{"id":"https://openalex.org/W2262491925","doi":"https://doi.org/10.1055/s-0029-1225273","title":"Ausma\u00df und Auswirkungen von Rationierung in deutschen Krankenh\u00e4usern","display_name":"Ausma\u00df und Auswirkungen von Rationierung in deutschen Krankenh\u00e4usern","publication_year":2009,"publication_date":"2009-06-01","ids":{"openalex":"https://openalex.org/W2262491925","doi":"https://doi.org/10.1055/s-0029-1225273","mag":"2262491925","pmid":"https://pubmed.ncbi.nlm.nih.gov/19499496"},"language":"de","primary_location":{"id":"doi:10.1055/s-0029-1225273","doi":"https://doi.org/10.1055/s-0029-1225273","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0029-1225273","pdf_url":null,"source":{"id":"https://openalex.org/S38943393","display_name":"DMW - Deutsche Medizinische Wochenschrift","issn_l":"0012-0472","issn":["0012-0472","1439-4413"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"DMW - Deutsche Medizinische Wochenschrift","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082173751","display_name":"Daniel Strech","orcid":"https://orcid.org/0000-0002-9153-079X","observed_orcids":["https://orcid.org/0000-0002-9153-079X"]},"institutions":[{"id":"https://openalex.org/I34809795","display_name":"Medizinische Hochschule Hannover","ror":"https://ror.org/00f2yqf98","country_code":"DE","type":"education","lineage":["https://openalex.org/I34809795"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"D Strech","raw_affiliation_strings":["Institut f\u00fcr Geschichte, Ethik und Philosophie der Medizin, Medizinische Hochschule Hannover, Hannover. strech.daniel@mh-hannover.de","Institut f\u00fcr Geschichte,\nEthik und Philosophie der Medizin, Medizinische Hochschule Hannover"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institut f\u00fcr Geschichte, Ethik und Philosophie der Medizin, Medizinische Hochschule Hannover, Hannover. strech.daniel@mh-hannover.de","institution_ids":["https://openalex.org/I34809795"]},{"raw_affiliation_string":"Institut f\u00fcr Geschichte,\nEthik und Philosophie der Medizin, Medizinische Hochschule Hannover","institution_ids":["https://openalex.org/I34809795"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008883559","display_name":"Marion Danis","orcid":"https://orcid.org/0000-0002-4749-4568","observed_orcids":["https://orcid.org/0000-0002-4749-4568"]},"institutions":[{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M Danis","raw_affiliation_strings":["Department of Bioethics, National\nInstitutes of Health, Bethesda, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Bioethics, National\nInstitutes of Health, Bethesda, USA","institution_ids":["https://openalex.org/I1299303238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071019760","display_name":"M L\u00f6b","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210156283","display_name":"Helios Hospital Berlin-Buch","ror":"https://ror.org/05hgh1g19","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210138940","https://openalex.org/I4210156283"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"M L\u00f6b","raw_affiliation_strings":["Klinik f\u00fcr Kinder- und\nJugendpsychiatrie und Psychotherapie, Helios Klinikum Berlin-Buch"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Klinik f\u00fcr Kinder- und\nJugendpsychiatrie und Psychotherapie, Helios Klinikum Berlin-Buch","institution_ids":["https://openalex.org/I4210156283"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057851911","display_name":"Georg Marckmann","orcid":"https://orcid.org/0000-0002-6898-9500","observed_orcids":["https://orcid.org/0000-0002-6898-9500"]},"institutions":[{"id":"https://openalex.org/I8087733","display_name":"University of T\u00fcbingen","ror":"https://ror.org/03a1kwz48","country_code":"DE","type":"education","lineage":["https://openalex.org/I8087733"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"G Marckmann","raw_affiliation_strings":["Institut f\u00fcr Ethik und\nGeschichte der Medizin, Eberhard-Karls Universit\u00e4t T\u00fcbingen"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institut f\u00fcr Ethik und\nGeschichte der Medizin, Eberhard-Karls Universit\u00e4t T\u00fcbingen","institution_ids":["https://openalex.org/I8087733"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":10.8693,"has_fulltext":false,"cited_by_count":51,"citation_normalized_percentile":{"value":0.98114208,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"134","issue":"24","first_page":"1261","last_page":"1266"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.36250001192092896,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.36250001192092896,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.1137000024318695,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.06809999793767929,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-rationing","display_name":"health care rationing","score":0.9890000224113464},{"id":"https://openalex.org/keywords/bedside-rationing","display_name":"bedside rationing","score":0.9490000009536743},{"id":"https://openalex.org/keywords/cost-pressure","display_name":"cost pressure","score":0.4350000023841858},{"id":"https://openalex.org/keywords/physician-decision-making","display_name":"physician decision-making","score":0.628000020980835},{"id":"https://openalex.org/keywords/medical-ethics","display_name":"medical ethics","score":0.5600000023841858},{"id":"https://openalex.org/keywords/critical-care","display_name":"intensive care","score":0.9900000095367432},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.9449999928474426},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.6639999747276306},{"id":"https://openalex.org/keywords/out-of-pocket-costs","display_name":"out-of-pocket