[Regional differences in the distance to rheumatological specialist care in Germany].

IF 1 4区医学 Q4 RHEUMATOLOGY Zeitschrift fur Rheumatologie Pub Date : 2025-09-01 Epub Date: 2025-03-25 DOI:10.1007/s00393-025-01641-z

Carlo Veltri, Nora Baer, Martin Aringer, Thorsten Eidner, Jörg Henes, Katja Thiele, Johanna Callhoff, Katinka Albrecht

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Abstract

Background: Rheumatological care should be available for people with inflammatory rheumatic diseases in all regions of Germany. In this article the distance to rheumatological specialist care is mapped.

Methodology: Specialists in rheumatology listed in the German Federal Medical Register as of 31 December 2023 were assigned to postal code regions. The mean linear distance from a postal code region to the nearest region with a rheumatology practice was calculated. The mean distance from the places of residence of patients was calculated for the rheumatology centers participating in the German national database.

Results: Of the postal code regions 25% are > 20 km linear distance away from a postal code district with a rheumatological practice. Especially in Mecklenburg-Western Pomerania, Lower Saxony and Schleswig-Holstein there are larger areas with a low density of care. In the German national database, the median distance between the patient's place of residence and the rheumatological facility is between 10 km (Berlin) and 40 km (Tübingen).

Conclusion: In rural areas and for specialized rheumatology centers patients must travel long distances to reach a specialized rheumatological care.

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[德国风湿病专科护理距离的地区差异]。

背景：在德国所有地区，风湿病治疗应适用于炎症性风湿病患者。在这篇文章风湿病专科护理的距离是映射。方法：截至2023年12月31日，在德国联邦医疗登记册上列出的风湿病专家被分配到邮政编码地区。计算从邮政编码地区到最近的风湿病实践地区的平均线性距离。为参与德国国家数据库的风湿病中心计算离患者居住地的平均距离。结果：25%的邮政编码地区与风湿病门诊的邮政编码地区线性距离为> 20 km。特别是在梅克伦堡-西波美拉尼亚、下萨克森州和石勒苏益格-荷尔斯泰因，有更大的地区护理密度低。在德国国家数据库中，患者居住地和风湿病设施之间的中位数距离在10 公里（柏林）和40 公里（宾根）之间。结论：在农村地区和专门的风湿病中心，患者必须长途跋涉才能获得专门的风湿病护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift fur Rheumatologie 医学-风湿病学

CiteScore

2.20

自引率

20.00%

发文量

150

审稿时长

6-12 weeks

期刊介绍： Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.