{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:24:29Z","timestamp":1786980269902,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Bis Anfang der 2000er-Jahre wurden Optimierungsnotwendigkeiten in der Akutschmerztherapie in Krankenh\u00e4usern aufgezeigt. Dabei wurden nur wenige Erfolge in der Optimierung erreicht. Da die Akutschmerzversorgung in Deutschland anhaltend unbefriedigend blieb, wurden die ersten Versorgungsforschungsprojekte in der Schmerzmedizin initiiert. Diese sollten Verbesserungen in der Versorgung von Patientinnen und Patienten erzielen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel<\/jats:title>\n                    <jats:p>Zur Darstellung der Anf\u00e4nge der Versorgungsforschung im Bereich der Schmerzmedizin in Deutschland werden die Forschungsprojekte \u201eSchmerzfreies Krankenhaus\u201c und \u201eAktionsb\u00fcndnis Schmerzfreie Stadt M\u00fcnster\u201c sowie die Zertifizierungsinitiative Certkom e.\u202fV. beschrieben.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Im Sinne einer komplexen Intervention erfolgten in allen dargestellten Projekten eine Ist-Analyse der Schmerzversorgung der Patientinnen und Patienten sowie des interdisziplin\u00e4ren Schmerzmanagements, eine Ableitung von Optimierungsma\u00dfnahmen, deren Implementierung sowie eine nachfolgende Evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Alle Projekte konnten durch eine systematische Erhebung der Ist-Situation, gezielte Planung und Einf\u00fchrung von Optimierungsma\u00dfnahmen Verbesserungen in der Patientinnen- und Patientenversorgung erzielen. Entsprechende Evaluationen konnten dies darstellen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Durch das systematische Vorgehen in den Projekten mit Erhebung wissenschaftlicher Daten in der Versorgung wurden Optimierungen in der Akutschmerzversorgung erzielt. Der Grundstein f\u00fcr weitere Versorgungsforschung in der Schmerztherapie in Deutschland wurde gelegt. Jedoch offenbarten die Projekte auch Grenzen in der Einbeziehung vulnerabler Patientinnen- und Patientengruppen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00482-024-00845-7","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T14:01:40Z","timestamp":1730901700000},"page":"14-22","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Versorgungsforschung in der Akutschmerztherapie","Health services research in acute pain medicine"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0394","authenticated-orcid":false,"given":"Nadja","family":"Nestler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Maier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Osterbrink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"845_CR1","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1046\/j.1365-2346.2000.00738.x","volume":"17","author":"G Brodner","year":"2000","unstructured":"Brodner\u00a0G, Mertes\u00a0N, Buerkle\u00a0H, Marcus\u00a0MAE, Van Aken\u00a0H (2000) Acute pain management: analysis, implications and consequences after prospective experience with 6349 surgical patients. 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