costs","score":0.8349999785423279},{"id":"https://openalex.org/keywords/scarce-healthcare-resources","display_name":"scarce health care resources","score":0.7509999871253967},{"id":"https://openalex.org/keywords/german-hospitals","display_name":"German hospitals","score":0.5839999914169312}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6592766046524048}],"mesh":[{"descriptor_ui":"D002309","descriptor_name":"Cardiology","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D003422","descriptor_name":"Critical Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D003625","descriptor_name":"Data Collection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007588","descriptor_name":"Job Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D015276","descriptor_name":"Health Care Rationing","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D015276","descriptor_name":"Health Care Rationing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D015276","descriptor_name":"Health Care Rationing","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1055/s-0029-1225273","doi":"https://doi.org/10.1055/s-0029-1225273","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0029-1225273","pdf_url":null,"source":{"id":"https://openalex.org/S38943393","display_name":"DMW - Deutsche Medizinische Wochenschrift","issn_l":"0012-0472","issn":["0012-0472","1439-4413"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"DMW - Deutsche Medizinische Wochenschrift","raw_type":"journal-article"},{"id":"pmid:19499496","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19499496","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Deutsche medizinische Wochenschrift (1946)","raw_type":"English Abstract"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.5683000087738037,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1976156497","https://openalex.org/W1969084747","https://openalex.org/W3124201826","https://openalex.org/W1966985690","https://openalex.org/W7166952617","https://openalex.org/W2112263946","https://openalex.org/W2402352211","https://openalex.org/W2747195415","https://openalex.org/W2412527231","https://openalex.org/W2206945998"],"abstract_inverted_index":{"BACKGROUND:":[0],"Healthcare":[1],"rationing":[2,43,72,148,263],"is":[3,32,250,288],"increasingly":[4],"discussed":[5],"among":[6,96],"German":[7,87,183],"physicians.":[8],"However,":[9,134],"in":[10,49,102,150,154,260],"contrast":[11],"to":[12,19,156,197,204,227,238,243,253],"the":[13,24,28,41,46,68,79,85,111,128,180,214,220,228,266],"relatively":[14],"intense":[15],"debates":[16],"on":[17,23,36,45,84,174,179],"how":[18,37],"prioritize":[20],"and":[21,52,61,73,160,178,280],"ration":[22],"macro":[25],"level":[26,48],"of":[27,58,70,78,110,131,137,146,165,171,188,213,283],"health":[29,221,230,285],"system,":[30,223],"there":[31],"hardly":[33],"any":[34],"discussion":[35],"doctors":[38,215],"can":[39],"make":[40],"unavoidable":[42],"decisions":[44,264],"micro":[47],"a":[50,74,90,124,168,190,202,251,278],"medically":[51],"ethically":[53],"appropriate":[54],"manner.":[55],"The":[56,144,163],"development":[57],"both":[59],"accountable":[60],"feasible":[62],"guidance":[63],"requires":[64],"empirical":[65],"evidence":[66],"about":[67],"prevalence":[69],"bedside":[71,147],"more":[75,209],"in-depth":[76],"understanding":[77],"practical":[80],"challenges.":[81],"METHODS:":[82],"Based":[83],"official":[86],"hospital":[88,161],"registry":[89],"national":[91],"survey":[92],"was":[93],"performed":[94],"nationwide":[95],"1,137":[97],"randomly":[98],"selected":[99],"physicians":[100,259],"working":[101],"cardiology":[103],"or":[104,232],"critical":[105],"care":[106,222,286],"medicine.":[107],"RESULTS:":[108],"68%":[109],"respondents":[112],"stated":[113],"that":[114,140,193,257,277],"they":[115],"had":[116],"already":[117],"withheld":[118],"from":[119],"patients":[120],"medical":[121],"services":[122],"with":[123,201,245],"potential":[125],"benefit":[126],"for":[127,219],"patient":[129],"because":[130],"cost":[132,172],"considerations.":[133],"only":[135,189],"few":[136,191],"them":[138,196],"indicated":[139],"this":[141],"happens":[142],"often.":[143],"frequency":[145],"differed,":[149],"some":[151],"cases":[152],"significantly,":[153],"relation":[155],"specialty,":[157],"professional":[158],"status":[159],"funding.":[162],"majority":[164],"clinicians":[166,184],"describes":[167],"negative":[169],"impact":[170],"pressure":[173],"their":[175,199],"work":[176],"satisfaction":[177],"patient-doctor":[181],"relationship.":[182],"have":[185],"become":[186],"aware":[187],"opportunities":[192],"would":[194],"allow":[195],"increase":[198],"efficiency":[200],"view":[203],"avoiding":[205],"healthcare":[206],"rationing.":[207],"Instead,":[208],"then":[210],"50":[211],"%":[212],"considered":[216],"additional":[217],"funding":[218],"through":[224],"higher":[225,233],"contributions":[226],"statutory":[229],"insurance":[231],"out-of-pocket":[234],"spending":[235],"by":[236,273],"patients,":[237],"be":[239,271],"an":[240],"acceptable":[241],"approach":[242],"dealing":[244],"scarce":[246,284],"resources.":[247],"CONCLUSION:":[248],"There":[249],"need":[252],"develop":[254],"explicit":[255],"methods":[256,269],"support":[258],"making":[261],"inevitable":[262],"at":[265],"bedside.":[267],"Such":[268],"must":[270],"accompanied":[272],"consultation":[274],"procedures":[275],"so":[276],"rational":[279],"fair":[281],"use":[282],"resources":[287],"achieved.":[289]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":9},{"year":2012,"cited_by_count":8}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}