{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:53:10Z","timestamp":1757314390796,"version":"3.28.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel der Studie Im bundesweiten Vergleich weist Brandenburg eine der\n                    h\u00f6chsten Morbidit\u00e4ts- und Mortalit\u00e4tsraten\n                    isch\u00e4mischer Herzerkrankungen auf. Die Erreichbarkeit der medizinischen\n                    Versorgungsinfrastruktur gilt dabei als eine\n                    Erkl\u00e4rungsm\u00f6glichkeit f\u00fcr regionale gesundheitliche\n                    Ungleichheit. Demnach verfolgt die Studie das Ziel, die Distanzen zu\n                    verschiedenen Versorgungsarten der kardiologischen Versorgung auf Gemeindeebene\n                    zu berechnen und diese im Zusammenhang mit dem lokalen Versorgungsbedarf zu\n                    betrachten.<\/jats:p><jats:p>\n          Methodik Pr\u00e4ventive Sportangebote, Haus\u00e4rzte,\n                    kardiologische Praxen, Krankenh\u00e4user mit Herzkatheterlabor und\n                    Einrichtungen ambulanter Rehabilitation wurden als wesentliche Einrichtungen\n                    f\u00fcr die kardiologische Versorgung herangezogen und kartiert. Daraufhin\n                    wurden die Distanzen \u00fcber das Stra\u00dfenverkehrsnetz vom\n                    Mittelpunkt jeder Brandenburger Gemeinde zum n\u00e4chsten Standort der\n                    jeweiligen Versorgungseinrichtung berechnet und in Quintile eingeteilt. Mediane\n                    und Interquartilsabst\u00e4nde des deutschen sozio\u00f6konomischen\n                    Deprivationsindex und des Anteils der Bev\u00f6lkerung \u00fcber 65 Jahre\n                    wurden als Proxys f\u00fcr den Versorgungsbedarf herangezogen und mit den\n                    Distanzquintilen je Versorgungsart in Zusammenhang gesetzt.<\/jats:p><jats:p>\n          Ergebnisse F\u00fcr 60% der Brandenburger Gemeinden sind\n                    Haus\u00e4rzte innerhalb von 2,5\u2009km, pr\u00e4ventive Sportangebote\n                    innerhalb von 19,6\u2009km, kardiologische Praxen innerhalb von\n                    18,3\u2009km, Krankenh\u00e4user mit Herzkatheterlabor innerhalb von\n                    22,7\u2009km und Einrichtungen ambulanter Rehabilitation innerhalb von\n                    14,7\u2009km erreichbar. Der Median des deutschen Deprivationsindexes steigt\n                    bei allen Versorgungsarten mit zunehmender Distanz an. Der Median des Anteils\n                    \u00fcber 65-J\u00e4hriger zeigt keine nennenswerte Variation zwischen den\n                    Distanzquintilen.<\/jats:p><jats:p>\n          Schlussfolgerung Die Ergebnisse zeigen f\u00fcr hohe\n                    Bev\u00f6lkerungsanteile teilweise gro\u00dfe Distanzen zu spezialisierten\n                    kardiologischen Versorgungsangeboten, w\u00e4hrend haus\u00e4rztliche\n                    Praxen f\u00fcr einen hohen Anteil erreichbar scheinen. In Brandenburg\n                    scheint eine regionale und an lokalen Bedarfen orientierte\n                    sektoren\u00fcbergreifende Versorgung notwendig.<\/jats:p>","DOI":"10.1055\/a-2075-7748","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T22:58:21Z","timestamp":1686956301000},"page":"1157-1167","source":"Crossref","is-referenced-by-count":1,"title":["Erreichbarkeit der kardiologischen Versorgungsinfrastruktur im\n                    Bundesland Brandenburg in Abh\u00e4ngigkeit des lokalen\n                    Versorgungsbedarfs"],"prefix":"10.1055","volume":"85","author":[{"given":"Andreas","family":"Bergholz","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Jaehn","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"B\u00f6ckmann","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rona","family":"Reibis","sequence":"additional","affiliation":[{"name":"Kardiologie, Kardiologische Gemeinschaftspraxis am Park Sanssouci,\n                    Potsdam, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Spallek","sequence":"additional","affiliation":[{"name":"Department of Public Health, Brandenburgische Technische Universitat\n                    Cottbus-Senftenberg Campus Senftenberg, Senftenberg, Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften,\n                    Brandenburgische Technische Universit\u00e4t Cottbus-Senftenberg, Cottbus,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Rapp","sequence":"additional","affiliation":[{"name":"Sozial- und Pr\u00e4ventivmedizin, Department f\u00fcr Sport- und\n                    Gesundheitswissenschaften, Universit\u00e4t Potsdam Humanwissenschaftliche\n                    Fakult\u00e4t, Potsdam, Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften,\n                    Universit\u00e4t Potsdam, Potsdam, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Ritter","sequence":"additional","affiliation":[{"name":"Hochschulklinikum Brandenburg an der Havel, Klinik f\u00fcr\n                    Kardiologie, Nephrologie und Pneumologie, Medizinische Hochschule Brandenburg\n                    Theodor Fontane, Brandenburg an der Havel, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niklas","family":"Demmerer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Holmberg","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften, Medizinische\n                    Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"volume-title":"Sektor\u00fcbergreifende Versorgungsanalyse zur Kardiologie, Herzchirurgie\n                    und Kinderherzmedizin in Deutschland","year":"2021","author":"Deutsche Herzstiftung e.