{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T23:24:31Z","timestamp":1775604271156,"version":"3.50.1"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Deutschland hat die Corona-Pandemie nicht zuletzt wegen seines gut ausgestatteten\n                    medizinischen Versorgungssystems mit hoher Arzt- und Krankenhausdichte\n                    bew\u00e4ltigt. Vor allem in der ersten Welle \u00fcbernahm zudem der \u00d6ffentliche\n                    Gesundheitsdienst bev\u00f6lkerungsmedizinische Verantwortung. Dabei legte die\n                    Corona-Krise den Bedarf der Gesundheits\u00e4mter an besserer Ausstattung,\n                    Fachlichkeit und sektoraler Abstimmung offen. Die Pandemie zeigte die enge\n                    Verbindung zwischen verschiedenen gesundheitsbezogenen Herausforderungen,\n                    Erkrankungsfeldern und gesundheitlichen Ungleichheiten auf. F\u00fcr die zuk\u00fcnftige\n                    Bew\u00e4ltigung akuter und chronischer Gesundheitsprobleme ist eine bessere\n                    Koordinierung und Kooperation zwischen der individualmedizinischen, insbesondere\n                    der haus\u00e4rztlichen Krankenversorgung und den f\u00fcr die Bev\u00f6lkerungsmedizin\n                    verantwortlichen Gesundheits\u00e4mtern erforderlich. Internationale Erfahrungen\n                    zeigen, wie eine wirksame Integration dieser Sektoren zur Verbesserung der\n                    Versorgung und zur Verringerung gesundheitlicher Ungleichheiten beitragen kann.\n                    Der vorliegende Artikel stellt vor dem Hintergrund der internationalen\n                    gesundheitswissenschaftlichen Debatte zun\u00e4chst die Konzepte der prim\u00e4ren\n                    Gesundheitsversorgung (Primary health care \u2013 PHC) und der \u00d6ffentlichen\n                    Gesundheit (Public Health \u2013 PH) vor. Anschlie\u00dfend diskutiert er die\n                    M\u00f6glichkeiten und Herausforderungen einer engeren Verzahnung von haus\u00e4rztlicher\n                    Krankenversorgung und \u00d6ffentlichem Gesundheitsdienst, entwickelt Ans\u00e4tze f\u00fcr die\n                    entsprechende Weiterentwicklung des deutschen Gesundheitssystems und analysiert\n                    die sich daraus ergebenden Optionen f\u00fcr eine Verbesserung der\n                    Bev\u00f6lkerungsgesundheit.<\/jats:p>","DOI":"10.1055\/a-2701-4143","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:05:52Z","timestamp":1765325152000},"page":"271-282","source":"Crossref","is-referenced-by-count":0,"title":["Bev\u00f6lkerungsmedizin in Deutschland: Versorgung und Vorsorge\n                    verkn\u00fcpfen"],"prefix":"10.1055","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0896-1549","authenticated-orcid":false,"given":"Jens","family":"Holst","sequence":"additional","affiliation":[{"name":"Fachbereich Gesundheitswissenschaften, Hochschule Fulda, Fulda,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3071-9772","authenticated-orcid":false,"given":"Peter","family":"Tinnemann","sequence":"additional","affiliation":[{"name":"Amtsleitung, Gesundheitsamt Frankfurt, Frankfurt, Germany"},{"name":"Institut f\u00fcr Sozialmedizin, Epidemiologie und Gesundheits\u00f6konomie,\n                    Charite - Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1348-094X","authenticated-orcid":false,"given":"Nicolai","family":"Savaskan","sequence":"additional","affiliation":[{"name":"Amtsleitung, Gesundheitsamt Neuk\u00f6lln, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1055\/a-2418-2896","article-title":"COVID-19 Aufarbeitung: Wahrheit, Vers\u00f6hnung und Entwicklung, nicht\n                    Abrechnung","volume":"86","author":"M Wildner","year":"2024","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1055\/a-2329-7058","article-title":"[an after-action review at municipal level in the public health service \u2013\n                    lessons learned at the corona unit of the Duesseldorf public health authority\n                    after the end of the covid-19 pandemic, March 2023]","volume":"86","author":"H H\u00f6glund-Braun","year":"2024","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1055\/a-1276-0847","article-title":"COVID-19: Besondere Herausforderungen an Public Health in Theorie und Praxis\n                    [COVID-19: Special Challenges for Theoretical and Practical Public Health]","volume":"82","author":"J Holst","year":"2020","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany)"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e797","DOI":"10.1016\/S2468-2667(22)00199-2","article-title":"Reforming the public health system in England","volume":"7","author":"D J Hunter","year":"2022","journal-title":"The Lancet Public Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"q760","DOI":"10.1136\/bmj.q760","article-title":"Public health is in crisis, but it can be fixed","volume":"384","author":"D J Hunter","year":"2024","journal-title":"BMJ (clinical research ed)"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/978-3-031-31986-0_38","article-title":"COVID-19 Pandemic