{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T16:08:41Z","timestamp":1772640521616,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"DOI":"10.13039\/501100023845","name":"Ein Herz f\u00fcr Kinder","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023845","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100018448","name":"Gert und Susanna Mayer Stiftung","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100018448","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Hintergrund Im Zeitraum von 2019 bis 2022 wurden in einem Pilotprojekt in\n                    Nordrhein-Westfalen (NRW) p\u00e4diatrische, h\u00e4mato-onkologische PatientInnen im\n                    Rahmen einer h\u00e4uslich aufsuchenden pflegerischen Versorgung betreut, die sowohl\n                    pflegerische als auch \u00e4rztlich delegierbare Ma\u00dfnahmen umfasste. Die Aufnahme von\n                    PatientInnen in diese Versorgungsform erfolgte auf \u00e4rztliche Zuweisung.<\/jats:p>\n                  <jats:p>Fragestellung Das Ziel bestand in der \u00dcberpr\u00fcfung der Machbarkeit einer\n                    solchen Versorgung im Kontext p\u00e4diatrisch h\u00e4mato-onkologischer Erkrankungen.<\/jats:p>\n                  <jats:p>Methode Zur Evaluation wurde ein Dokumentationssystem konzipiert und\n                    angewandt, welches es erm\u00f6glichte, relevante Versorgungsdaten auszuwerten. Die\n                    Auswertung erfolgte mittels deskriptiver Statistik und\n                    qualitativ-inhaltsanalytischer Kategorienbildung.<\/jats:p>\n                  <jats:p>Ergebnisse Von 11\/2019 bis 12\/2022 wurden insgesamt N=475\n                    ham\u00e4to-onkologische PatientInnen in das Versorgungsprojekt aufgenommen und\n                    n=4005 Hausbesuche in 242 PLZ-Gebieten in NRW durchgef\u00fchrt. Der \u00fcberwiegende\n                    Anteil von delegierbaren \u00e4rztlichen T\u00e4tigkeiten bestand aus Blutabnahmen\n                    (79,2%). Die Beurteilung des Allgemeinzustandes (96,5%) stellte den gr\u00f6\u00dften\n                    Anteil der Versorgungsleistungen dar. Komplikationen im Zusammenhang mit der\n                    Versorgungsform traten nicht auf.<\/jats:p>\n                  <jats:p>Diskussion Die pflegerisch-ambulant aufsuchende Versorgung von\n                    p\u00e4diatrischen, h\u00e4mato-onkologischen PatientInnen zeigte sich als patienten- und\n                    teamorientierte Versorgungsform und scheint eine Alternative zur ausschlie\u00dflich\n                    klinischen Versorgung zu sein. Mutma\u00dflich ist eine \u00dcbertragung auf andere\n                    Spezialbereiche der P\u00e4diatrie m\u00f6glich. Im n\u00e4chsten Schritt bedarf es einer\n                    prospektiven multizentrischen randomisierten Studie, um ein verl\u00e4ssliches Bild\n                    \u00fcber die tats\u00e4chlichen M\u00f6glichkeiten und Grenzen zu erhalten.<\/jats:p>","DOI":"10.1055\/a-2415-7856","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:28:32Z","timestamp":1727224112000},"page":"153-160","source":"Crossref","is-referenced-by-count":1,"title":["Pflegerische und \u00e4rztlich delegierbare Ma\u00dfnahmen bei\n                    p\u00e4d.-onkologischen Patienten als ambulant aufsuchende Versorgung \u2013 Das Projekt\n                    KIKHomeCare"],"prefix":"10.1055","volume":"237","author":[{"given":"Rebecca","family":"Toenne","sequence":"additional","affiliation":[{"name":"Health services research, Healthcare Network for critically ill\n                    children, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Kristiment","sequence":"additional","affiliation":[{"name":"Health services research, Pediatric Research Network, Essen,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Waack","sequence":"additional","affiliation":[{"name":"Health services research, Pediatric Research Network, Essen,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik T.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Pediatric hematology and oncology, Clinic of Pediatrics, Dortmund,\n                    Germany, Dortmund, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3425-8451","authenticated-orcid":false,"given":"Thorsten","family":"Simon","sequence":"additional","affiliation":[{"name":"Pediatric hematology and oncology, Children's Hospital, University\n                    of Cologne, K\u00f6ln, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Reinhardt","sequence":"additional","affiliation":[{"name":"Pediatric Hematology and Oncology, Medical Center, University of Essen,\n                    Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"5884","DOI":"10.1200\/JCO.2007.15.2835","article-title":"Impact of caring for a child with cancer on parents\u2019 health-related quality of\n                    life","volume":"26","author":"A F Klassen","year":"2008","journal-title":"J Clin Oncol Off J Am Soc Clin Oncol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2277","DOI":"10.1002\/pbc.25195","article-title":"Family life events in the first year of acute lymphoblastic leukemia therapy: a\n                    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