{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T08:33:04Z","timestamp":1793349184645,"version":"4.5.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"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"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Personen mit kardiologischen und pneumologischen Erkrankungen sowie\n                        Schwangere sind durch den Klimawandel besonders gesundheitlich gef\u00e4hrdet.\n                        Studien zeigen, dass diese Gruppen w\u00e4hrend Hitzeperioden und bei vermehrter\n                        Luftverschmutzung mehr medizinische Leistungen in Anspruch nehmen. Im Rahmen\n                        des LOEWE-Schwerpunktprojektes \u201eHABITAT\u201c wird unter anderem untersucht, wie\n                        die aktuelle Versorgungsituation in Hessen in diesen Fachbereichen\n                        ausgestaltet ist und inwieweit die ambulante und station\u00e4re\n                        Gesundheitsversorgung bedarfsgerecht und innerhalb angemessener Fahrzeit\n                        erreichbar ist.<\/jats:p>\n                  <jats:p>Bei der vorliegenden Untersuchung handelt es sich um eine regionale,\n                        deskriptive Terti\u00e4rdatenanalyse mit r\u00e4umlicher Erreichbarkeitsanalyse.\n                        Anhand von \u00f6ffentlich zug\u00e4nglichen Terti\u00e4rdaten wurden Pr\u00e4valenzdaten mit\n                        Bev\u00f6lkerungsdaten (insbesondere Alter und soziale Deprivation) und\n                        Erreichbarkeitsdaten verkn\u00fcpft.<\/jats:p>\n                  <jats:p>Es lassen sich regionale Unterschiede zwischen den Landkreisen bei der\n                        Verteilung der Erkrankten an COPD, Asthma bronchiale, Herzinsuffizienz und\n                        KHK erkennen. Auch die Inzidenzen von hypertensiven Erkrankungen in der\n                        Schwangerschaft unterscheiden sich in den Landkreisen. Es zeigt sich, dass\n                        besonders in Landkreisen, wie dem Vogelsbergkreis oder Hersfeld-Rotenburg,\n                        die durch ein erh\u00f6htes Durchschnittsalter und eine h\u00f6here soziale\n                        Deprivation gekennzeichnet sind, vermehrt pneumologische und kardiologische\n                        Erkrankungen auftreten. In solchen Regionen ist zus\u00e4tzlich die Dichte an\n                        Gesundheitseinrichtungen geringer. Mit Ausnahme weniger Gemeinden im\n                        l\u00e4ndlichen Raum des Vogelsbergkreises sind alle ambulanten\n                        Gesundheitseinrichtungen mit dem PKW innerhalb von 30 Minuten\n                        erreichbar.<\/jats:p>\n                  <jats:p>Insgesamt kann die Anzahl der Gesundheitseinrichtungen sowie deren\n                        PKW-Erreichbarkeit in Hessen als angemessen bezeichnet werden. Angesichts\n                        des demografischen Wandels und sozio\u00f6konomischer Unterschiede sollte jedoch\n                        bedacht werden, dass die PKW-Erreichbarkeit nicht ausreicht, da\n                        Bev\u00f6lkerungsgruppen nicht ber\u00fccksichtigt werden, die auf eine \u00d6PNV-Nutzung\n                        angewiesen sind.<\/jats:p>","DOI":"10.1055\/a-2800-8207","type":"journal-article","created":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T08:02:36Z","timestamp":1793347356000},"source":"Crossref","is-referenced-by-count":0,"title":["Analyse der Gesundheitsversorgung f\u00fcr kardiologische, pneumologische\n                    und geburtshilfliche Erkrankungen in Hessen: Regionale Unterschiede und\n                    Erreichbarkeiten"],"prefix":"10.1055","author":[{"given":"Caroline Maria","family":"K\u00f6rner","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research and Clinical Epidemiology,\n                    Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Geraedts","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research and Clinical Epidemiology,\n                    Philipps-Universit\u00e4t Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"ref1","volume-title":"Protecting health from climate change: Global research priorities","author":"WHO","year":"2009"},{"key":"ref2","first-page":"7","article-title":"Klimawandel und Public Health in Deutschland-Eine Einf\u00fchrung in den\n                    Sachstandsbericht Klimawandel und Gesundheit 2023","volume":"8","author":"E Hertig","year":"2023","journal-title":"Journal of Health Monitoring"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.cdtm.2020.05.004","article-title":"Air pollution and chronic obstructive pulmonary disease","author":"R-R Duan","year":"2020","journal-title":"Chronic Diseases and Translational Medicine"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.1136\/thoraxjnl-2021-218374","article-title":"Ambient heat exposure and COPD hospitalisations in England: a nationwide\n                    case-crossover study during 2007-2018","volume":"77","author":"G Konstantinoudis","year":"2022","journal-title":"Thorax"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1016\/S0140-6736(13)60898-3","article-title":"Global association of air pollution and heart failure: a systematic review and\n                    meta-analysis","volume":"382","author":"AS V Shah","year":"2013","journal-title":"The Lancet"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1038\/s41591-024-03395-8","article-title":"A systematic review and meta-analysis of heat exposure impacts on maternal,\n                    fetal and neonatal health","volume":"31","author":"D P Lakhoo","year":"2025","journal-title":"Nat Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2925","DOI":"10.1038\/s41467-020-16775-8","article-title":"Association between ambient temperature and hypertensive disorders in pregnancy\n                    in China","volume":"11","author":"T Xiong","year":"2020","journal-title":"Nat Commun"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.crvi.2007.12.001","article-title":"Death toll exceeded 70,000 in Europe during the summer of 2003","volume":"331","author":"J-M Robine","year":"2008","journal-title":"C R Biol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.1016\/S0140-6736(14)60617-6","article-title":"Outdoor air pollution and asthma","volume":"383","author":"M Guarnieri","year":"2014","journal-title":"The Lancet"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"19157","DOI":"10.1038\/s41598-020-76212-0","article-title":"Spatial accessibility of general inpatient care in Germany: an analysis of\n                    surgery, internal medicine and neurology","volume":"10","author":"J Bauer","year":"2020","journal-title":"Sci Rep"},{"key":"ref23","doi-asserted-by":"publisher","author":"Robert Koch-Institut","journal-title":"Risiko f\u00fcr eine Herz-Kreislauf-Erkrankung in Deutschland: Ergebnisse\n                    aus GEDA 2022 2025","DOI":"10.25646\/13095"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"S267","DOI":"10.1055\/a-2326-6768","article-title":"R\u00e4umliche und sozio\u00f6konomische Muster der psychischen Gesundheit und der\n                    Leistungsinanspruchnahme in K\u00f6ln, Deutschland","volume":"86","author":"A Poppe","year":"2024","journal-title":"Gesundheitswesen"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.whi.2023.08.001","article-title":"Social Determinant Pathways to Hypertensive Disorders of Pregnancy Among\n                    Nulliparous U.S. Women","volume":"34","author":"M H Keith","year":"2024","journal-title":"Womens Health Issues"},{"key":"ref27","volume-title":"Deutscher Herzbericht \u2013 Update","author":"Deutsche Herzstiftung e.V","year":"2025"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e0190865","DOI":"10.1371\/journal.pone.0190865","article-title":"Who is where at risk for Chronic Obstructive Pulmonary Disease?\n                    A spatial epidemiological analysis of health insurance claims for COPD in\n                    Northeastern Germany","volume":"13","author":"B Kauhl","year":"2018","journal-title":"PLOS ONE"}],"container-title":["Das 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