{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:49Z","timestamp":1740126829606,"version":"3.37.3"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel der Studie Ziel dieser Untersuchung war es, die derzeitigen\n                    Versorgungs- und Kontrollstrukturen f\u00fcr Patient*innen mit\n                    \u00e4thyltoxischer Leberzirrhose in der Vorbereitung auf eine\n                    Lebertransplantation (LTX) an deutschen Transplantationszentren zu erfassen. Es\n                    sollten zudem die damit einhergehenden Barrieren sowie die Sicht der\n                    Behandler*innen auf Verbesserungsm\u00f6glichkeiten f\u00fcr die\n                    Versorgung der Patient*innengruppe analysiert werden.<\/jats:p><jats:p>\n          Methodik In einem explorativen, deskriptiven, qualitativen Design wurden\n                    11 Interviews mit Behandler*innen aus 10 der 22 deutschen LTX-Zentren\n                    gef\u00fchrt und inhaltsanalytisch ausgewertet.<\/jats:p><jats:p>\n          Ergebnisse Es zeigten sich deutliche Unterschiede in den Versorgungs- und\n                    Kontrollstrukturen der einzelnen Zentren. In das Behandlungskonzept integrierte\n                    suchttherapeutische Angebote gab es nicht an allen Zentren. Strukturelle\n                    Barrieren entstanden durch eine unzureichende Finanzierung und personelle\n                    Ausstattung. Behandler*innen w\u00fcnschten sich erweiterte\n                    Behandlungsangebote sowie vereinheitlichte Behandlungskonzepte.<\/jats:p><jats:p>\n          Schlussfolgerungen Es zeigte sich Handlungsbedarf sowohl im Bereich der\n                    Strukturen der einzelnen LTX-Zentren als auch \u00fcbergreifend auf\n                    Systemebene. Diese Ergebnisse k\u00f6nnten unter Ber\u00fccksichtigung\n                    aktueller suchtmedizinischer Erkenntnisse als Grundlage zur Entwicklung von\n                    Behandlungskonzepten und -empfehlungen zur Optimierung der Versorgung vor LTX\n                    dienen.<\/jats:p>","DOI":"10.1055\/a-2106-9717","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T22:42:02Z","timestamp":1689374522000},"page":"362-370","source":"Crossref","is-referenced-by-count":1,"title":["Erhebung der Versorgungsstrukturen an Transplantationszentren\n                    f\u00fcr Patient*innen mit \u00e4thyltoxischer Leberzirrhose vor\n                    einer Lebertransplantation. Eine qualitative Befragung von\n                    Behandler*innen."],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-3177","authenticated-orcid":false,"given":"Annette","family":"Binder","sequence":"additional","affiliation":[{"name":"Sektion Suchtmedizin und Suchtforschung, Universit\u00e4tsklinikum\n                    T\u00fcbingen Universit\u00e4tsklinik f\u00fcr Psychiatrie und\n                    Psychotherapie, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Fenchel","sequence":"additional","affiliation":[{"name":"Sektion Suchtmedizin und Suchtforschung, Universit\u00e4tsklinikum\n                    T\u00fcbingen Universit\u00e4tsklinik f\u00fcr Psychiatrie und\n                    Psychotherapie, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Immanuel","family":"Lang","sequence":"additional","affiliation":[{"name":"Sektion Suchtmedizin und Suchtforschung, Universit\u00e4tsklinikum\n                    T\u00fcbingen Universit\u00e4tsklinik f\u00fcr Psychiatrie und\n                    Psychotherapie, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil","family":"Batra","sequence":"additional","affiliation":[{"name":"Sektion Suchtmedizin und Suchtforschung, Universit\u00e4tsklinikum\n                    T\u00fcbingen Universit\u00e4tsklinik f\u00fcr Psychiatrie und\n                    Psychotherapie, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,14]]},"reference":[{"key":"ref1"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1111\/tri.13358","article-title":"2018 Annual Report of the European Liver Transplant Registry\n                    (ELTR)\u201350\u2013year evolution of liver transplantation","volume":"31","author":"R Adam","year":"2018","journal-title":"Transplant International"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijsu.2020.05.062","article-title":"Current status of liver transplantation in Europe","volume":"82","author":"P C M\u00fcller","year":"2020","journal-title":"International Journal of Surgery"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jhep.2021.02.033","article-title":"A notable proportion of liver transplant candidates with alcohol-related\n                    cirrhosis can be delisted because of clinical improvement","volume":"75","author":"E Pose","year":"2021","journal-title":"Journal of Hepatology"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s00481-020-00586-y","article-title":"Das \u201eframing \u201cder sechsmonatigen Karenzregel in der\n                    Lebertransplantation. 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