{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T23:04:14Z","timestamp":1789686254427,"version":"4.0.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Weltweit steigt der Versorgungsbedarf von Kindern und Jugendlichen mit\n                        Geschlechtsdysphorie (GD). Eine prim\u00e4re Anlaufstelle ist oftmals die\n                        p\u00e4diatrische Praxis. Unklar ist bisher, welche Schwierigkeiten und\n                        Herausforderungen Kinder- und Jugend\u00e4rzt*innen (KJ\u00c4) in der Versorgung von\n                        Kindern und Jugendlichen mit GD erleben.<\/jats:p>\n                  <jats:p>Es wurden qualitative Interviews mithilfe eines teilstrukturierten Leitfadens\n                        durchgef\u00fchrt, um die Perspektive von KJ\u00c4 auf die Versorgungssituation zu\n                        erfassen. Stichprobe: 32 niedergelassene KJ\u00c4 aus Deutschland.<\/jats:p>\n                  <jats:p>Der Gro\u00dfteil der KJ\u00c4 beschrieb einen zunehmenden Beratungsbedarf zum Thema GD\n                        in der p\u00e4diatrischen Sprechstunde. Gleichzeitig wurden Unsicherheiten in der\n                        Versorgung ge\u00e4u\u00dfert, wie etwa hinsichtlich der \u00c4tiologie und Diagnostik\n                        sowie der Indikation zu somatomedizinischen Ma\u00dfnahmen im Jugendalter. Es\n                        wurde von H\u00fcrden bei der weiteren Anbindung von Patient*innen berichtet und\n                        die Notwendigkeit von fl\u00e4chendeckenden, ergebnisoffenen spezifischen\n                        Beratungsangeboten beschrieben.<\/jats:p>\n                  <jats:p>Die interviewten KJ\u00c4 zeigten fachliche Verunsicherung in der Versorgung von\n                        Kindern und Jugendlichen mit GD sowie hinsichtlich der Versorgungskonzepte\n                        spezialisierter Versorgungsangebote.<\/jats:p>\n                  <jats:p>Um eine bed\u00fcrfnisgerechte Versorgung von Kindern und Jugendlichen mit GD zu\n                        garantieren ist eine Sensibilisierung und Schulung von KJ\u00c4 notwendig. Durch\n                        transparente Versorgungsstrukturen und -pfade kann zudem eine effektive\n                        Zusammenarbeit zwischen der p\u00e4diatrischen Prim\u00e4rversorgung und\n                        spezialisierten Versorgungsangeboten erreicht werden.<\/jats:p>","DOI":"10.1055\/a-2640-1742","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T22:46:47Z","timestamp":1754002007000},"page":"240-246","source":"Crossref","is-referenced-by-count":0,"title":["Geschlechtsdysphorie in der p\u00e4diatrischen Praxis: Die\n                    Versorgungssituation von Kindern und Jugendlichen mit Geschlechtsdysphorie aus\n                    der Perspektive von niedergelassenen Kinder- und\n                    Jugend\u00e4rzt*innen"],"prefix":"10.1055","volume":"238","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7343-0804","authenticated-orcid":false,"given":"Lea","family":"Sundsgaard","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychosomatik und\n                    -psychotherapie, Universit\u00e4tsklinikum M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Wedekind","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulla","family":"Stelling","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychosomatik und\n                    -psychotherapie, Universit\u00e4tsklinikum M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"von Strachwitz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychosomatik und\n                    -psychotherapie, Universit\u00e4tsklinikum M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Karch","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Epidemiologie und Sozialmedizin, Universit\u00e4t M\u00fcnster,\n                    M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Nettermann","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Epidemiologie und Sozialmedizin, Universit\u00e4t M\u00fcnster,\n                    M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Helmut","family":"K\u00f6nig","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheits\u00f6konomie und Versorgungsforschung,\n                    Universit\u00e4tsklinikum Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Konnopka","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Gesundheits\u00f6konomie und Versorgungsforschung,\n                    Universit\u00e4tsklinikum Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Romer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychosomatik und\n                    -psychotherapie, Universit\u00e4tsklinikum M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"R\u00f6lver","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychosomatik und\n                    -psychotherapie, Universit\u00e4tsklinikum M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.eurpsy.2015.04.005","article-title":"Systematic review and meta-analysis of prevalence studies in transsexualism","volume":"30","author":"J Arcelus","year":"2015","journal-title":"Eur Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1016\/j.jsxm.2018.01.016","article-title":"The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in\n                    Prevalence, Treatment, and Regrets","volume":"15","author":"C M 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