{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:09Z","timestamp":1790586009816,"version":"4.1.0"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The development of regionally tailored healthcare goals and targets shared by all\n                    stakeholders is essential for a high-quality healthcare system. This study\n                    outlines the development of a generic framework for creating patient-centered,\n                    cross-sectoral healthcare targets, applying a multi-stage, hybrid Delphi process\n                    and using Saxony, Germany as an example. The process involved key stakeholders,\n                    including policymakers, healthcare providers, and patient representatives, and\n                    focused on two use cases: child and adolescent health and dementia. Through\n                    expert interviews, online surveys, and workshops, five thematic domains were\n                    identified: digitalization, patient orientation, cross-sectoral care, securing\n                    skilled workers, and health(-system) competence. A total of 15 healthcare\n                    targets were developed, addressing structural and process improvements at macro,\n                    meso, and micro levels. While digitalization targets were rated highest in\n                    alignment with SMART criteria, patient orientation targets showed room for\n                    improvement. The study highlights the importance of stakeholder consensus,\n                    measurable indicators, and iterative adjustments to ensure effective\n                    implementation. Despite challenges such as limited measurability and tight\n                    timelines, the results provide a transferable framework for developing\n                    healthcare targets that can guide strategic planning and resource allocation.\n                    This approach contributes to optimizing healthcare delivery and achieving\n                    equitable, needs-based care in Saxony and beyond.<\/jats:p>","DOI":"10.1055\/a-2904-3017","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:41:40Z","timestamp":1790584900000},"source":"Crossref","is-referenced-by-count":0,"title":["Developing regional tailored health care targets on a federal level \u2013\n                    a multi stage delphi process"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6576-9246","authenticated-orcid":false,"given":"Julia","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Center for Evidence-Based Healthcare, Faculty of Medicine and\n                    University Hospital Carl Gustav Carus, TUD Dresden University of Technology,\n                    Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Feldhus","sequence":"additional","affiliation":[{"name":"Chair of Health Economics, Technical University of Munich, Munich,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"H\u00e4ckl","sequence":"additional","affiliation":[{"name":"Institute of Public Finance and Public Management, Faculty of Economics\n                    and Management Science, Leipzig University, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenz","family":"Harst","sequence":"additional","affiliation":[{"name":"Center for Evidence-Based Healthcare, Faculty of Medicine and\n                    University Hospital Carl Gustav Carus, TUD Dresden University of Technology,\n                    Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-8821","authenticated-orcid":false,"given":"Ivonne","family":"Panchyrz","sequence":"additional","affiliation":[{"name":"Center for Evidence-Based Healthcare, Faculty of Medicine and\n                    University Hospital Carl Gustav Carus, TUD Dresden University of Technology,\n                    Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Sundmacher","sequence":"additional","affiliation":[{"name":"Chair of Health Economics, Technical University of Munich, Munich,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Thiesen","sequence":"additional","affiliation":[{"name":"Health System Research, WIG2 \u2013 Scientific Institute for Health\n                    Economics and Health System Research, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Walther","sequence":"additional","affiliation":[{"name":"Center for Evidence-Based Healthcare, Faculty of Medicine and\n                    University Hospital Carl Gustav Carus, TUD Dresden University of Technology,\n                    Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Weinhold","sequence":"additional","affiliation":[{"name":"Health System Research, WIG2 \u2013 Scientific Institute for Health\n                    Economics and Health System Research, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3578-7977","authenticated-orcid":false,"given":"Felix","family":"Wittmann","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Occupational Health and Public Health\n                    (ISAP), Leipzig University, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Center for Evidence-Based Healthcare, Faculty of Medicine and\n                    University Hospital Carl Gustav Carus, TUD Dresden University of Technology,\n                    Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.5771\/1611-5821-2019-4-5-22","article-title":"Instrumente der ambulanten Bedarfsplanung\u2013ein Vergleich ausgew\u00e4hlter\n                    europ\u00e4ischer L\u00e4nder","volume":"73","author":"F Kleinke","year":"2019","journal-title":"Gesundheits-und Sozialpolitik"},{"key":"ref3","first-page":"211","volume-title":"Reform und Reformbedarf in der Bedarfsplanung sowie fehlende\n                    sektoren\u00fcbergreifende 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