and Health and Social Inequalities Worldwide: Impact and\n                    Response Measures in Greece","volume":"1425","author":"M Malliarou","year":"2023","journal-title":"Advances in experimental medicine and biology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"116484","DOI":"10.1016\/j.socscimed.2023.116484","article-title":"Social inequalities and the COVID-19 pandemic","volume":"340","author":"G Sorci","year":"2024","journal-title":"Social science & Medicine (1982)"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1080\/17441692.2020.1795222","article-title":"The world expects effective global health interventions: Can global health\n                    deliver?","volume":"15","author":"J Holst","year":"2020","journal-title":"Global Public Health"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e001188","DOI":"10.1136\/bmjgh-2018-001188","article-title":"Alma Ata after 40 years: Primary Health Care and Health for All-from consensus\n                    to complexity","volume":"3","author":"S B Rifkin","year":"2018","journal-title":"BMJ global health"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"38","DOI":"10.12927\/hcpol.2013.22778","article-title":"The World Health Report 2008 - Primary Healthcare: How Wide Is the Gap between\n                    Its Agenda and Implementation in 12 High-Income Health Systems?","volume":"7","author":"R Gauld","year":"2012","journal-title":"Healthcare policy=politiques de sant\u00e9"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1007\/s00108-024-01757-5","article-title":"[Primary care medicine in Germany at the crossroads]","volume":"65","author":"T Schr\u00f6ter","year":"2024","journal-title":"Innere Medizin (Heidelberg, Germany)"},{"key":"ref28","first-page":"15","article-title":"Corona-Krise und \u00f6ffentlicher Gesundheitsdienst","volume":"20","author":"J Kuhn","year":"2020","journal-title":"G+G Wissenschaft"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.gaceta.2016.05.012","article-title":"Promoci\u00f3n de la salud en atenci\u00f3n primaria: si Hip\u00f3crates levantara la cabeza\u2026\n                    (Healthcare promotion in primary care: if Hippocrates were alive today\u2026)","volume":"30","author":"E Cabeza","journal-title":"Gaceta Sanitaria"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1017\/S1463423611000491","article-title":"A scoping literature review of collaboration between primary care and public\n                    health","volume":"13","author":"R Martin-Misener","year":"2012","journal-title":"Primary Health Care Research & Development"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"e00042418","DOI":"10.1590\/0102-311X00042418","article-title":"[Primary health care reform in Portugal, 2005-2018: the future and challenges of\n                    coming of age]","volume":"35","author":"L V Lap\u00e3o","year":"2019","journal-title":"Cadernos de saude publica"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"e00310142","DOI":"10.1590\/1981-7746-sol00310","article-title":"\u00bfEs la atenci\u00f3n primaria de salud integral parte de la respuesta a la pandemia\n                    de Covid-19 en Latinoam\u00e9rica? (Is comprehensive primary health care part of the\n                    response to the COVID-19 pandemic in Latin America?)","volume":"19","author":"L Giovanella","year":"2021","journal-title":"Trabalho, Educa\u00e7\u00e3o e Sa\u00fade"},{"key":"ref33","first-page":"109","volume-title":"Slovenia. In: Rechel B, Maresso A, Sagan A et al. (eds) Organization and\n                    financing of public health services in Europe: Country reports","author":"V K Petri\u010d","year":"2018"},{"key":"ref34","first-page":"82","volume-title":"Gesundheitswesen in Chile und Prim\u00e4re Gesundheitsversorgung \u2013 Erfolgreiche\n                    Integration? (Chilean Healthcare System and Primary Health Care: Integration\n                    accomplished?). In: Jahrbuch f\u00fcr Kritische Medizin und\n                    Gesundheitswissenschaften","author":"\u00d3 Arteaga","year":"2014"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1093\/inthealth\/ihv040","article-title":"Why the communicable\/non-communicable disease dichotomy is problematic for\n                    public health control strategies: implications of multimorbidity for health\n                    systems in an era of health transition","volume":"7","author":"T Oni","year":"2015","journal-title":"International health"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"105084","DOI":"10.1016\/j.healthpol.2024.105084","article-title":"Germany\u2019s national public health gets reorganized: A new institute shall take\n                    center stage","volume":"145","author":"N Savaskan","year":"2024","journal-title":"Health policy (Amsterdam, Netherlands)"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"405","DOI":"10.3322\/caac.21858","article-title":"Proportion and number of cancer cases and deaths attributable to potentially\n                    modifiable risk factors in the United States, 2019","volume":"74","author":"F Islami","year":"2024","journal-title":"CA: a cancer journal