{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:10:20Z","timestamp":1792782620745,"version":"4.5.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Alice Salomon Hochschule Berlin","id":[{"id":"https:\/\/ror.org\/04b404920","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Gerontol Geriat"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die Versorgung \u00e4lterer Menschen ist oft durch sektoren\u00fcbergreifende Unterst\u00fctzungs- und Versorgungsarrangements gekennzeichnet, in denen Leistungen des Gesundheits- und Sozialwesens ineinandergreifen. Da dies in der Praxis nicht selten misslingt, ist die Analyse komplexer Hilfeverl\u00e4ufe relevant f\u00fcr eine nutzer*innenorientierte Systementwicklung. Bisher stehen nur begrenzt geeignete Forschungsdesigns zur Verf\u00fcgung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Ausgehend von etablierten Ans\u00e4tzen der Fallstudienmethodik und auf Basis eigener empirischer Vorarbeiten wird ein qualitatives Fallstudiendesign vorgestellt, mit dem sich Hilfeverl\u00e4ufe empirisch rekonstruieren lassen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Der Beitrag skizziert die Methodik einer Mehrebenen-Mehrfach-Fallstudie, in der Hilfeverl\u00e4ufe als Fallkonstellationen konzipiert sind. Sie entstehen durch interaktive Praxis zwischen Betroffenen sowie professionell und informell Helfenden (Mikroebene), sind in Organisationen sowie sozialr\u00e4umliche und fachliche Netzwerke (Mesoebene) eingebettet und durch weitere Rahmenbedingungen (Makroebene) beeinflusst. Das Design kombiniert Interviews, Dokumenten\u2011, Sozialraum- und Netzwerkanalysen, ausgewertet mittels reflexiver thematischer Analyse und fallvergleichender Generalisierung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Biografische, professionelle und institutionelle Perspektiven werden systematisch miteinander verkn\u00fcpft. Durch die multiperspektivische Rekonstruktion realer Versorgungspraxis k\u00f6nnen kontextabh\u00e4ngige Bedingungen von Versorgung identifiziert werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Mehrebenen-Mehrfach-Fallstudien er\u00f6ffnen neue M\u00f6glichkeiten, Versorgungsettings zu analysieren. Sie stellen hohe Anforderungen an Feldzugang, Datenintegration und Forschungsethik. Fallstudien erweitern das Instrumentarium f\u00fcr die Versorgungsforschung.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00391-026-02648-0","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:34:50Z","timestamp":1789569290000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sektoren\u00fcbergreifende Versorgung \u00e4lterer Menschen im \u201ereal life context\u201c","Integrated health and social care for older people in \u201creal life contexts\u201d"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5505-4809","authenticated-orcid":false,"given":"Anja","family":"Dieterich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Franz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melina","family":"Maier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"2648_CR1","doi-asserted-by":"publisher","first-page":"e64","DOI":"10.1055\/a-0862-0527","volume":"81","author":"L Ansmann","year":"2019","unstructured":"Ansmann L, Baumann W, Gostomzyk J et al. (2019) DNVF-Memorandum III \u2013 Methoden f\u00fcr die Versorgungsforschung, Teil 4 \u2013 Konzept und Methoden der organisationsbezogenen Versorgungsforschung. Kapitel 1 \u2013 Definition und Konzept der organisationsbezogenen Versorgungsforschung. Gesundheitswesen 81(3): e64-e71","journal-title":"Gesundheitswesen"},{"key":"2648_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-658-46847-7","volume-title":"Interviews mit Experten. Eine praxisorientierte Einf\u00fchrung","author":"A Bogner","year":"2026","unstructured":"Bogner A, Littig B, Menz W (2026) Interviews mit Experten. Eine praxisorientierte Einf\u00fchrung, 2. Aufl. Springer VS, Wiesbaden","edition":"2"},{"key":"2648_CR3","doi-asserted-by":"publisher","DOI":"10.35468\/6156-03","volume-title":"Fallanalysen