{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:31:35Z","timestamp":1788258695292,"version":"build-2803163510"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Umsetzung der Vorgaben des \u201eIntensivpflege- und Rehabilitationsst\u00e4rkungsgesetzes (IPReG)\u201c erfordert den Aufbau neuer sektoren\u00fcbergreifender Versorgungsstrukturen. Im Rahmen einer Online-Umfrage und einer multiprofessionellen Podiumsdiskussion, die am 27.04.2024 in der Thoraxklinik der Universit\u00e4t Heidelberg stattfand, wurde diese Thematik aus verschiedenen Blickwinkeln beleuchtet. An der Diskussion nahmen \u00e4rztliche Vertreter*innen aus den Bereichen Intensivmedizin und Weaning sowie Vertreter*innen des WeanNet-Vorstandes, Atmungstherapeut*innen, ein Vertreter der AOK Baden-W\u00fcrttemberg und die Leiterin eines ambulanten Intensivpflegedienstes teil. Die Teilnehmenden der Befragung und der Podiumsdiskussion sahen in der praktischen Umsetzung noch Optimierungspotenzial dabei, die Aufgabe der Potenzialerhebung attraktiver f\u00fcr entsprechend qualifizierte \u00c4rzt*innen zu machen, da die Umsetzung aktuell sehr von der Motivation Einzelner abh\u00e4nge. Teilweise gebe es auch vonseiten der Patient*innen und deren Angeh\u00f6rigen Vorbehalte gegen\u00fcber einer Beatmungsentw\u00f6hnung und einer Dekan\u00fclierung, da hiermit oft ein Wechsel der Pflegeeinrichtung verbunden sei. Verbesserungsm\u00f6glichkeiten wurden v.a. darin gesehen, mehr Atmungstherapeut*innen mit einzubeziehen und telemedizinische Optionen zu nutzen; au\u00dferdem sei eine strukturelle, fl\u00e4chendeckende Versorgung w\u00fcnschenswert, die jedoch rein infrastrukturell nicht \u00fcberall umsetzbar scheint. Auch wenn Telemedizin eine gute Option sein k\u00f6nnte, die fl\u00e4chendeckende Versorgung auch in l\u00e4ndlicheren Regionen zu verbessern, sind die rechtlichen Rahmenbedingungen hierf\u00fcr noch nicht gegeben, ebenso wie f\u00fcr die Durchf\u00fchrung der Potenzialerhebung durch Atmungstherapeut*innen. Diese rechtlichen Regelungen gilt es in konstruktiver Zusammenarbeit aller beteiligten Leistungsgruppen und Patient*innen-Vertreter*innen zu diskutieren und auf den Weg zu bringen. Allgemein sahen die Teilnehmenden im IPReG eine Chance, Patient*innen mit Entw\u00f6hnungs- und Dekan\u00fclierungspotenzial zu identifizieren und die Situation langzeitbeatmeter Patient*innen in Deutschland durch die hiermit verbundenen, regelm\u00e4\u00dfigen Visiten durch einschl\u00e4gig qualifiziertes Personal zu verbessern.<\/jats:p>","DOI":"10.1055\/a-2592-0331","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T19:08:23Z","timestamp":1746817703000},"page":"653-660","source":"Crossref","is-referenced-by-count":1,"title":["Herausforderungen und Chancen des Intensivpflege- und Rehabilitationsst\u00e4rkungsgesetzes (GKV-IPReG): Meinungsbild und interprofessioneller sektoren\u00fcbergreifender Dialog"],"prefix":"10.1055","volume":"79","author":[{"given":"Jana Christina","family":"Dahlhoff","sequence":"additional","affiliation":[{"name":"Pneumologie und Beatmungsmedizin, Thoraxklinik-Heidelberg gGmbH, Heidelberg, Deutschland"},{"name":"Translational Lung Research Center Heidelberg (TLRC), Deutsches Zentrum f\u00fcr Lungenforschung (DZL), Heidelberg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biljana","family":"Joves","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Pneumologie, Intensiv- und Beatmungsmedizin, SLK-Lungenklinik L\u00f6wenstein, L\u00f6wenstein, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8433-9156","authenticated-orcid":false,"given":"Benjamin","family":"Neetz","sequence":"additional","affiliation":[{"name":"Pneumologie und Beatmungsmedizin, Thoraxklinik-Heidelberg gGmbH, Heidelberg, Deutschland"},{"name":"Translational Lung Research Center Heidelberg (TLRC), Deutsches Zentrum f\u00fcr Lungenforschung (DZL), Heidelberg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Iberl","sequence":"additional","affiliation":[{"name":"Pneumologie und Beatmungsmedizin, Thoraxklinik-Heidelberg gGmbH, Heidelberg, Deutschland"},{"name":"Translational Lung Research Center Heidelberg (TLRC), Deutsches Zentrum f\u00fcr Lungenforschung (DZL), Heidelberg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annett","family":"Heinze","sequence":"additional","affiliation":[{"name":"Ambulante Kinderkrankenpflege Regenbogen GmbH & Co. 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