{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:43:41Z","timestamp":1789587821756,"version":"build-2803163510"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"Zusammenfassung<\/jats:title>Die gesundheitliche Versorgung von Schwangeren und deren Neugeborenen steht mit\n Geburtenr\u00fcckgang und Fachkr\u00e4ftemangel vor gro\u00dfen\n Herausforderungen. In der aktuellen Diskussion um Zukunftskonzepte wird\n h\u00e4ufig die mit den Mindestmengen verbundene Zentralisierung und die\n notwendige Absicherung einer Versorgung in der Fl\u00e4che als Zielkonflikt\n konstruiert. Vielmehr sind Konzepte erforderlich, Schwangeren und deren Kindern\n auch in der Zukunft eine wohnortnahe Versorgungsgerechtigkeit zu garantieren. Am\n Beispiel des Zentrum f\u00fcr feto\/neonatale Gesundheit wird gezeigt,\n wie die Partner in einer Region gemeinsam \u00fcber\u00f6rtlich und\n krankenhaus\u00fcbergreifend die Versorgung w\u00e4hrend der\n Schwangerschaft, unter der Geburt und w\u00e4hrend der Neonatalperiode\n sichern k\u00f6nnen. Die enge Kooperation von Maximalversorger mit regionalen\n Partnern erm\u00f6glicht eine fl\u00e4chendeckende gesundheitliche\n Versorgung. Gleichzeitig erm\u00f6glicht die Zusammenarbeit,\n Krankenh\u00e4user als attraktive Arbeitgeber in strukturschwachen Regionen\n zu halten und junge Familien mit Bedarf an medizinischen Leistungen rund um die\n Schwangerschaft und Geburt durch gute wohnort- und arbeitsplatznahe\n famili\u00e4re und soziale Einbindung fl\u00e4chendeckend zu versorgen.\n Dabei sind die \u00fcbergeordneten Ziele des Zentrum f\u00fcr\n feto\/neonatale Gesundheit eine optimale, leitliniengerechte, fach- und\n sektoren\u00fcbergreifende Versorgung von Schwangeren und Fr\u00fch- bzw.\n kranken Neugeborenen in der Region, ein f\u00e4cher- und\n struktur\u00fcbergreifender Ausbau der Forschung, sowie strukturierte Aus-,\n Fort- und Weiterbildung auf dem Gebiet der Pr\u00e4natal- und Geburtsmedizin\n sowie Neonatologie. Zur Sicherstellung der Versorgung im Sinne der Value based\n Health Care ist es wichtig, diese Konzepte auszubauen, auf andere\n Versorgungsgebiete zu \u00fcbertragen und langfristig zu evaluieren. Nur so\n kann die Versorgungsgerechtigkeit Schwangerer bzw. Neugeborener auch\n k\u00fcnftig gew\u00e4hrleistet werden.<\/jats:p>","DOI":"10.1055\/a-2211-7018","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T00:31:30Z","timestamp":1708129890000},"page":"127-134","source":"Crossref","is-referenced-by-count":3,"title":["Perinatologische Kompetenznetzwerke: Die Versorgung von Schwangeren\n und Neugeborenen in einer Region"],"prefix":"10.1055","volume":"228","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7498-1209","authenticated-orcid":false,"given":"Mario","family":"R\u00fcdiger","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin,\n Medizinische Fakult\u00e4t und Universit\u00e4tsklinikum, Fachbereich\n Neonatologie und P\u00e4diatrische Intensivmedizin, TU Dresden, Dresden,\n Germany"},{"name":"Zentrum f\u00fcr feto\/neonatale Gesundheit, Medizinische\n Fakult\u00e4t TU Dresden, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Reichert","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin,\n Medizinische Fakult\u00e4t und Universit\u00e4tsklinikum, Fachbereich\n Neonatologie und P\u00e4diatrische Intensivmedizin, TU Dresden, Dresden,\n Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Evidenzbasierte Gesundheitsversorgung,\n Universit\u00e4tsklinikum Carl Gustav Carus an der TU Dresden, Dresden,\n Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cahit","family":"Birdir","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n Universit\u00e4tsklinikum Carl Gustav Carus Dresden, Dresden,\n Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1186\/s12887-019-1424-8","article-title":"Impact of birthweight on health-care utilization during early childhood\n \u2013 a birth cohort study","volume":"19","author":"M R\u00fcdiger","year":"2019","journal-title":"BMC Pediatr"},{"key":"ref2","first-page":"133","volume-title":"Ein Blick in die Zukunft der Perinatalmedizin \u2013 Patientensicherheit\n erfordert die Gestaltung regionaler perinatalmedizinischer\n Kompetenzverb\u00fcnde. In: Dormann F, Klauber J, Kuhlen R, Hrsg.