic in Germany].","authors":"Steffi Richter, Thomas Finkenzeller, Wolfgang Uter, Hans Drexler, Anna Wolfschmidt","doi":"10.1055/a-2591-2922","DOIUrl":"https://doi.org/10.1055/a-2591-2922","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"87 4","pages":"e1"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989708","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":"[Definition of consolidated disease groups for a population-based system to classify morbidity-related healthcare needs: PopGroup].","authors":"Chrissa Tsatsaronis, Maria Klemt, Karen Kinder, Benedikt Langenberger, Anna Braun, Thomas G Grobe, Reinhard Busse, Wilm Quentin","doi":"10.1055/a-2541-9695","DOIUrl":"https://doi.org/10.1055/a-2541-9695","url":null,"abstract":"<p><strong>Objective: </strong>In recent years there has been an increased demand for a morbidity-oriented approach in the planning of healthcare facilities in Germany. Population-based classification systems, which already exist in various countries, are crucial for assessing regional healthcare needs. The PopGroup project aims to develop such a classification system (PopGrouper) for the German healthcare system and to test various applications. The PopGrouper assigns each individual to exactly one PopGroup based on clinical characteristics and healthcare needs. The initial phase of the PopGrouper development focused on grouping diagnoses into medically meaningful Consolidated Disease Groups (CDGs) to serve as the foundation for forming PopGroups. This article describes the formation and validation of CDGs, as well as the definition of a disease severity level to hierarchically rank the CDGs.</p><p><strong>Methods: </strong>CDGs were formed using both medical expertise and analyses of claims data from the BARMER sickness fund. Pre-existing diagnosis groups (DxGs) defined for the German morbidity-based risk structure compensation scheme were used as the starting point. Initially, overarching Major Disease Categories (MDCs) were formed. Within MDCs, DxGs were grouped into CDGs based on predefined criteria. CDGs were validated by experts from scientific medical societies. Finally, a composite disease severity score was calculated based on three dimensions (mortality, costs, utilization) and severity levels from \"very severe\" to \"very minor\" were defined to classify CDGs.</p><p><strong>Results: </strong>A total of 32 MDCs and 433 CDGs were defined and validated. Each CDG received a severity score. Based on this foundation, in the subsequent project phase, PopGroups were formed that took into consideration various diseases and combinations of diseases.</p><p><strong>Conclusion: </strong>CDGs and MDCs represent important initial steps in the PopGrouper development. The aggregation of diagnoses into a smaller number of medically meaningful groups also offers opportunities beyond the project, for instance for healthcare research, for the analysis of diseases, and for the identification of patient groups with similar characteristics.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":"87 4","pages":"282-290"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041449","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":"[Update of the WHO Clinical practice guidelines for influenza].","authors":"Jana Meixner, Barbara Nußbaumer-Streit, Isolde Sommer","doi":"10.1055/a-2571-3357","DOIUrl":"10.1055/a-2571-3357","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","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":"[Measures to increase the retention of migrant healthcare professionals in Germany: results from 14 years of research].","authors":"Eva Maria Jansen, Lisa Peppler","doi":"10.1055/a-2527-5288","DOIUrl":"10.1055/a-2527-5288","url":null,"abstract":"<p><p>The shortage of physicians and nurses in the healthcare sector in Germany is often compensated by deployment of health professionals from abroad. However, this is accompanied by various challenges. These include, for example, communication and language difficulties and a lack of understanding of administrative and bureaucratic processes. Using a narrative literature analysis combined with the presentation of our own research results, this article summarizes challenges in this area, based on results from nine years of research and a total of six research projects in this field. Furthermore, it proposes approaches to solutions that have proved to be successful in practice in Germany as well as in international settings.