{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T23:24:27Z","timestamp":1775604267723,"version":"3.50.1"},"reference-count":58,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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>Grunds\u00e4tzlich besteht ein Zusammenhang zwischen Arbeitslosigkeit und der\n                        Gesundheit der von Arbeitslosigkeit Betroffenen. F\u00fcr Deutschland fehlen f\u00fcr\n                        diesen Zusammenhang aktuelle Daten, insbesondere auf der Basis \u00e4rztlich\n                        gestellter Diagnosen und unter Ber\u00fccksichtigung regionaler\n                        Besonderheiten.<\/jats:p>\n                  <jats:p>Bundesweit wurden alle sozialmedizinischen Begutachtungen des \u00c4rztlichen\n                        Dienstes der Bundesagentur f\u00fcr Arbeit zwischen 2016\u20132021 hinsichtlich\n                        Diagnosen, Beurteilung der Leistungsf\u00e4higkeit und regionaler Zuordnungen\n                        analysiert.<\/jats:p>\n                  <jats:p>Insgesamt wurden 4.249.028 Begutachtungen ausgewertet. Im Jahr 2021 wurden\n                        durchschnittlich 1,4% der erwerbsf\u00e4higen arbeitslosen Personen begutachtet,\n                        relativ am meisten in der Region Berlin-Brandenburg (1,9%), absolut am\n                        meisten in Nordrhein-Westfalen (19,2%). Relativ zur Arbeitslosenquote fanden\n                        die meisten Begutachtungen in Baden-W\u00fcrttemberg statt. In allen Regionen\n                        sind F-Diagnosen (psychische Erkrankungen) am h\u00e4ufigsten \u2013 vor allem bei den\n                        unter 25-J\u00e4hrigen (3\/4) und in Berlin-Brandenburg (62,4%). Am\n                        zweith\u00e4ufigsten sind M-Diagnosen (muskulo-skelettale Erkrankungen) mit den\n                        h\u00f6chsten Werten (35,9%) in Niedersachsen-Bremen und I-Diagnosen\n                        (Herz-\/Kreislauferkrankungen) mit den h\u00f6chsten Werten (14,8%) in\n                        Sachsen-Anhalt und Th\u00fcringen. W\u00e4hrend die gesamte Krankheitslast in\n                        Nordrhein-Westfalen am h\u00f6chsten liegt, hat Berlin-Brandenburg mit 40,7% die\n                        h\u00f6chste Anzahl von leistungsunf\u00e4higen arbeitslosen Personen, wobei\n                        bundesweit insgesamt 33,9% aller begutachteten arbeitslosen Personen als\n                        leistungsunf\u00e4hig (&lt;3 Stunden arbeitsf\u00e4hig\/Tag) eingestuft wurden.<\/jats:p>\n                  <jats:p>Erkrankungen sind ein wichtiges Hindernis f\u00fcr das Durchbrechen von\n                        Arbeitslosigkeit. Entsprechend kann eine Behandlung helfen, in den\n                        Arbeitsmarkt zur\u00fcckzukehren. Die hier aufgezeigten regionalen Varianzen\n                        weisen auf nur schwer erkl\u00e4rbare Unterschiede hin.<\/jats:p>","DOI":"10.1055\/a-2754-1400","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:54:02Z","timestamp":1773273242000},"page":"260-270","source":"Crossref","is-referenced-by-count":0,"title":["Regionale Charakteristika der Diagnoseh\u00e4ufigkeit unter im \u00c4rztlichen\n                    Dienst der Bundesagentur f\u00fcr Arbeit begutachteten Arbeitslosen"],"prefix":"10.1055","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6120-6856","authenticated-orcid":false,"given":"Andreas Guenter","family":"Franke","sequence":"additional","affiliation":[{"name":"Department of Counselling, University of Applied Labour Studies,\n                    Mannheim, Germany"},{"name":"\u00c4rztlicher Dienst, Bundesagentur f\u00fcr Arbeit, Nuremberg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-6990","authenticated-orcid":false,"given":"Norbert","family":"Scherbaum","sequence":"additional","affiliation":[{"name":"LVR-Universit\u00e4tsklinik Essen, Klinik f\u00fcr Psychiatrie und\n                    Psychotherapie, Medizinische Fakult\u00e4t der Universit\u00e4t Duisburg-Essen, Essen,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7740-4076","authenticated-orcid":false,"given":"Kirsi Marjaana","family":"Manz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr H\u00e4matologie, H\u00e4mostaseologie, Onkologie und\n                    Stammzellentransplantation, Medizinische Hochschule Hannover (MHH), Hanover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5986-9788","authenticated-orcid":false,"given":"Claudia","family":"Pieper","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Informatik, Biometrie und Epidemiologie,\n                    Universit\u00e4tsklinikum Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Lotz-Metz","sequence":"additional","affiliation":[{"name":"\u00c4rztlicher Dienst, Bundesagentur f\u00fcr Arbeit, Nuremberg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"ref1","volume-title":"Die Arbeitslosen von Marienthal. 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