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Vor diesem Hintergrund gibt dieser narrative Review auf Grundlage der verf\u00fcgbaren Literatur sowie von Daten der Organisation f\u00fcr wirtschaftliche Zusammenarbeit und Entwicklung (OECD) einen \u00dcberblick \u00fcber Strukturen, Inanspruchnahme und Outcomes der Gesundheitsversorgung in Deutschland im Vergleich zu 11 weiteren europ\u00e4ischen L\u00e4ndern und ordnet die Befunde im Kontext haus\u00e4rztlich koordinierter Versorgungssysteme ein.<\/jats:p>\n                  <jats:p>Die Ergebnisse zeigen, dass Deutschland durch eine hohe Inanspruchnahme medizinischer Leistungen und hohe Gesundheitsausgaben gekennzeichnet ist, gleichzeitig jedoch bei zentralen Gesundheitsindikatoren, insbesondere der vermeidbaren Sterblichkeit, vergleichsweise ung\u00fcnstig abschneidet. Eine st\u00e4rkere Koordination durch die Prim\u00e4rversorgung k\u00f6nnte hier Verbesserungen erm\u00f6glichen.<\/jats:p>\n                  <jats:p>Gleichzeitig verdeutlichen die Befunde, dass der Erfolg prim\u00e4r\u00e4rztlich koordinierter Versorgungssysteme entscheidend von ihren strukturellen Rahmenbedingungen abh\u00e4ngt. Neben ausreichenden haus\u00e4rztlichen Kapazit\u00e4ten sind interprofessionelle Teams, leistungsf\u00e4hige digitale Infrastrukturen sowie verbindliche Koordinations- und R\u00fcckkopplungsmechanismen zentrale Voraussetzungen. Eine st\u00e4rkere Prim\u00e4rversorgung allein reicht jedoch nicht aus: Ihre Wirksamkeit setzt tiefgreifende Strukturreformen und eine st\u00e4rkere Ausrichtung des Gesundheitssystems auf pr\u00e4ventive Ma\u00dfnahmen voraus.<\/jats:p>","DOI":"10.1007\/s00103-026-04296-6","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:21:30Z","timestamp":1789654890000},"page":"1146-1154","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prim\u00e4rversorgungssystem in Deutschland: Evidenz, Chancen und Implementierung","A\u00a0primary care system in Germany: evidence, opportunities, and implementation"],"prefix":"10.1007","volume":"69","author":[{"given":"Martin","family":"Scherer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Hummers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"4296_CR1","unstructured":"CDU, CSU, SPD (2025) Verantwortung f\u00fcr Deutschland. 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