{"id":"https://openalex.org/W7167367495","doi":"https://doi.org/10.1016/j.zefq.2026.05.008","title":"Kernkompetenzen von Physiotherapeut*innen f\u00fcr den Direktzugang von Patient*innen mit muskuloskelettalen Erkrankungen im deutschen Gesundheitssystem \u2013 Eine Delphi-Befragung","display_name":"Kernkompetenzen von Physiotherapeut*innen f\u00fcr den Direktzugang von Patient*innen mit muskuloskelettalen Erkrankungen im deutschen Gesundheitssystem \u2013 Eine Delphi-Befragung","publication_year":2026,"publication_date":"2026-07-04","ids":{"openalex":"https://openalex.org/W7167367495","doi":"https://doi.org/10.1016/j.zefq.2026.05.008","pmid":"https://pubmed.ncbi.nlm.nih.gov/42401496"},"language":"de","primary_location":{"id":"doi:10.1016/j.zefq.2026.05.008","doi":"https://doi.org/10.1016/j.zefq.2026.05.008","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.zefq.2026.05.008","pdf_url":"https://www.zefq-journal.com/article/S1865-9217(26)00122-4/pdf","source":{"id":"https://openalex.org/S124485727","display_name":"Zeitschrift f\u00fcr Evidenz Fortbildung und Qualit\u00e4t im Gesundheitswesen","issn_l":"1865-9217","issn":["1865-9217","2212-0289"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.zefq-journal.com/article/S1865-9217(26)00122-4/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117444261","display_name":"Pia Herz","orcid":"https://orcid.org/0009-0004-8058-2414","observed_orcids":["https://orcid.org/0009-0004-8058-2414"]},"institutions":[{"id":"https://openalex.org/I166433441","display_name":"Hochschule Bremen","ror":"https://ror.org/04f7jc139","country_code":"DE","type":"education","lineage":["https://openalex.org/I166433441"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Pia Herz","raw_affiliation_strings":["Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland","institution_ids":["https://openalex.org/I166433441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117444260","display_name":"Jan Paul Iske","orcid":"https://orcid.org/0009-0003-4980-9900","observed_orcids":["https://orcid.org/0009-0003-4980-9900"]},"institutions":[{"id":"https://openalex.org/I166433441","display_name":"Hochschule Bremen","ror":"https://ror.org/04f7jc139","country_code":"DE","type":"education","lineage":["https://openalex.org/I166433441"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jan Paul Iske","raw_affiliation_strings":["Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland","institution_ids":["https://openalex.org/I166433441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118174765","display_name":"Anne Jarck","orcid":"https://orcid.org/0009-0001-3971-177X","observed_orcids":["https://orcid.org/0009-0001-3971-177X"]},"institutions":[{"id":"https://openalex.org/I9341345","display_name":"University of L\u00fcbeck","ror":"https://ror.org/00t3r8h32","country_code":"DE","type":"education","lineage":["https://openalex.org/I9341345"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Anne Jarck","raw_affiliation_strings":["Institut f\u00fcr Gesundheitswissenschaften, Fachbereich Physiotherapie, Pain and Exercise Research (P.E.R.L.), Universit\u00e4t zu L\u00fcbeck, L\u00fcbeck, Deutschland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institut f\u00fcr Gesundheitswissenschaften, Fachbereich Physiotherapie, Pain and Exercise Research (P.E.R.L.), Universit\u00e4t zu L\u00fcbeck, L\u00fcbeck, Deutschland","institution_ids":["https://openalex.org/I9341345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112259450","display_name":"Kerstin L\u00fcdtke","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I9341345","display_name":"University of L\u00fcbeck","ror":"https://ror.org/00t3r8h32","country_code":"DE","type":"education","lineage":["https://openalex.org/I9341345"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Kerstin L\u00fcdtke","raw_affiliation_strings":["Institut f\u00fcr Gesundheitswissenschaften, Fachbereich Physiotherapie, Pain and Exercise Research (P.E.R.L.), Universit\u00e4t zu L\u00fcbeck, L\u00fcbeck, Deutschland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institut