for clinicians"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1080\/17571472.2018.1445946","article-title":"A proactive general practice: Integrating public health into primary care","volume":"10","author":"S Rawaf","year":"2018","journal-title":"London Journal of Primary Care"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1186\/s12889-019-7002-z","article-title":"A population-based approach to integrated healthcare delivery: a scoping review\n                    of clinical care and public health collaboration","volume":"19","author":"M Shahzad","year":"2019","journal-title":"BMC public health"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1007\/BF03391699","article-title":"The Interaction of Public Health and Primary Care: Functional Roles and\n                    Organizational Models that Bridge Individual and Population Perspectives","volume":"14","author":"J-F Levesque","year":"2013","journal-title":"Public Health Reviews"},{"key":"ref46","first-page":"20","article-title":"Integrating primary care and public health","volume":"26","author":"B Rechel","year":"2020","journal-title":"Eurohealth"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1055\/a-1005-7082","article-title":"Soziale Determinanten von Gesundheit als Lehr- und Pr\u00fcfungsinhalte im\n                    Medizinstudium","volume":"82","author":"F Hommes","year":"2020","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"q2811","DOI":"10.1136\/bmj.q2811","article-title":"Medical education fit for the future requires radical change","volume":"387","author":"H A Khan","year":"2024","journal-title":"BMJ (clinical research ed)"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"217","DOI":"10.4300\/JGME-D-10-00150.1","article-title":"A public health approach to pediatric residency education: responding to social\n                    determinants of health","volume":"3","author":"A A Kuo","year":"2011","journal-title":"Journal of graduate medical education"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"E474","DOI":"10.1503\/cmaj.160177","article-title":"Taking action on the social determinants of health in clinical practice: a\n                    framework for health professionals","volume":"188","author":"CLEAR Collaboration","year":"2016","journal-title":"CMAJ: canadian medical association journal=journal de l\u2019association\n                    medicale canadienne"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"57","DOI":"10.7861\/clinmedicine.11-1-57","article-title":"How doctors can close the gap: tackling the social determinants of health","volume":"11","author":"S Atkinson","year":"2011","journal-title":"Clinical medicine (London, England)"},{"key":"ref52","first-page":"7","article-title":"Wege zur integrierten und sektoren\u00fcbergreifenden Versorgung","volume":"17","author":"S Gre\u00df","year":"2017","journal-title":"G+G Wissenschaft"},{"key":"ref54","first-page":"135","volume-title":"Integriertes Verwaltungshandeln f\u00fcr eine gesundheitsf\u00f6rdernde\n                    Stadtentwicklung","author":"C B\u00f6hme","year":"2018"},{"key":"ref55","first-page":"70","volume-title":"Health in All Policies: Gesundheit als integrales Thema von Stadtplanung und\n                    -entwicklung","author":"H K\u00f6ckler","year":"2018"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1055\/a-2506-5176","article-title":"Politisch krisenfeste Gesundheits\u00e4mter durch \u00e4rztliche Unabh\u00e4ngigkeit","volume":"87","author":"N Savaskan","year":"2025","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1055\/a-2600-0753","article-title":"Es braucht mehr als \u00e4rztliche Unabh\u00e4ngigkeit fu\u0308r krisenfeste\n                    Gesundheits\u00e4mter","volume":"87","author":"J Holst","year":"2025","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"894","DOI":"10.1055\/a-1630-7155","article-title":"[COVID-19 and Its Potential for Disruption and Transformation in Public Health:\n                    Lessons Learned from the Perspective of Young Professionals]","volume":"83","author":"K Sell","year":"2021","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"},{"key":"ref67","doi-asserted-by":"crossref","DOI":"10.61163\/ktyx-9264","volume-title":"Der \u00f6ffentliche Gesundheitsdienst","author":"U Teichert","year":"2020"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1055\/a-2320-2740","article-title":"Die zuk\u00fcnftige Sicherstellung der haus\u00e4rztlichen Versorgung aus kommunaler\n                    Perspektive","volume":"87","year":"2025","journal-title":"Gesundheitswesen (Bundesverband der \u00c4rzte des \u00f6ffentlichen\n                    Gesundheitsdienstes (Germany))"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2701-4143.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:31:14Z","timestamp":1775601074000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2701-4143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,9]]},"references-count":38,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,4,7]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2701-4143","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,9]]}}}