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"266-272"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524993","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":"[End of the Pandemic - Beginning of Digitalization in the Public Health Service? The German National Funding Program].","authors":"Mesut Yavuz, Nicolai Savaskan","doi":"10.1055/a-2373-6817","DOIUrl":"10.1055/a-2373-6817","url":null,"abstract":"<p><strong>Background: </strong>The data-related desolate state of the health authorities became evident at the latest with the onset of the Covid-19 pandemic. The lack of interoperability and networking among health authorities quickly developed into blockages in contact tracing and pandemic control.</p><p><strong>Methodology: </strong>As a basis for the study, key figures and funding volumes from the Pact-Public Health Service (Pakt-ÖGD) were evaluated and analyzed using descriptive parameters. In addition, a literature review on the Pakt-ÖGD and related terms was carried out.</p><p><strong>Results: </strong>The Pakt-ÖGD represents the largest financing offensive for the Public Health Service to date. Despite the digitalization pact and the first distributions of funds, there is no consensus on the goals of digitalization such as the ISCODE, Findability, Accessibility, Interoperability und Reuse (FAIR concept). The RKI is currently presenting a new electronic reporting and information system for health authorities (EMIGA), which is to be introduced parallel to DEMIS as a nationwide core application for infection protection.</p><p><strong>Conclusion: </strong>In analogy to health literacy, the public health service needs increased digital literacy to strengthen competence in order to agree on common goals of ISCODE and the FAIR concept, i.e. what digitalization should create or not. A sustainable public health service requires an open and connectable network that goes beyond infection protection (pandemic prevention, preparedness and response - PPPR) to a global One-Health platform.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":"253-259"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761682","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":"[Facilitators and Barriers to Implementing University Health Management: A Qualitative Study].","authors":"Lisa Paulsen, Loreen Philipps, Chiara Dold, Jens Bucksch","doi":"10.1055/a-2550-3754","DOIUrl":"https://doi.org/10.1055/a-2550-3754","url":null,"abstract":"<p><p>Changes at German universities, such as an increasing workload and a shift towards competition, require investments in health promotion. University Health Management (UHM) aims to support the development of a health-promoting setting. While conceptual considerations emphasize promising success factors for UHM, empirical studies are lacking. The aim of this qualitative study is therefore to identify facilitators and barriers to the implementation of UHM from the perspective of experts.We interviewed 26 experts in guideline-based interviews regarding facilitators and barriers to implementing UHM. Data were analysed using content-analytical methods following Kuckartz, assisted by MAXQDA 2020 software.We identified eight factors that can be both supportive and inhibiting in the implementation of UHM: university leadership, health as a topic within universities, networks, collaboration and exchange, structural organization, target groups, financial resources, collaboration with health insurance providers, and state university laws. Additionally, individual supporting factors, such as adherence to guidelines for a healthy university, or barriers, such as a heterogeneous understanding of UHM and time constraints, influence the implementation.Various facilitators and barriers can be found when introducing UHM. These factors need to be considered within the diverse structures, historical backgrounds, and sizes of universities. Thus, there is no universal blueprint for the development and implementation of UHM. A uniform understanding of UHM and the integration of health into state-level university seem fundamental for the successful implementation of UHM.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755039","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":"[Methods for health economic evaluation of complex interventions in healthcare: current practice, challenges and guidance for future research].","authors":"Nadja Chernyak, Damon Mohebbi, Adrienne Alayli, Johann Behrens, Helene Eckhardt, Cornelia Henschke, Rolf Holle, Nadja Kairies-Schwarz, Sebastian Liersch, Ralph Möhler, Dirk Müller, Anja Neumann, Markus Vomhof, Ingrid Zechmeister-Koss, Juliane Köberlein-Neu, Andrea Icks","doi":"10.1055/a-2569-9765","DOIUrl":"https://doi.org/10.1055/a-2569-9765","url":null,"abstract":"","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755177","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":"[Recruitment of a cohort to investigate medical follow-up care after childhood cancer: Record-Linkage