f\u00fcr Gesundheitswissenschaften, Fachbereich Physiotherapie, Pain and Exercise Research (P.E.R.L.), Universit\u00e4t zu L\u00fcbeck, L\u00fcbeck, Deutschland","institution_ids":["https://openalex.org/I9341345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092861815","display_name":"Phillip Thies","orcid":"https://orcid.org/0000-0003-1890-1731","observed_orcids":["https://orcid.org/0000-0003-1890-1731"]},"institutions":[{"id":"https://openalex.org/I166433441","display_name":"Hochschule Bremen","ror":"https://ror.org/04f7jc139","country_code":"DE","type":"education","lineage":["https://openalex.org/I166433441"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Phillip Thies","raw_affiliation_strings":["Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland","institution_ids":["https://openalex.org/I166433441"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091254359","display_name":"Annika Schwarz","orcid":"https://orcid.org/0000-0002-4537-8563","observed_orcids":["https://orcid.org/0000-0002-4537-8563"]},"institutions":[{"id":"https://openalex.org/I166433441","display_name":"Hochschule Bremen","ror":"https://ror.org/04f7jc139","country_code":"DE","type":"education","lineage":["https://openalex.org/I166433441"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Annika Schwarz","raw_affiliation_strings":["Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland. Electronic address: annika.schwarz@hs-bremen.de"],"raw_orcid":"https://orcid.org/0000-0002-4537-8563","affiliations":[{"raw_affiliation_string":"Hochschule Bremen, Fakult\u00e4t Gesellschaftswissenschaften, Bremen, Deutschland. Electronic address: annika.schwarz@hs-bremen.de","institution_ids":["https://openalex.org/I166433441"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5091254359"],"corresponding_institution_ids":["https://openalex.org/I166433441"],"apc_list":{"value":2860,"currency":"EUR","value_usd":3442},"apc_paid":{"value":2860,"currency":"EUR","value_usd":3442},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.42607924,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"205","issue":null,"first_page":"12","last_page":"23"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13946","display_name":"Musculoskeletal Disorders and Rehabilitation","score":0.8804000020027161,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13946","display_name":"Musculoskeletal Disorders and Rehabilitation","score":0.8804000020027161,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"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/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.033799998462200165,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"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/T12802","display_name":"Competency Development and Evaluation","score":0.025800000876188278,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/physiotherapists","display_name":"physiotherapists","score":0.8379999995231628},{"id":"https://openalex.org/keywords/musculoskeletal-disorders","display_name":"musculoskeletal disorders","score":0.7829999923706055},{"id":"https://openalex.org/keywords/direct-access","display_name":"direct access","score":0.8119999766349792},{"id":"https://openalex.org/keywords/physiotherapist-competencies","display_name":"physiotherapist competencies","score":0.8080000281333923},{"id":"https://openalex.org/keywords/competency-framework","display_name":"competency framework","score":0.9509999752044678},{"id":"https://openalex.org/keywords/expert-consensus","display_name":"expert consensus","score":0.7149999737739563},{"id":"https://openalex.org/keywords/needs-based-care","display_name":"needs-based care","score":0.47600001096725464},{"id":"https://openalex.org/keywords/german-healthcare-system","display_name":"German health care system","score":0.4959999918937683},{"id":"https://openalex.org/keywords/scoping-review","display_name":"scoping review","score":0.6480000019073486},{"id":"https://openalex.org/keywords/delphi-method","display_name":"Delphi