{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:31:51Z","timestamp":1790620311022,"version":"4.1.0"},"reference-count":39,"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          Hintergrund Seit Beginn der Corona-Pandemie im Fr\u00fchjahr 2020\n                    stehen Krankenh\u00e4user vor der Herausforderung, die erforderlichen\n                    Kapazit\u00e4ten f\u00fcr krankenhaus- bzw. intensivpflichtige\n                    COVID-Erkrankte sicherzustellen und gleichzeitig Patienten mit anderen\n                    Erkrankungen angemessen zu versorgen. Dies hat eine sehr starke Belastung des\n                    pflegerischen und \u00e4rztlichen Personals zu Folge. Gem\u00e4\u00df\n                    der Empfehlung des Wissenschaftsrates sollten die Universit\u00e4tsklinika\n                    eine steuernde Rolle in der regionalen Gesundheitsversorgung einnehmen und im\n                    Verbund mit umliegenden Krankenh\u00e4usern und Praxen agieren.<\/jats:p><jats:p>\n          Methode 31 Vertreter aus 18 Universit\u00e4tsklinika wurden im\n                    September 2021 eingeladen, in einer hybriden Delphi-Studie mit insgesamt 4\n                    Befragungsrunden Kriterien f\u00fcr eine effektive station\u00e4re\n                    Versorgung in einer pandemischen Lage zu diskutieren. Kriterien, die in der\n                    ersten Runde von\u226575% der Teilnehmer als sehr\n                    wichtig\/relevant eingestuft wurden (Konsensdefinition), wurden\n                    anschlie\u00dfend in 4 thematisch unterschiedlichen Kleingruppen weiter\n                    zusammengefasst. In einer dritten Delphi-Runde kamen erneut alle Teilnehmer\n                    zusammen und diskutierten die Ergebnisse aus der Kleingruppendiskussion. Diese\n                    wurden anschlie\u00dfend als fakultative (\u201ekann\u201c),\n                    w\u00fcnschenswerte (\u201esoll\u201c) oder notwendige\n                    (\u201emuss\u201c) Empfehlungen priorisiert.<\/jats:p><jats:p>\n          Ergebnisse 21 (67,7%) eingeladene klinische Experten nahmen an\n                    mindestens einer Delphi-Runde teil. In einer Online-Befragung (1. Delphi-Runde)\n                    wurden 233 Kriterien abgestimmt und in vier thematisch ausgerichteten\n                    Kleingruppendiskussionen (2. Delphi-Runde) auf 84 Kriterien f\u00fcr das\n                    zuk\u00fcnftige Pandemiemanagement reduziert und wie folgt in die\n                    Kleingruppen aufgeteilt: \u201eKrisenmanagement und\n                    Krisenpl\u00e4ne\u201c (n=20), \u201ePersonalmanagement und\n                    Interne Kommunikation\u201c (n=16), \u201eRegionale Einbettung und\n                    Externe Kommunikation\u201c (n=24) sowie\n                    \u201eKapazit\u00e4tsmanagement und Case &amp; Care\u201c\n                    (n=24). In der folgenden Gruppendiskussion (3. Delphi-Runde) wurden die\n                    Kriterien durch die Experten weiter modifiziert und konsentiert, so dass als\n                    Endergebnis 23 zentrale Forderungen und Empfehlungen f\u00fcr eine effektive\n                    station\u00e4re Versorgung innerhalb einer pandemischen Lage standen.<\/jats:p><jats:p>\n          Schlussfolgerung Die Ergebnisse verdeutlichen zentrale Forderungen der\n                    klinischen Vertreter u.\u2009a. nach einer fl\u00e4chendeckenden\n                    Digitalisierung, einer Standardisierung von Prozessen und einer besseren\n                    (\u00fcber-) regionalen Vernetzung, um eine bedarfsorientierte Versorgung\n                    auch unter pandemischen Bedingungen gew\u00e4hrleisten zu k\u00f6nnen. Die\n                    vorliegenden konsentierten Empfehlungen k\u00f6nnen als Leitfaden f\u00fcr\n                    ein zuk\u00fcnftiges Pandemiemanagement im station\u00e4ren\n                    Versorgungssektor dienen.<\/jats:p>","DOI":"10.1055\/a-2109-9882","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T22:48:58Z","timestamp":1692658138000},"page":"1173-1182","source":"Crossref","is-referenced-by-count":2,"title":["Ma\u00dfnahmen und Empfehlungen f\u00fcr die Sicherstellung\n                    ad\u00e4quater station\u00e4rer Versorgungskapazit\u00e4ten f\u00fcr\n                    das Pandemiemanagement innerhalb einer Region \u2013 Ergebnisse eines\n                    hybriden Delphi-Verfahrens"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-8821","authenticated-orcid":false,"given":"Ivonne","family":"Panchyrz","sequence":"first","affiliation":[{"name":"TU Dresden, Universit\u00e4tsklinikum Carl Gustav Carus Zentrum\n                    f\u00fcr Evidenzbasierte Gesundheitsversorgung, Dresden,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Hoffmann","sequence":"first","affiliation":[{"name":"TU Dresden, Universit\u00e4tsklinikum Carl Gustav Carus Zentrum\n                    f\u00fcr Evidenzbasierte Gesundheitsversorgung, Dresden,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenz","family":"Harst","sequence":"additional","affiliation":[{"name":"TU Dresden, Universit\u00e4tsklinikum Carl Gustav Carus Zentrum\n                    f\u00fcr Evidenzbasierte Gesundheitsversorgung, Dresden,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solveig","family":"Pohl","sequence":"additional","affiliation":[{"name":"TU Dresden, Universit\u00e4tsklinikum Carl Gustav Carus Zentrum\n                    f\u00fcr Evidenzbasierte Gesundheitsversorgung, Dresden,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bauer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin,\n                    Universit\u00e4tsklinikum Jena, Jena, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Blaschke","sequence":"additional","affiliation":[{"name":"Zentrale Notaufnahme (ZNA), Universit\u00e4tsmedizin\n                    G\u00f6ttingen, Gottingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bodenstein","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie, JGU\n                    Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Engelhart","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Hygiene und 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