{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T04:11:36Z","timestamp":1743826296638,"version":"3.40.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006254","name":"Ruhr-Universit\u00e4t Bochum","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006254","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Die St\u00e4rkeR-Studie zeigte die Nichtunterlegenheit einer teambasierten Versorgungsform mit Delegation an rheumatologische Fachassistenz (RFA) gegen\u00fcber der Standardversorgung bei Patient*innen mit rheumatoider Arthritis (RA) oder Psoriasisarthritis (PsA).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Zielsetzung<\/jats:title>\n            <jats:p>Explorative Analysen hinsichtlich eines m\u00f6glichen Einflusses des Behandlungssettings (Schwerpunktpraxis\/Klinikambulanz) auf verschiedene Outcome-Parameter bei Patient*innen mit RA oder PsA im Rahmen der Delegation an rheumatologische Fachassistenz.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Patient*innen mit RA oder PsA und stabiler Einstellung bei geringer Krankheitsaktivit\u00e4t aus 3\u00a0Klinikambulanzen und 14\u00a0rheumatologischen Schwerpunktpraxen, die an der St\u00e4rkeR-Studie teilgenommen hatten, wurden in diese Post-hoc-Analyse einbezogen. Die Effektivit\u00e4t der teambasierten Versorgungsform in Abh\u00e4ngigkeit vom Behandlungssetting wurde mittels Interaktionsanalysen in linearen Regressionsmodellen u.\u202fa. mit Blick auf Krankheitsaktivit\u00e4t, Funktionsf\u00e4higkeit, Schmerz und M\u00fcdigkeit untersucht.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Von 588 Patient*innen wurden 466 in Schwerpunktpraxen behandelt, 92\u00a0in Klinikambulanzen. Die Analysen ergaben bei einem von 9 untersuchten Endpunkten eine signifikante Interaktion: Die Funktionskapazit\u00e4t (Skala\u00a00\u20131) zeigte in den Klinikambulanzen gegen\u00fcber der Standardversorgung gering niedrigere Werte (\u22120,07 [\u22120.12; \u22120.02]), w\u00e4hrend sich ein solcher Unterschied in den Praxen nicht darstellte. Bei anderen Endpunkten zeigte sich tendenziell ein Vorteil der teambasierten Versorgungsform im Praxissetting.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Diese explorativen Analysen weisen auf den m\u00f6glichen Nutzen der Evaluation von verschiedenen Versorgungsformen wie der Delegation \u00e4rztlicher Leistungen an qualifizierte RFA im Sinne eines Benchmarkings hin.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00393-024-01606-8","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T19:01:16Z","timestamp":1733770876000},"page":"188-197","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Einfluss des Behandlungssettings auf die Versorgung von Patient*innen mit rheumatoider Arthritis oder Psoriasisarthritis im Rahmen der Delegation an rheumatologische Fachassistenz\u00a0\u2014 eine Post-hoc-Analyse der St\u00e4rkeR-Studie","Influence of the treatment setting on the treatment of patients with rheumatoid arthritis or psoriatic arthritis within the delegation to rheumatological specialist assistants \u2014 A post hoc analysis of the St\u00e4rkeR study"],"prefix":"10.1007","volume":"84","author":[{"given":"Rilind","family":"Shabani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Mai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Denz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Timmesfeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Braun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dietmar","family":"Krause","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"issue":"5","key":"1606_CR1","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1007\/s00393-019-0647-2","volume":"78","author":"G Key\u00dfer","year":"2019","unstructured":"Key\u00dfer\u00a0G, Baerwald\u00a0CGO, Sieburg\u00a0M et\u00a0al (2019) Survey of rheumatologists in Saxony, Saxony-Anhalt and Thuringia regarding the occupational situation and activities in further education: no way out of the undersupply of rheumatological care. 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Das Projekt folgte den Kriterien der Good Clinical Practice, wurde mit Zustimmung der zust\u00e4ndigen Ethik-Kommission M\u00fcnster (2018-144-f-S) und gem\u00e4\u00df der Deklaration von Helsinki (von 1975, in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Von allen Befragten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor. Die explorativen Post-hoc-Analysen der vorliegenden Arbeit wurden von der Ethikkommission der Ruhr-Universit\u00e4t Bochum zustimmend bewertet (Registrier-Nr.: 22-7578).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}