method","score":0.5099999904632568},{"id":"https://openalex.org/keywords/functional-limitations","display_name":"functional limitations","score":0.4050000011920929},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.9020000100135803},{"id":"https://openalex.org/keywords/health-workforce-planning","display_name":"health workforce planning","score":0.3319999873638153},{"id":"https://openalex.org/keywords/health-technology-assessment","display_name":"health technology assessment","score":0.36399999260902405}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.414000004529953},{"id":"https://openalex.org/C2780009758","wikidata":"https://www.wikidata.org/wiki/Q6804172","display_name":"Measure (data warehouse)","level":2,"score":0.23770000040531158},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.2272000014781952},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.22390000522136688},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.22200000286102295},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.22120000422000885},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.20520000159740448},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.20419999957084656},{"id":"https://openalex.org/C61797465","wikidata":"https://www.wikidata.org/wiki/Q1188986","display_name":"Term (time)","level":2,"score":0.18960000574588776},{"id":"https://openalex.org/C527412718","wikidata":"https://www.wikidata.org/wiki/Q855395","display_name":"Interpretation (philosophy)","level":2,"score":0.18889999389648438}],"mesh":[{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D003697","descriptor_name":"Delphi Technique","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":true},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D059825","descriptor_name":"Physical Therapists","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D059825","descriptor_name":"Physical Therapists","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.zefq.2026.05.008","doi":"https://doi.org/10.1016/j.zefq.2026.05.008","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.zefq.2026.05.008","pdf_url":"https://www.zefq-journal.com/article/S1865-9217(26)00122-4/pdf","source":{"id":"https://openalex.org/S124485727","display_name":"Zeitschrift f\u00fcr Evidenz Fortbildung und Qualit\u00e4t im Gesundheitswesen","issn_l":"1865-9217","issn":["1865-9217","2212-0289"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen","raw_type":"journal-article"},{"id":"pmid:42401496","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42401496","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":"Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen","raw_type":"English Abstract"}],"best_oa_location":{"id":"doi:10.1016/j.zefq.2026.05.008","doi":"https://doi.org/10.1016/j.zefq.2026.05.008","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.zefq.2026.05.008","pdf_url":"https://www.zefq-journal.com/article/S1865-9217(26)00122-4/pdf","source":{"id":"https://openalex.org/S124485727","display_name":"Zeitschrift f\u00fcr Evidenz Fortbildung und Qualit\u00e4t im Gesundheitswesen","issn_l":"1865-9217","issn":["1865-9217","2212-0289"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7167367495.pdf","grobid_xml":"https://content.openalex.org/works/W7167367495.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1991635648","https://openalex.org/W2017265038","https://openalex.org/W2078984974","https://openalex.org/W2106952837","https://openalex.org/W2111751736","https://openalex.org/W2144826071","https://openalex.org/W2170066319","https://openalex.org/W2587777701","https://openalex.org/W2783040364","https://openalex.org/W3088209892","https://openalex.org/W4283066533","https://openalex.org/W4292528167","https://openalex.org/W4296445371","https://openalex.org/W4360821501","https://openalex.org/W4401877826","https://openalex.org/W4410106888"],"related_works":["https://openalex.org/W4416588694","https://openalex.org/W4417410085","https://openalex.org/W4410106888","https://openalex.org/W1511320620","https://openalex.org/W4390662569","