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Ziel ist der Vergleich der Versorgungseffizienz verschiedener Steuerungs- und Versorgungsmodelle am Notaufnahmestandort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Die prospektive, multizentrische Kohortenstudie vergleicht in einer Prim\u00e4rdatenkohorte wenig akuter Patient:innen und einer Routinedatenkohorte unselektierter Patient:innen 3\u00a0Studienarme: 1)\u00a0klinikeigene Ambulanz, 2)\u00a0Notdienstpraxis der Kassen\u00e4rztlichen Vereinigung (KV-Praxis), 3)\u00a0Standardversorgung mit \u00e4rztlich bewertetem Steuerungspotenzial. Prim\u00e4rer Endpunkt: Versorgungseffizienz als Anteil der in die Alternativstruktur gesteuerten Patient:innen bzw. als Steuerungspotenzial. Sekund\u00e4rer Endpunkt: Patient:innensicherheit (Notaufnahmewiedervorstellung, station\u00e4re Aufnahme).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Die Versorgungseffizienz f\u00fcr wenig akute Patient:innen (Prim\u00e4rdatenkohorte:\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20091096) lag f\u00fcr die klinikeigene Ambulanz bei 49,5\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009145) und f\u00fcr die KV-Praxis bei 77,2\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009322). Das Steuerungspotenzial lag bei 73,4\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009240). F\u00fcr unselektierte Notaufnahmepatient:innen (Routinedatenkohorte:\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200968.010) lag die Versorgungseffizienz der klinikeigenen Ambulanz bei 11,4\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20092558) und f\u00fcr die KV-Praxis bei 29,9\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200913.668). Eine Notaufnahmewiedervorstellung binnen 30\u00a0Tagen erfolgte nach Versorgung in der klinikeigenen Ambulanz bei 2,1\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20091; keine station\u00e4re Aufnahme) und in der KV-Praxis bei 10,4\u202f% (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200914; station\u00e4re Aufnahmen: 7,5\u202f%,\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200910).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die Steuerung und Versorgung wenig akuter F\u00e4lle am Notaufnahmestandort ist in der KV-Praxis effizienter, zeigt jedoch potenziell h\u00f6here Sicherheitsrisiken. Die Versorgungseffizienz in der Prim\u00e4rdatenkohorte ist rekrutierungsbedingt \u00fcbersch\u00e4tzt, die Routinedatenkohorte bietet realistischere Werte.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00103-026-04298-4","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:20:02Z","timestamp":1789730402000},"page":"1183-1193","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effizienz von Steuerungs- und integrierten\u00a0Versorgungsmodellen f\u00fcr wenig akute Patient:innen in der Akut-\u00a0und Notfallversorgung\u00a0\u2013 Ergebnisse einer prospektiven Kohortenstudie","Efficiency of streaming and integrated care models for low acuity patients in acute and emergency care\u2014results from a\u00a0prospective cohort study"],"prefix":"10.1007","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0378-335X","authenticated-orcid":false,"given":"Daniela","family":"Kr\u00fcger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7139-6818","authenticated-orcid":false,"given":"Cornelia","family":"W\u00e4scher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylwia","family":"Steinke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8400-7757","authenticated-orcid":false,"given":"Felix","family":"Holzinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9116-9204","authenticated-orcid":false,"given":"Hanna","family":"Winkler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7691-3709","authenticated-orcid":false,"given":"Martin","family":"M\u00f6ckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2608-0347","authenticated-orcid":false,"given":"Anna","family":"Slagman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"4298_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00063-025-01341-110.1007\/s00063-025-01341-1","author":"D Kr\u00fcger","year":"2025","unstructured":"Kr\u00fcger\u00a0D, M\u00f6hring\u00a0F, Steppeler\u00a0EM et\u00a0al (2025) Quo vadis: Streaming in emergency and acute care? 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D. Kr\u00fcger berichtet dar\u00fcber hinaus \u00fcber F\u00f6rdermittel au\u00dferhalb der eingereichten Arbeit durch das Zentralinstitut f\u00fcr die kassen\u00e4rztliche Versorgung (Zi), den Innovationsfonds und die Berlin University Alliance (BUA). A. Slagman berichtet zus\u00e4tzlich \u00fcber F\u00f6rderungen au\u00dferhalb der eingereichten Arbeit durch das Bundesministerium f\u00fcr Bildung und Forschung (BMBF), das Bundesministerium f\u00fcr Gesundheit (BMG), den Innovationsfonds, das Netzwerk Universit\u00e4tsmedizin, Roche Diagnostics, das Zentralinstitut f\u00fcr die kassen\u00e4rztliche Versorgung (Zi) sowie die Deutsche Forschungsgemeinschaft (DFG). Zudem bestehen Beratungst\u00e4tigkeiten f\u00fcr das Zentralinstitut f\u00fcr die kassen\u00e4rztliche Versorgung und den Deutschen Bundestag. M. M\u00f6ckel berichtet \u00fcber F\u00f6rdermittel au\u00dferhalb der eingereichten Arbeit durch das Zentralinstitut f\u00fcr die kassen\u00e4rztliche Versorgung (Zi). Er erhielt dar\u00fcber hinaus Beratungshonorare von Thermo Fisher Scientific, Roche Diagnostics, Sanofi und EMCREG sowie F\u00f6rdermittel der Deutschen Forschungsgemeinschaft, des Bundesministeriums f\u00fcr Bildung und Forschung, des Bundesministeriums f\u00fcr Gesundheit, des Innovationsfonds des Gemeinsamen Bundesausschusses, der Berlin University Alliance sowie von Roche Diagnostics. F.\u00a0Holzinger, H.\u00a0Winkler und K.\u00a0Schmidt geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor:innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}