between the German Childhood Cancer Registry and statutory health insurance companies (VersKiKCohort)].","authors":"Hiltrud Merzenich, Peter Ihle, Jutta Küpper-Nybelen, Christian Lüpkes, Claudia Bremensdorfer, Ekaterina Aleshchenko, Christian Apfelbacher, Pietro Trocchi, Dirk Horenkamp-Sonntag, Iris Meier, Patrik Dröge, Thomas Ruhnke, Ursula Marschall, Melanie Klein, Katja Baust, Gabriele Calaminus, Thorsten Langer, Enno Swart, Cecile Ronckers, Claudia Spix","doi":"10.1055/a-2536-2966","DOIUrl":"https://doi.org/10.1055/a-2536-2966","url":null,"abstract":"<p><p>The VersKiK-study is based on a record-linkage between the German Childhood Cancer Registry (GCCR) and claims data from statutory health insurances (SHI) in order to investigate the frequency of late effects and long-term medical care among pediatric cancer survivors.GCCR defined a basic population of approximately 50,000 former patients with cancer in childhood or adolescence (years of diagnosis 1991-2021) who survived until 1.1.2017. Encrypted GCCR identity data were stochastically linked with encrypted identity data from 13 SHI. For those cancer patients who could be identified in SHI records (study population), claims data covering 2017-2021 were added and combined with basic GCCR information on cancer diagnosis. A comparison between identified cancer patients and those who were not identified in SHI records was made to evaluate the representativeness of the study population for quantitative analyses.A total of 26,127 former childhood cancer patients were identified in SHI data. Since the participating SHI represent approximately two-thirds of the German population, the record linkage could be judged as satisfactory (84% matching rate). We found no significant differences between the study population and the non-matched group regarding age, sex, primary cancer diagnosis, and year of diagnosis.The identified study population is considered representative for survivors of childhood cancer in Germany.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711521","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":"[Waiting times for a second opinion appointment for tonsillectomy/tonsillotomy - a study of simulated patients].","authors":"Barbara Prediger, Louis Traxel, Nadja Könsgen, Niklas Schäfer, Dawid Pieper","doi":"10.1055/a-2495-8494","DOIUrl":"10.1055/a-2495-8494","url":null,"abstract":"<p><p>  Since December 2018, statutory health insured people with indication for tonsillectomy/tonsillotomy have the right to obtain a second opinion (SO) according to the SO directive. It is a legal requirement that the physician providing the indication has to inform the patient about his/her right to obtain an SO. This has to be done usually at least 10 days before the procedure, but in any case in time for the patient to make a well-considered decision about seeking an SO. The aim was to assess waiting times for appointments with physicians to obtain an SO.  In our study of simulated patients, all practices with physicians of the Associations of Statutory Health Insurance Physicians of North Rhine and Westphalia-Lippe providing SO (n=53 medical practices) were contacted via phone up to three times between January and February 2022. Using a standardized and piloted protocol, it was stated that there was an indication for a tonsillectomy/tonsillotomy and that the patient wanted to make an appointment for an SO. It was assessed how long the waiting time for an appointment would be, as well as whether it would be possible to obtain the appointment via video consultation and whether any further questions or details were provided during this telephone call (e. g. reference to documents to be brought along).  Overall, 94.4% (50/53) of the medical practices could be reached. A great majority of them (92% (46/50)) offered an appointment in contrast to three medical practices that offered open consultation hours. The remaining practice offered both ways to obtain an SO. On average, a waiting time of 8.1 (Standard deviation 5.4) working days was needed for an appointment in the morning and 10.1 (standard deviation 5.9) for an appointment in the afternoon. The availability of the medical practices was high. In 31% of cases, it took longer than 10 days to obtain the SO. Nevertheless, the overall waiting times were short.  In principle, patients should be provided with a timely appointment for an SO, which is possible within the Associations of Statutory Health Insurance Physicians of North Rhine and Westphalia-Lippe. The SO is very rarely offered via video consultation. However, this could possibly increase rural care.</p>","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671429","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}