[Paediatric gastroenterological and hepatological care in Germany: results of a nationwide survey].

Autor:	Zernickel M; Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm, Germany., Krahl A; Darmstädter Kinderkliniken Prinzessin Margaret, Darmstadt, Germany., Buderus S; GFO Kliniken Bonn Betriebsstätte St Marien, Bonn, Germany., Hach S; Gesellschaft für Pädiatrische Gastroenterologie und Ernährung e.V., Berlin, Germany., Melchior R; Facharztpraxis für Kinder und Jugendliche, Kassel, Germany., Saadi S; Kinderarztpraxis Neuhausen, München, Germany., Dammann S; Olgahospital, Klinikum Stuttgart, Stuttgart, Germany., Classen M; Klinik für Kinder- und Jugendmedizin, Eltern-Kind Zentrum Prof. Hess, Klinikum Bremen-Mitte gGmbH, Bremen, Germany., Posovszky C; Gastroenterologie und Ernährung, Universitäts-Kinderspital Zürich, Zurich, Switzerland.; Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm, Germany.
Jazyk:	němčina
Zdroj:	Zeitschrift fur Gastroenterologie [Z Gastroenterol] 2022 Oct; Vol. 60 (10), pp. 1490-1499. Date of Electronic Publication: 2022 Mar 16.
DOI:	10.1055/a-1751-3451
Abstrakt:	Introduction: Children and adolescents with chronic gastrointestinal, pancreatic and liver diseases need age-appropriate and qualified treatment. A representative survey is used to analyse the structural and personnel-related outpatient and inpatient care of children with chronic gastrointestinal, pancreatic and liver diseases in Germany. Methodology: 319 paediatric and adolescent medicine clinics and 50 paediatric gastroenterology practices in Germany were invited to participate in the anonymous online survey via EFS Survey. The structure of the facilities, further training authorisations, cooperations, treatment and care data and an assessment of the need for care were systematically recorded and descriptively evaluated. Results: 81 clinics and 10 practices participated in the survey. Almost two thirds of the clinics (n=52) provide outpatient paediatric gastroenterology services. Mostly up to 10 (25.4%) or 20 hours/week (33.8%). A quarter of the clinics do not offer consultation hours. Outpatient care needs cannot be met by two-thirds of the institutions. Half of all clinics stated that inpatient paediatric gastroenterology care needs can be met. However, one third cannot cover this and only rarely are there unused capacities. 35 clinics (43.2%) have a further training authorisation according to the state medical association (n=33) and/or are a further training centre of the Society for Paediatric Gastroenterology and Nutrition (GPGE) (n=18). Conclusion: There is a deficit in both outpatient and inpatient care in paediatric and adolescent gastroenterology. This results, among other things, from the economic framework conditions and a lack of personnel. Well-trained specialists with specialisation in paediatric and adolescent gastroenterology are still needed to provide qualified care throughout the country. Future studies should also include the need for paediatric gastroenterological care from the perspective of other groups, such as affected patients, internal gastroenterologists and paediatricians in private practice. Competing Interests: Die Autoren geben an, dass keine finanziellen Interessenkonflikte bestehen. AK, SB, RM, SS, SD, MC und CP sind Mitglieder der Gesellschaft für Pädiatrische Gastroenterologie und Ernährung (GPGE) e.V.; AK, SB, SS, SD, MC und CP waren zum Zeitpunkt der Umfrage im Vorstand und Beirat der GPGE ehrenamtlich tätig; SH ist bei der GPGE angestellt. CP ist Mitglied der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankeiten (DGVS) und RM beim Bund niedergelassener Gastroenterologen (BNG). (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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