{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T04:12:10Z","timestamp":1745986330694,"version":"3.40.4"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/100008967","name":"Philipps-Universit\u00e4t Marburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008967","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Urologie"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Mit der Einf\u00fchrung der Hybrid-DRG (\u201ediagnosis related groups\u201c) zum 01.01.2024 sollen Anreize geschaffen werden, bisher station\u00e4r erbrachte Leistungen in der Urologie, beispielsweise die Ureterorenoskopie (URS), ambulant durchzuf\u00fchren und sektorengleich zu verg\u00fcten. Die Auswirkungen auf die Versorgungsrealit\u00e4t sind derzeit unklar.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Fragestellung<\/jats:title>\n            <jats:p>Ziel der Umfrage war es, ein Stimmungsbild zur Einf\u00fchrung der Hybrid-DRG in der Urologie zu erfassen und erste praktische Erfahrungen sowie zuk\u00fcnftige Perspektiven zu beleuchten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>In einer deutschlandweiten Online-Umfrage im Zeitraum Mai bis Juli 2024 wurden 32\u00a0Fragen u.\u202fa. zur Patientenversorgung, Weiterbildung und weiteren Indikationen gestellt. Zudem wurde eine Einsch\u00e4tzung des ambulanten Potenzials f\u00fcr URS bei Harnleiter- und Nierensteinen sowie Hydrozelenresektionen erfragt.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Insgesamt beantworteten 364\u00a0Urologinnen und Urologen die Umfrage. 54,5\u202f% waren niedergelassen, 45,5\u202f% in Kliniken t\u00e4tig. 91,1\u202f% waren operativ aktiv. Das Konzept der Hybrid-DRG wurde von 34\u202f% der operativ T\u00e4tigen positiv bewertet, jedoch sahen 68\u202f% keine Erleichterung f\u00fcr den Alltag. 51\u202f% \u00e4u\u00dferten Bedenken hinsichtlich der negativen Auswirkungen auf die Weiterbildung. Der Anteil der 2023 ambulant erbrachten URS lag bei 21\u202f% (Harnleitersteine) und 11\u202f% (Nierensteine) mit langfristigem Steigerungspotenzial von bis zu 33\u202f%. Hydrozelenresektionen wurden bereits zu zwei Dritteln ambulant durchgef\u00fchrt, und 74\u202f% der Befragten hielten diesen Eingriff f\u00fcr in einer Hybrid-DRG abrechenbar.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerung<\/jats:title>\n            <jats:p>Die Umfrage zeigt ein differenziertes Meinungsbild zu den Hybrid-DRG in der Urologie, jedoch umfasst die Stichprobe nur etwa 6\u202f% der Urologen in Deutschland und Chef\u00e4rztinnen und Chef\u00e4rzte sind \u00fcberrepr\u00e4sentiert. Eine Wiederholung der Umfrage zu einem sp\u00e4teren Zeitpunkt w\u00e4re sinnvoll, um die Entwicklungen im praktischen Einsatz zu evaluieren.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphic abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s00120-024-02515-z","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T18:38:55Z","timestamp":1737398335000},"page":"453-461","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wie ver\u00e4ndern Hybrid-DRGs (\u201ediagnosis related groups\u201c) die deutsche Urologie?","How will hybrid-DRGs (diagnosis related groups) change German urology?"],"prefix":"10.1007","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-5762","authenticated-orcid":false,"given":"Philipp","family":"Reimold","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christer","family":"Groeben","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Borkowetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Eisenmenger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"K\u00f6nig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Leitsmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Witzsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Sch\u00f6ne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Schultz-Lampel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margit","family":"Fisch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Kollenbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Westphal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Borchers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Belusa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurice Stephan","family":"Michel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rn","family":"Volkmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"unstructured":"Referentenentwurf des Bundesministeriums f\u00fcr Gesundheit \u201eVerordnung zu einer speziellen sektorengleichen Verg\u00fctung (Hybrid-DRG-V)\u201c [press release]. 2023.","key":"2515_CR1"},{"issue":"5","key":"2515_CR2","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1007\/s00120-023-02048-x","volume":"62","author":"H Haas","year":"2023","unstructured":"Haas\u00a0H, M\u00fcller\u00a0L, Speck\u00a0T, Michel\u00a0MS, Huber\u00a0J (2023) Versorgungsstruktur der ambulanten Urologie in Deutschland. Die Urol 62(5):503\u2013509","journal-title":"Die Urol"},{"unstructured":"BDA, BdAuAeV (2024) Massive Unzufriedenheit mit Hybrid-DRGs: Ambulant t\u00e4tige An\u00e4sthesisten sehen ihre Zukunft bedroht","key":"2515_CR3"},{"key":"2515_CR4","volume-title":"Stellungnahme des Berufsverbandes der deutschen Chirurgie e.\u202fV. zum Refentenentwurf des Bundesministeriums f\u00fcr Gesundheit einer Rechtsverordnung zur Umsetzung des \u00a7\u00a0115f\u00a0SGB\u00a0V","author":"BDC","year":"2024","unstructured":"BDC, BddCeV (2024) Stellungnahme des Berufsverbandes der deutschen Chirurgie e.\u202fV. zum Refentenentwurf des Bundesministeriums f\u00fcr Gesundheit einer Rechtsverordnung zur Umsetzung des \u00a7\u00a0115f\u00a0SGB\u00a0V"},{"unstructured":"KBV-Chef Gassen: \u201eWir brauchen mehr Hybrid-\u00c4rzte!\u201c. In: Hommel\u00a0TJF (Hrsg) \u00c4rzteZeitung. Springer, 2022","key":"2515_CR5"},{"unstructured":"Unfallchirurgie BfOu (2024) Hybrid-DRG: Ambulantisierung auch ambulant denken! https:\/\/www.bvou.net\/hybrid-drg-ambulantisierung-auch-ambulant-denken\/. Zugegriffen: 2. Nov. 2024","key":"2515_CR6"},{"unstructured":"Stellungnahme des GKV-Spitzenverbandes vom 27. Okt. 2023 zum Refentenentwurf zur Verordnung zu einer speziellen sektorengleichen Verg\u00fctung (Hybrid-DRG-V) [press release]. 27. Okt. 2023.","key":"2515_CR7"}],"container-title":["Die Urologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00120-024-02515-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00120-024-02515-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00120-024-02515-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T09:00:13Z","timestamp":1745917213000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00120-024-02515-z"}},"subtitle":["Eine Umfrage und Potentialanalyse","A survey and potential analysis"],"short-title":[],"issued":{"date-parts":[[2025,1,20]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["2515"],"URL":"https:\/\/doi.org\/10.1007\/s00120-024-02515-z","relation":{},"ISSN":["2731-7064","2731-7072"],"issn-type":[{"type":"print","value":"2731-7064"},{"type":"electronic","value":"2731-7072"}],"subject":[],"published":{"date-parts":[[2025,1,20]]},"assertion":[{"value":"16 December 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"P.\u00a0Reimold, C.\u00a0Groeben, A.\u00a0Borkowetz, N.\u00a0Eisenmenger, F.\u00a0K\u00f6nig, M.\u00a0Leitsmann, U.\u00a0Witzsch, M.\u00a0M\u00fcller, M.\u00a0Sch\u00f6ne, D.\u00a0Schultz-Lampel, M.\u00a0Fisch, P.\u00a0Kollenbach, A.\u00a0Schneider, J.\u00a0Westphal, H.\u00a0Borchers, A.\u00a0Belusa, M.S.\u00a0Michel, B.\u00a0Volkmer und J.\u00a0Huber geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"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":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}