{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:02:02Z","timestamp":1791226922038,"version":"4.1.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Krankheitsbedingten Fehltagen kommen sowohl in der Bundeswehr\n                    als auch im zivilen Bereich eine besondere Bedeutung zu. Ziel dieser Studie<\/jats:p><jats:p>ist es, dass zu krankheitsbedingten Fehltagen f\u00fchrende\n                    Krankheitsgeschehen bei SoldatInnen im Vergleich zu erwerbst\u00e4tigen\n                    Mitgliedern der Gesetzlichen Krankenversicherung zu analysieren.<\/jats:p><jats:p>\n          Methode Es werden entsprechend der Systematik der Gesetzlichen\n                    Krankenversicherungen die Kennzahlen zur Arbeitsunf\u00e4higkeit im Zeitraum\n                    2008\u20132018 alters- und geschlechtsstandardisiert berechnet. Ebenso werden\n                    die TOP 20 ICD-10 Diagnosen nach AU-Tagen im Analysezeitraum ermittelt, sowie\n                    deren durchschnittliche j\u00e4hrliche Ver\u00e4nderungsraten\n                    berechnet.<\/jats:p><jats:p>\n          Ergebnisse Der Krankenstand bei SoldatInnen liegt mit j\u00e4hrlichen\n                    Raten zwischen 1,5\u20132,3% unter dem der GKV\n                    (3,1\u20135,0%). Die Krankheitsdauer (AU-Tage je Fall)\n                    betr\u00e4gt in der Bundeswehr j\u00e4hrlich zwischen 9,0\u201315,6\n                    Tagen gegen\u00fcber der GKV mit 10,9\u201314,4 Tagen. Die\n                    Krankheitsh\u00e4ufigkeit (AU-F\u00e4lle je 100 Personen) ist in der\n                    Bundeswehr mit 48,2\u201375,0 F\u00e4llen niedriger als in der GKV mit\n                    96,8\u2013131,0 F\u00e4llen. Die meisten Fehltage werden bei SoldatInnen\n                    durch \u201eAtemwegsinfektionen (J06)\u201c mit 13,2%,\n                    \u201eBelastungsreaktionen (F43)\u201c mit 8,7%, \u201eSonstige\n                    infekti\u00f6se Gastroenteritis und Kolitis (A09)\u201c mit 6,5%,\n                    \u201eR\u00fcckenschmerzen (M54)\u201c mit 4,4% sowie\n                    \u201eDepressive Episode (F32)\u201c mit 4,0% aller Fehltage\n                    verursacht und sind vergleichbar mit der GKV. \u201eDepressive Episode\n                    (F32)\u201c, \u201eVerletzungen (T14)\u201c,\n                    \u201eBelastungsreaktionen (F43)\u201c, \u201eAtemwegsinfektionen\n                    (J06)\u201c und \u201eSchwangerschaftsbeschwerden (O26)\u201c weisen\n                    die h\u00f6chsten Steigerungsraten mit+6,1%\n                    bis+3,6% der AU-Tage auf.<\/jats:p><jats:p>\n          Schlussfolgerungen Der im Vergleich zur GKV niedrigere Krankenstand bei\n                    Soldatinnen und Soldaten ist, bei \u00e4hnlicher Krankheitsdauer und\n                    \u00e4hnlichem Krankheitsgeschehen, im Wesentlichen durch eine niedrigere\n                    Krankheitsh\u00e4ufigkeit bedingt, bei jedoch insgesamt steigenden Tendenzen.\n                    Die, bezogen auf die Fehltage \u00fcberdurchschnittlich ansteigenden ICD-10\n                    Diagnosen \u201eDepressive Episode (32)\u201c, \u201eVerletzungen\n                    (T14)\u201c, \u201eBelastungsreaktionen (F43)\u201c,\n                    \u201eAtemwegsinfektionen (J06)\u201c und\n                    \u201eSchwangerschaftsbeschwerden (O26)\u201c bed\u00fcrfen\n                    weitergehender Analysen. Erstmals konnte ein Vergleich des Krankenstands von\n                    SoldatInnen mit dem der Allgemeinbev\u00f6lkerung in Deutschland\n                    durchgef\u00fchrt werden. Dieser Ansatz erscheint vielversprechend, um\n                    z.\u2009B. Hypothesen und Ideen zur Weiterentwicklung der\n                    Gesundheitsversorgung zu generieren und sollte weiterverfolgt werden.<\/jats:p>","DOI":"10.1055\/a-1987-5847","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:10:36Z","timestamp":1677543036000},"page":"878-886","source":"Crossref","is-referenced-by-count":5,"title":["Analyse der krankheitsbedingten Fehltage von Soldatinnen und Soldaten\n                    der Bundeswehr von 2008 bis 2018 Teil 1: Retrospektive Analyse mit Vergleich zur\n                    Gesetzlichen Krankenversicherung"],"prefix":"10.1055","volume":"85","author":[{"given":"Andreas","family":"Dierich","sequence":"additional","affiliation":[{"name":"Leiter, Sanit\u00e4tsunterst\u00fctzungszentrum Neubrandenburg,\n                    Trollenhagen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Qualit\u00e4tsmanagement,\n                    Sanit\u00e4tsunterst\u00fctzungszentrum Neubrandenburg, Neubrandenburg,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Lison","sequence":"additional","affiliation":[{"name":"Leiter, Zentrum f\u00fcr Sportmedizin der Bundeswehr, Warendorf,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schulze","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die, Zentrum f\u00fcr Sportmedizin der Bundeswehr,\n                    Warendorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Schmeil","sequence":"additional","affiliation":[{"name":"Epidemiologie, Institut f\u00fcr Pr\u00e4ventivmedizin der\n                    Bundeswehr, Andernach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin","family":"L\u00f6ffler","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Allgemeinmedizin, Universit\u00e4tsmedizin\n                    Rostock, Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Altiner","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Allgemeinmedizin, Universit\u00e4tsmedizin\n                    Rostock, Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"ref3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s40664-016-0129-1","article-title":"Arbeitsunf\u00e4higkeit","volume":"66","author":"C E Lenders","year":"2016","journal-title":"Zentralblatt f\u00fcr Arbeitsmedizin, Arbeitsschutz und\n                    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