der Interaktion in People Processing Organizations und die Chancen kasuistischer Bildung","author":"R Bohnsack","year":"2025","unstructured":"Bohnsack\u00a0R (2025) Fallanalysen der Interaktion in People Processing Organizations und die Chancen kasuistischer Bildung. In: Kramer R-T, Rabe T, Wittek D (Hrsg.) Fallverstehen und Reflexivit\u00e4t? Beitr\u00e4ge der QLB zur Professionalisierung im Lehramtsstudium. Verlag Julius Klinkhardt, Bad Heilbrunn, S 76\u2013103"},{"key":"2648_CR4","doi-asserted-by":"publisher","DOI":"10.53841\/bpsqmip.2022.1.33.46","volume-title":"Thematic analysis. A\u00a0practical guide","author":"V Braun","year":"2022","unstructured":"Braun V, Clarke V (2022) Thematic analysis: a practical guide. SAGE, Los Angeles, London, New Delhi, Singapore, Washington DC, Melbourne"},{"key":"2648_CR5","unstructured":"Bundesministerium f\u00fcr Familie, Senioren, Frauen und Jugend (2025) Neunter Altersbericht: Alt werden in Deutschland - Potenziale und Teilhabechancen. Deutscher Bundestag. https:\/\/www.bmfsfj.de\/resource\/blob\/254238\/0d174579dacc7e92f965d1205f56659d\/neunter-altersbericht-bundestagsdrucksache-data.pdf"},{"key":"2648_CR6","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1177\/1049732315602488","volume":"26","author":"CM Carolan","year":"2016","unstructured":"Carolan\u00a0CM, Forbat\u00a0L, Smith\u00a0A (2016) Developing the DESCARTE Model: The Design of Case Study Research in Health Care. Qual Health Res 26:626\u2013639. https:\/\/doi.org\/10.1177\/1049732315602488","journal-title":"Qual Health Res"},{"key":"2648_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2288-11-100","volume":"11","author":"S Crowe","year":"2011","unstructured":"Crowe\u00a0S, Cresswell\u00a0K, Robertson\u00a0A et\u00a0al (2011) The case study approach. BMC Med Res Methodol 11:1\u20139. https:\/\/doi.org\/10.1186\/1471-2288-11-100","journal-title":"BMC Med Res Methodol"},{"key":"2648_CR8","doi-asserted-by":"publisher","DOI":"10.1055\/a-2765-8811","author":"I Demirer","year":"2025","unstructured":"Demirer\u00a0I, Schmitt\u00a0J, Vogt\u00a0V et\u00a0al (2025) Kausale Inferenz in der Versorgungsforschung: Konzepte, Methoden und Anwendungsperspektiven. Gesundheitswesen. https:\/\/doi.org\/10.1055\/a-2765-8811","journal-title":"Gesundheitswesen"},{"key":"2648_CR9","unstructured":"Dieterich A, K\u00fcmpers S, W\u00f6rz Markus et al. (2013) Innovationsblockaden und Innovationschancen integrierter Versorgungsformen: Deutschland und die Schweiz im Vergleich. WZB Discussion Paper: SP I 2013-301. Wissenschaftszentrum Berlin f\u00fcr Sozialforschung (WZB). https:\/\/doi.org\/179918"},{"key":"2648_CR10","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/978-3-531-92708-4_17","volume-title":"Empirische Forschung und Soziale Arbeit","author":"U Flick","year":"2011","unstructured":"Flick\u00a0U (2011) Das Episodische Interview. In: Oelerich\u00a0G, Otto\u00a0H-U (Hrsg.) Empirische Forschung und Soziale Arbeit. VS Verlag f\u00fcr Sozialwissenschaften, Wiesbaden, S\u00a0273\u2013280"},{"key":"2648_CR11","doi-asserted-by":"crossref","unstructured":"Franz J (2024) Professionelle Erfahrungsf\u00e4higkeit im Kontext konstituierender Rahmungen in der Wohnungslosenhilfe und der Gemeindepsychiatrie. In: Bohnsack R, Sturm T, Wagener B (Hrsg.) Konstituierende Rahmung und professionelle Praxis. P\u00e4dagogische Organisationen und dar\u00fcber hinaus. Barbara Budrich, Opladen, S 323\u2013349","DOI":"10.2307\/jj.11786273.15"},{"key":"2648_CR12","doi-asserted-by":"publisher","DOI":"10.1111\/tct.13561","volume":"20","author":"RE George","year":"2023","unstructured":"George\u00a0RE, Brown\u00a0MEL (2023) Understanding integrated care through patient journeys. Clin Teach 20(4): e13561. https:\/\/doi.org\/10.1111\/tct.13561","journal-title":"Clin Teach"},{"key":"2648_CR13","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1055\/a-1824-1627","volume":"84","author":"M Geraedts","year":"2022","unstructured":"Geraedts\u00a0M, Bierbaum\u00a0T, Gr\u00f6ne\u00a0O et\u00a0al (2022) Methoden