\n Qualit\u00e4tsmonitor 2019","author":"K Vetter","year":"2019"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1056\/NEJMp0904131","article-title":"A strategy for health care reform \u2013 toward a value-based system","volume":"361","author":"M E Porter","year":"2009","journal-title":"N Engl J Med"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-10826-6","volume-title":"Redefining German Health Care: Moving to a Value-Based System","author":"M E Porter","year":"2012"},{"key":"ref6","first-page":"105","volume-title":"Neue Volume-Outcome-Ergebnisse in der Perinatalmedizin. In: Dormann F, Klauber\n J, Kuhlen J, Hrsg. 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In: Reichert J, R\u00fcdiger M, Hrsg. Psychologie\n in der Neonatologie: Psychologisch-sozialmedizinische Versorgung von Familien\n Fr\u00fchgeborener","author":"J Reichert","year":"2013"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/S2352-4642(18)30039-7","article-title":"Effectiveness of Family Integrated Care in neonatal intensive care units on\n infant and parent outcomes: a multicentre, multinational, cluster-randomised\n controlled trial","volume":"2","author":"K O\u2019Brien","year":"2018","journal-title":"Lancet Child Adolesc Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1203\/PDR.0b013e3181cb8e2f","article-title":"Early sensitivity training for parents of preterm infants: Impact on the\n developing brain","volume":"67","author":"J Milgrom","year":"2010","journal-title":"Pediatr Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e037135","DOI":"10.1136\/bmjopen-2020-037135","article-title":"Impact of regionalisation and 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Pediatr"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1055\/a-1977-9102","article-title":"Telemedical support of feto-neonatal care in one region \u2013 Part II:\n Structural requirements and areas of application in neonatology","volume":"227","author":"F Eckart","year":"2022","journal-title":"Z Geburtshilfe Neonatol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1055\/a-1977-9030","article-title":"Telemedical Support of Feto-Neonatal Care in One Region \u2013 Part I: Demand\n Analysis Using the Example of East Saxony","volume":"227","author":"M Kaufmann","year":"2023","journal-title":"Z Geburtshilfe Neonatol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1136\/archdischild-2022-324387","article-title":"Future of clinical trials in the delivery room: time for pragmatism","volume":"108","author":"CP F O\u2019Donnell","year":"2023","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"10","DOI":"10.3389\/fped.2022.1056256","article-title":"Survey on currently applied interventions in neonatal resuscitation (SCIN): A\n study protocol","author":"F Eckart","year":"2023","journal-title":"Front Pediatr"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1055\/a-0998-4532","article-title":"Intrauterine Growth Restriction: Transsectoral,\n Interdisciplinary and Multiprofessional Care for Pregnant Women and Newborns in\n a Feto-neonatal Pathway: A Project of the Innovationsfonds","volume":"224","author":"L Mense","year":"2020","journal-title":"Z\n Geburtshilfe Neonatol"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/1471-2393-14-225","article-title":"Analyzing support of postnatal transition in term infants after c-section","volume":"14","author":"D Konstantelos","year":"2014","journal-title":"BMC Pregnancy 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