{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T23:10:13Z","timestamp":1756249813923,"version":"3.44.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Beratung bei einer geplanten Hilfsmittelversorgung ist aktuell in Deutschland nicht gegenfinanziert, nicht reglementiert und wird von diversen Anbietern mit Angestellten unterschiedlicher Qualifikationen im Rahmen eines pers\u00f6nlichen Gespr\u00e4chs, per Telefon oder remote angeboten. Nicht selten wird die Beratung zwischen Rezept und Bemusterung bzw. Lieferung komplett \u00fcbersprungen. Die Qualit\u00e4t der Hilfsmittelberatung als wichtigem Element einer passageren, therapiebegleitenden oder palliativen Versorgung einer Harninkontinenz ist daher als problematisch zu bewerten.<\/jats:p><jats:p>Der Arbeitskreis \u201egeriatrische Urologie\u201c der Deutschen Gesellschaft f\u00fcr Urologie hat 2019 erstmals eine Leitlinie zum Beratungsprozess einer Hilfsmittelversorgung vorgelegt, die aktuell in einem Update vorliegt und bei der Arbeitsgemeinschaft wissenschaftlich-medizinischer Fachgesellschaften gelistet ist. Grundgedanke war, in Deutschland Qualit\u00e4tsstandards f\u00fcr die einzelnen Komponenten des Beratungsprozesses von der Erfassung der Inkontinenzform und ihres Schweregrads bis hin zur Bemusterung, dem Beratungsort, dem Beratungsgespr\u00e4ch selbst, der Qualifikation der Beratenden und der Kommunikation zwischen Verordnern, Leistungserbringern und Betroffenen zu definieren.<\/jats:p><jats:p>Der vorliegende Artikel stellt den Abdruck der Leitlinienteile \u00fcber den Beratungsprozess, den Geltungsbereich und die Erfassung der Harninkontinenz mit den patientenrelevanten Informationen dar.<\/jats:p><jats:p>Weil sich die Hilfsmittelberatung aus den geringen Erstattungsbeitr\u00e4gen der Krankenkassen f\u00fcr eine \u201eangemessene und ausreichende\u201c Hilfsmittelversorgung generieren soll, die in der Regel bei unter 15 \u20ac pro Monat liegen, ziehen sich immer mehr Anbieter komplett aus dem Sektor der Hilfsmittelversorgung zur\u00fcck oder verkaufen zwar noch Hilfsmittel, jedoch komplett ohne oder nur mit rudiment\u00e4rer Beratung. Die Leitlinie \u201eHilfsmittelberatung bei Harninkontinenz\u201c des Arbeitskreises \u201egeriatrische Urologie\u201c der DGU soll hier Qualit\u00e4tsstandards auch im Hinblick auf eine politische Diskussion um Erstattungsbeitr\u00e4ge definieren.<\/jats:p>","DOI":"10.1055\/a-2607-2819","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T22:40:22Z","timestamp":1756248022000},"page":"484-489","source":"Crossref","is-referenced-by-count":0,"title":["S2K-Leitlinie Hilfsmittelberatung bei Harninkontinenz der DGU \u2013 Prozess, Geltungsbereich, Erfassung der Harninkontinenz"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4960-7498","authenticated-orcid":false,"given":"Andreas","family":"Wiedemann","sequence":"additional","affiliation":[{"name":"Urologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Witten"},{"name":"Lehrstuhl f\u00fcr Geriatrie, Universit\u00e4t Witten\/Herdecke, Witten, 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Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius","family":"Butea-Bocu","sequence":"additional","affiliation":[{"name":"Kliniken Hartenstein, Bad Wildungen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Fiebig","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie und Kinderurologie, Universit\u00e4tsklinikum Erlangen, Erlangen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Piotrowski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Klinikum Bad Hersfeld, Bad Hersfeld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Glei\u00dfner","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Urologie, Wuppertal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clemens","family":"Linne","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Urologie, 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