und Indikatorensets f\u00fcr die Evaluation regionaler sektorverbindender Versorgungsmodelle. Gesundheitswesen 84(06): 484\u2013488. https:\/\/doi.org\/10.1055\/a-1824-1627","journal-title":"Gesundheitswesen"},{"key":"2648_CR14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjmed-2025-001623","volume":"4","author":"T Greenhalgh","year":"2025","unstructured":"Greenhalgh\u00a0T (2025) Case studies: a guide for researchers, educators, and implementers. BMJ Med 4(1): e001623. https:\/\/doi.org\/10.1136\/bmjmed-2025-001623","journal-title":"BMJ Med"},{"key":"2648_CR15","doi-asserted-by":"publisher","DOI":"10.1055\/a-2592-5998","author":"W Hoffmann","year":"2025","unstructured":"Hoffmann\u00a0W, H\u00e4rter\u00a0M, Bierbaum\u00a0T et\u00a0al (2025) Positionspapier des Deutschen Netzwerk Versorgungsforschung e.\u202fV.: Was ist Versorgungsforschung? Gesundheitswesen\u00a088(2): 208-213. https:\/\/doi.org\/10.1055\/a-2592-5998","journal-title":"Gesundheitswesen"},{"key":"2648_CR16","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1007\/978-3-658-37985-8_98","volume-title":"Handbuch Methoden der empirischen Sozialforschung","author":"B Hollstein","year":"2022","unstructured":"Hollstein\u00a0B (2022) Qualitative Netzwerkdaten. In: Baur\u00a0N, Blasius\u00a0J (Hrsg.) Handbuch Methoden der empirischen Sozialforschung. Springer Fachmedien Wiesbaden, Wiesbaden, S\u00a01423\u20131433"},{"key":"2648_CR17","unstructured":"Maier M (2026) \u201eUnd wenn es soweit ist, wird rausgeschmissen\u201c. Erfahrungen von Kurzzeitpflege-Nutzer*innen beim \u00dcbergang aus dem Krankenhaus in die Kurzzeitpflege. In: Middendorf T, Parchow A (Hrsg.) \u00c4ltere Menschen in prek\u00e4ren Lebenslagen. Beltz Juventa, Weinheim, S 184\u2013197"},{"key":"2648_CR18","unstructured":"Oxford Centre for Evidence-Based Medicine (2009) Levels of Evidence. https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009. Zugriff am 27.4.2026"},{"key":"2648_CR19","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-021-01418-3","volume":"21","author":"S Paparini","year":"2021","unstructured":"Paparini\u00a0S, Papoutsi\u00a0C, Murdoch\u00a0J et\u00a0al (2021) Evaluating complex interventions in context: systematic, meta-narrative review of case study approaches. BMC Med Res Methodol 21(1): 225. https:\/\/doi.org\/10.1186\/s12874-021-01418-3","journal-title":"BMC Med Res Methodol"},{"key":"2648_CR20","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1111\/jep.13890","volume":"29","author":"H Pfaff","year":"2023","unstructured":"Pfaff\u00a0H, Schmitt\u00a0J (2023) Reducing uncertainty in evidence-based health policy by integrating empirical and theoretical evidence: An EbM+theory approach. J\u00a0Eval Clin Pract 29(8): 1279\u20131293. https:\/\/doi.org\/10.1111\/jep.13890","journal-title":"J Eval Clin Pract"},{"key":"2648_CR21","first-page":"78","volume-title":"Hauptbegriffe Qualitativer Sozialforschung","author":"G Riemann","year":"2018","unstructured":"Riemann\u00a0G (2018) Fallanalysen im professionellen Handeln. In: Bohnsack\u00a0R, Geimer\u00a0A, Meuser\u00a0M (Hrsg.) Hauptbegriffe Qualitativer Sozialforschung, 4.\u00a0Aufl. Barbara Budrich\/utb, Opladen\/Toronto, S\u00a078\u201381","edition":"4"},{"key":"2648_CR22","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/978-3-531-90960-8_22","volume-title":"Soziale Arbeit in Gesellschaft","author":"A Schaarschuch","year":"2008","unstructured":"Schaarschuch\u00a0A (2008) Vom Adressaten zum \u201eNutzer\u201c von Dienstleistungen. In: Bielefelder Arbeitsgruppe 8 (Hrsg.) Soziale Arbeit in Gesellschaft. VS Verlag, Wiesbaden, S\u00a0197\u2013204"},{"key":"2648_CR23","doi-asserted-by":"publisher","DOI":"10.36198\/9783838554624","volume-title":"Professionalit\u00e4t und Professionalisierung in p\u00e4dagogischen Handlungsfeldern: Soziale Arbeit","author":"F Sch\u00fctze","year":"2021","unstructured":"Sch\u00fctze\u00a0F (2021) Professionalit\u00e4t und Professionalisierung in p\u00e4dagogischen Handlungsfeldern: Soziale Arbeit. Barbara Budrich\/utb, Opladen & Toronto"},{"key":"2648_CR24","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-023-01888-7","volume":"23","author":"SE Shaw","year":"2023","unstructured":"Shaw\u00a0SE, Paparini\u00a0S, Murdoch\u00a0J et\u00a0al (2023) TRIPLE C reporting principles for case study evaluations of the role of context in complex interventions. BMC Med Res Methodol 23(1):115. https:\/\/doi.org\/10.1186\/s12874-023-01888-7","journal-title":"BMC Med Res Methodol"},{"key":"2648_CR25","doi-asserted-by":"publisher","unstructured":"Skivington K, Matthews L, Simpson SA et al. (2021) A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ 374: n2061 https:\/\/doi.org\/10.1136\/bmj.n2061","DOI":"10.1136\/bmj.n2061"},{"key":"2648_CR26","volume-title":"Multiple case study analysis","author":"R Stake","year":"2005","unstructured":"Stake\u00a0RE (2005) Multiple case study analysis. Guilford Press, New York"},{"key":"2648_CR27","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1055\/s-0035-1565235","volume":"77","author":"M Stamer","year":"2015","unstructured":"Stamer\u00a0M, G\u00fcthlin\u00a0C, Holmberg\u00a0C et\u00a0al. (2015) Qualitative Studien in der Versorgungsforschung - Diskussionspapier, Teil 3: Qualit\u00e4t qualitativer Studien. Gesundheitswesen 77(12): 966\u2013975. https:\/\/doi.org\/10.1055\/s-0035-1565235","journal-title":"Gesundheitswesen"},{"key":"2648_CR28","doi-asserted-by":"publisher","DOI":"10.1016\/j.lisr.2021.101094","volume":"43","author":"M Thelwall","year":"2021","unstructured":"Thelwall\u00a0M, Nevill\u00a0T (2021) Is research with qualitative data more prevalent and impactful now? Interviews, case studies, focus groups and ethnographies. Library & Information Science Research 43(2): 101094. https:\/\/doi.org\/10.1016\/j.lisr.2021.101094","journal-title":"Library & Information Science Research"},{"key":"2648_CR29","first-page":"502","volume-title":"Qualitative Forschung. Ein Handbuch","author":"S Wolff","year":"2008","unstructured":"Wolff\u00a0S (2008) Dokumenten- und Aktenanalyse. In: Flick\u00a0U, Kardorff\u00a0E von, Steinke\u00a0I (Hrsg.) Qualitative Forschung. Ein Handbuch. Rowohlt, Reinbek bei Hamburg, S\u00a0502\u2013513"},{"key":"2648_CR30","volume-title":"Case study research and applications. Design and methods","author":"RK Yin","year":"2018","unstructured":"Yin\u00a0RK (2018) Case study research and applications: design and methods, 6.\u00a0Aufl. SAGE, Los Angeles, London, New Delhi, Singapore, Washington DC, Melbourne","edition":"6"}],"container-title":["Zeitschrift f\u00fcr Gerontologie und Geriatrie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00391-026-02648-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00391-026-02648-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00391-026-02648-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:34:54Z","timestamp":1789569294000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00391-026-02648-0"}},"subtitle":["Mehrebenen-Mehrfach-Fallstudien zur Untersuchung komplexer Hilfeverl\u00e4ufe","Multilevel multiple case studies as a\u00a0method for analyzing complex care trajectories"],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":30,"alternative-id":["2648"],"URL":"https:\/\/doi.org\/10.1007\/s00391-026-02648-0","relation":{},"ISSN":["0948-6704","1435-1269"],"issn-type":[{"value":"0948-6704","type":"print"},{"value":"1435-1269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"3 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A.\u00a0Dieterich, J.\u00a0Franz und M.\u00a0Maier geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Der vorliegende Beitrag beschreibt ein methodisches Forschungsdesign. Er berichtet keine inhaltlichen Ergebnisse der zuvor durchgef\u00fchrten empirischen Pilotstudie, sondern stellt auf Basis der gesammelten Forschungserfahrungen vor, wie ein forschungspraktisches Vorgehen aussehen kann. Die zugrunde liegenden Vorarbeiten wurden unter Beachtung der geltenden ethischen Richtlinien durchgef\u00fchrt.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}