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Z Evid Fortbild Qual Gesundhwes. 2021 Dec;167:68-77. doi: 10.1016/j.zefq.2021.09.004. Epub 2021 Nov 10.

[The role of university hospitals in regional health care management for coping with the COVID-19 pandemic].

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

[Article in German]
Ivonne Panchyrz, Solveig Pohl, Julia Hoffmann, Carina Gatermann, Felix Walther, Lorenz Harst, Hanns-Christoph Held, Christian Kleber, Michael Albrecht, Jochen Schmitt

Affiliations

  1. Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Dresden und Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland.
  2. Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Dresden und Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland; Zentralbereich Qualitäts- und Medizinisches Risikomanagement, Universitätsklinikum Carl Gustav Carus an der Technische Universität Dresden, Dresden, Deutschland.
  3. Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Dresden, Dresden, Deutschland.
  4. Universitätszentrum für Orthopädie, Unfallchirurgie und Plastische Chirurgie (OUPC), Carl Gustav Carus Universitätsklinikum Dresden, Dresden, Deutschland.
  5. Medizinischer Vorstand, Universitätsklinikum Carl Gustav Carus an der Technische Universität Dresden, Dresden, Deutschland.
  6. Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Dresden und Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland. Electronic address: [email protected].

PMID: 34774428 PMCID: PMC8580327 DOI: 10.1016/j.zefq.2021.09.004

Abstract

INTRODUCTION: The complex and dynamic situation in the current pandemic requires a regionally coordinated and interconnected cooperation between the different stakeholders within the health care system, such as the inpatient sector or the public health service. The aim of this study is to analyze health care management during the COVID-19 pandemic in 2020 with a focus on regional networking and communication structures.

METHODS: As part of the BMBF-funded project "egePan Unimed", an online questionnaire on pandemic management was sent to the boards of all 35 German university hospitals in November 2020. The questionnaire focused on the core topics of regional networking, crisis management, data exchange, and communication with political stakeholders. The questionnaire consisted of 37 closed and three open-ended questions. After piloting, the invitation to the survey was extended three times by mail and once by telephone.

RESULTS: The results (n=25, response 71.4%) show that 68% of the clinics surveyed were connected to representatives from the inpatient sector and 86% to representatives from the public health service. Networking with representatives from the outpatient sector was less common (26%). Of the university hospitals surveyed, 84% had a leadership role in a regional COVID-19 pandemic management effort. Data exchange with regional hospitals in the course of pandemic management took place at 75% of the participating university hospitals and with supra-regional hospitals at 67% of the clinics surveyed.

CONCLUSION: To manage regional medical care during the COVID-19 pandemic in 2020, university hospitals often assumed a coordinating role in the complex pandemic care process. There were often structured collaborations with regional clinics and health departments and comparatively few cooperations with the outpatient care sector. However, this cooperation has the potential to prevent overcrowding in hospitals.

Copyright © 2021. Published by Elsevier GmbH.

Keywords: COVID-19 pandemic; COVID-19-Pandemie; Regional care structures; Rregionale Versorgungsstrukturen; University medicine; Universitätsmedizin; Value-based Healthcare; Value-based health care

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