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Verf\u00fcgbarkeit und Erreichbarkeit als Dimensionen des r\u00e4umlichen Zugangs, in bisherigen Studien meist isoliert voneinander betrachtet, werden mittels der Methode \u201eEnhanced Two-Step Floating Catchment Area\u201c (E2SFCA) integriert, um durch ein realistischeres Bild der Versorgungssituation regionale Unterschiede zu identifizieren.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methoden<\/jats:title>\n            <jats:p>Auf Gemeindeebene wurde mithilfe der E2SFCA-Methode ein Zugangsindex (<jats:italic>Z<\/jats:italic>\n              <jats:sub>\n                <jats:italic>i<\/jats:italic>\n              <\/jats:sub>) berechnet. Grundlage bildeten Daten zur Bev\u00f6lkerung, zu Bettenkapazit\u00e4ten und zur Erreichbarkeit innerhalb von 30\u202fmin Fahrzeit. Der Index wurde in Quintile unterteilt und den Kategorien niedriger (Q1, Q2), mittlerer (Q3) und hoher Zugang (Q4, Q5) zugeordnet.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Der Zugang zu den 372 in Deutschland identifizierten Palliativstationen variiert stark zwischen und innerhalb von st\u00e4dtischen und l\u00e4ndlichen Gebieten. In d\u00fcnn besiedelten Gebieten f\u00fchren Versorgungsangebote zu einem \u00fcberdurchschnittlichen Zugang. Zugleich entstehen in weiter entfernten Gemeinden lange Fahrzeiten (Beispiel Mecklenburg-Vorpommern). St\u00e4dtische Regionen erreichen durch eine hohe Angebotsdichte h\u00e4ufig hohe Zugangsindices. Eine hohe Bev\u00f6lkerungsdichte f\u00fchrt bei bestehendem Angebot zu einem durchschnittlichen Zugang (Beispiel Nordrhein-Westfalen).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion und Fazit<\/jats:title>\n            <jats:p>Die meisten Menschen in Deutschland k\u00f6nnten Palliativstationen in 30\u202fmin erreichen, mit regional gro\u00dfen Unterschieden. Die erstmals f\u00fcr Palliativstationen angewandte E2SFCA-Methode bietet eine pr\u00e4zisere Analyse als Studien, die sich an landkreisbezogenen Bettenkapazit\u00e4ten und Einwohnerzahlen orientieren. Um die tats\u00e4chliche Versorgung abzubilden, muss die Versorgungssituation in Gebieten mit schlechtem Zugang detailliert untersucht werden.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00103-025-04124-3","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T15:55:11Z","timestamp":1756914911000},"page":"1128-1137","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["R\u00e4umlicher Zugang zu Palliativstationen in Deutschland: Integrierte Analyse von Verf\u00fcgbarkeit und Erreichbarkeit mittels E2SFCA-Methode","Spatial access to palliative care units in Germany: integrated analysis of availability and accessibility using the E2SFCA method"],"prefix":"10.1007","volume":"68","author":[{"given":"Theresa","family":"Petzold","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedemann","family":"Nauck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Banse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jobst","family":"Augustin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximiliane","family":"Jansky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"4124_CR1","unstructured":"Ihme D, Kopitzsch F, Kr\u00e4nzle S, M\u00fcller-Busch HC, Voltz R, Weihrauch B (2016) Charta zur Betreuung schwerstkranker und sterbender Menschen in Deutschland. https:\/\/www.charta-zur-betreuungsterbender.de\/files\/dokumente\/220207_Handlungsempfehlung_online.pdf. 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