ArticleGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2026
[Medical resource needs and telemedical potential in after-hours care: An exploratory survey among physicians].
Article in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Our-of-hours care is part of the statutory mandate of the Associations of Statutory Health Insurance Physicians (KVs) and guarantees outpatient care outside of regular consultation hours. Despite coordinated availability via the 116117 telephone number, there are structural and qualitative differences in the implementation of the out-of-hour care, particularly with regard to equipment and human resources. Against the background of increasing expectations of cross-sectoral care and the existing shortage of specialists, the question arises as to which lack of resources in the out-of-hours care leads to avoidable emergency admissions and to what extent telemedical options can help to relieve the burden from a medical perspective. Methodology: A survey was conducted among physicians on out-of-hours care between June 1st, and August 31st 2023 using an anonymized online questionnaire. Participants were recruited by the Regional Statutory Health Insurance Physician Associations which organize out-of-hours care regionally. The questionnaire included demographic and professional items, questions about resource requirements and potential of telemedical services in the out-of-hours care. Data were subjected to descriptive analysis. Results: A total of 4,052 physicians participated in the survey. Resource limitations most frequently associated with potentially avoidable hospital admissions were laboratory diagnostics, sonography and specialist expertise. The greatest perceived potential for telemedicine services lay in specialist consultation for diagnostic and therapeutic, as well as for radiological assessment. Approximately 67% of respondents indicated that home visits by healthcare assistants could be supported with telemedical support. Conclusion: Targeted use of telemedicine and improved access to diagnostic resources can, in the view of the surveyed physicians, strengthen the out-of-hours care and help avoid unnecessary hospital admissions. There is particular potential in specialist consultations, diagnostics, and the support of non-physician home visits-also as a response to the growing shortage of healthcare professionals. However, this requires careful implementation that takes legal, technical, personnel, and financial factors into account.
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