\u2009V. Deutscher Herzbericht\n                            2020","key":"ref1"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"158","DOI":"10.3389\/fcvm.2018.00158","article-title":"Prevalence, Mortality, and Indicators of Health Care Supply-Association Analysis\n                    of Cardiovascular Diseases in Germany","volume":"5","author":"C Dornquast","year":"2018","journal-title":"Front Cardiovasc Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"6658","DOI":"10.22605\/RRH6658","article-title":"Contextualising the association of socioeconomic deprivation with\n                    hospitalisation rates of myocardial infarction in a rural area in eastern\n                    Germany","volume":"22","author":"P Jaehn","year":"2022","journal-title":"Rural Remote Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"530","DOI":"10.3238\/arztebl.2014.0530","article-title":"An inter-state comparison of cardiovascular risk factors in Germany: towards an\n                    explanation of high ischemic heart disease mortality in Saxony-Anhalt","volume":"111","author":"A Stang","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"19157","DOI":"10.1038\/s41598-020-76212-0","article-title":"Spatial accessibility of general inpatient care in Germany: an analysis of\n                    surgery, internal medicine and neurology","volume":"10","author":"J Bauer","year":"2020","journal-title":"Sci Rep"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e021036","DOI":"10.1136\/bmjopen-2017-021036","article-title":"Primary care in Germany: access and utilisation-a cross-sectional study with\n                    data from the German Socio-Economic Panel (SOEP)","volume":"8","author":"G G Greiner","year":"2018","journal-title":"BMJ Open"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12939-020-01375-1","article-title":"Socioeconomic inequalities in primary-care and specialist physician visits: a\n                    systematic review","volume":"20","author":"S L Lueckmann","year":"2021","journal-title":"Int J Equity Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1055\/a-1010-6277","article-title":"Ambulante Haus- und Facharztversorgung im l\u00e4ndlichen Raum in Deutschland\n                    \u2013 Wie stellt sich die Versorgungssituation aus Sicht \u00e4lterer\n                    Einwohner im Landkreis Oberspreewald-Lausitz dar","volume":"83","author":"A L\u00f6ffler","year":"2021","journal-title":"Gesundheitswesen"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3238\/baek_sn_duenn_besiedelt_teil1_2021","article-title":"Versorgung in d\u00fcnn besiedelten Regionen Teil 1: Problemdarstellung und\n                    Monitoring","author":"W Hoffmann","year":"2022","journal-title":"Deutsches \u00c4rzteblatt Online"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/978-3-662-62708-2_7","volume-title":"Sektor\u00fcbergreifende Versorgung bei Herzinsufzienz. 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Gesundheit in\n                            Deutschland","year":"2015"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.20364\/VA-21.02","article-title":"Methodik zur Berechnung von korrigierten bev\u00f6lkerungsgewichteten\n                    Schwerpunkten (KobS) f\u00fcr kleinr\u00e4umige Routinganalysen im\n                    Gesundheitswesen am Beispiel von Postleitzahlgebieten","author":"S V\u00f6lker","year":"2021","journal-title":"Zentralinstitut f\u00fcr die kassen\u00e4rztliche Versorgung in\n                    Deutschland (Zi)"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e0180698","DOI":"10.1371\/journal.pone.0180698","article-title":"The world's user-generated road map is more than 80%\n                    complete","volume":"12","author":"C Barrington-Leigh","year":"2017","journal-title":"PLoS One"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1001\/jama.2022.7408","article-title":"Behavioral Counseling Interventions to Promote a Healthy Diet and Physical\n                    Activity for Cardiovascular Disease Prevention in Adults Without Known\n                    Cardiovascular Disease Risk Factors Cardiovascular Disease Prevention in Adults\n                    Without Known Cardiovascular Disease Risk Factors: Updated Evidence Report and\n                    Systematic Review for the US Preventive Services Task Force","volume":"328","author":"C D Patnode","year":"2022","journal-title":"JAMA"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"CD001800","DOI":"10.1002\/14651858.CD001800.pub4","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","volume":"11","author":"G Dibben","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1055\/s-0032-1321748","article-title":"Wie \u201cbedarfsgerecht\u201d ist die Bedarfsplanung? 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