https://openalex.org/W7113742251","https://openalex.org/W4386252481","https://openalex.org/W4416729564","https://openalex.org/W6939896897","https://openalex.org/W6939661663"],"abstract_inverted_index":{"Zusammenfassung":[0],"Einleitung":[1],"Muskuloskelettale":[2],"Erkrankungen":[3],"(MSKDs)":[4],"z\u00e4hlen":[5],"weltweit":[6],"zu":[7,70],"den":[8,195],"h\u00e4ufigsten":[9],"Ursachen":[10],"von":[11,249],"Gesundheitsproblemen":[12],"und":[13,19,79,105,136,157,188,193,201,207,218,223,240,246,270],"sind":[14],"ma\u00dfgeblich":[15],"f\u00fcr":[16,45,59,146,236,243],"funktionelle":[17],"Einschr\u00e4nkungen":[18],"eine":[20,46,68,212,233],"reduzierte":[21],"gesundheitsbezogene":[22],"Lebensqualit\u00e4t":[23],"verantwortlich.":[24],"Der":[25,119,173,229],"physiotherapeutische":[26],"Direktzugang,":[27],"wie":[28],"er":[29],"international":[30],"bereits":[31],"in":[32,39,100,182,266],"vielen":[33],"L\u00e4ndern":[34],"etabliert":[35],"ist,":[36],"wird":[37],"auch":[38],"Deutschland":[40],"zunehmend":[41],"als":[42],"m\u00f6glicher":[43],"L\u00f6sungsansatz":[44],"bedarfsorientierte":[47],"Versorgung":[48],"diskutiert.":[49],"Ziel":[50],"dieser":[51],"Arbeit":[52],"war":[53],"die":[54,247,257],"Entwicklung":[55],"eines":[56,83],"konsensbasierten":[57],"Kompetenzrahmens":[58],"Physiotherapeut*innen":[60,250],"im":[61,251,264],"Direktzugang":[62,252,265],"bei":[63,253],"MSKDs.":[64,254],"Methode":[65],"Hierzu":[66],"wurde":[67,92,121,145],"Delphi-Befragung":[69,130],"ben\u00f6tigten":[71],"physiotherapeutischen":[72,205],"Kompetenzen":[73,91,108,168,206,263],"mit":[74],"Expert*innen":[75,132],"aus":[76,133],"Forschung,":[77,134],"Lehre":[78,135],"Praxis":[80,137],"auf":[81],"Grundlage":[82,235],"Scoping":[84],"Reviews":[85],"(ScR)":[86],"initiiert.":[87],"Die":[88,111,179,190],"Relevanz":[89],"der":[90,107,116,129,162],"mittels":[93],"einer":[94],"vierstufigen":[95],"Likert-Skala":[96],"bewertet.":[97],"Ferner":[98],"konnten":[99],"Freitextfeldern":[101],"Anregungen":[102],"zur":[103],"\u00dcberarbeitung":[104],"Erg\u00e4nzung":[106],"eingebracht":[109,156],"werden.":[110,273],"Freitextfelder":[112],"wurden":[113,155],"systematisch":[114],"nach":[115,122],"AQUA-Methode":[117],"ausgewertet.":[118],"Fragebogen":[120],"jeder":[123],"Runde":[124,164],"iterativ":[125],"weiterentwickelt.":[126],"Ergebnisse":[127,191,258],"An":[128],"nahmen":[131],"teil":[138],"(n":[139],"=":[140],"22).":[141],"In":[142,161],"drei":[143],"Befragungsrunden":[144],"69":[147],"Kompetenzaspekte":[148,154],"ein":[149],"Konsens":[150],"erzielt:":[151],"18":[152],"neue":[153],"24":[158],"\u00dcberarbeitungen":[159],"angeregt.":[160],"dritten":[163],"erreichten":[165],"alle":[166],"verbliebenen":[167],"das":[169],"Konsenskriterium":[170],"(\u226575%":[171],"Zustimmung).":[172],"finale":[174],"Kompetenzrahmen":[175,196,231],"enth\u00e4lt":[176],"33":[177],"Kernkompetenzen.":[178],"R\u00fccklaufquote":[180],"lag":[181],"allen":[183],"Runden":[184],"\u00fcber":[185],"86%.":[186],"Diskussion":[187],"Schlussfolgerung":[189],"pr\u00e4zisieren":[192],"erweitern":[194],"des":[197,226],"zugrunde":[198],"liegenden":[199],"ScR":[200],"differenzieren":[202],"zwischen":[203],"generischen":[204],"direktzugangsspezifischen":[208],"Anforderungen.":[209],"Sie":[210],"zeigen":[211],"hohe":[213],"Anschlussf\u00e4higkeit":[214],"an":[215],"internationale":[216],"Standards":[217],"ber\u00fccksichtigen":[219],"zugleich":[220],"kontextspezifische":[221],"regulatorische":[222],"strukturelle":[224],"Rahmenbedingungen":[225],"deutschen":[227],"Gesundheitssystems.":[228],"entwickelte":[230],"bietet":[232],"fundierte":[234],"weiterf\u00fchrende":[237],"fachliche":[238],"Abstimmungs-":[239],"Entwicklungsprozesse":[241],"sowie":[242],"curriculare":[244],"Weiterentwicklungen":[245],"Qualifizierung":[248],"Dabei":[255],"deuten":[256],"darauf":[259],"hin,":[260],"dass":[261],"bestehende":[262],"einem":[267],"erweiterten":[268],"Verantwortungs-":[269],"Entscheidungsrahmen":[271],"angewendet":[272]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-07-05T00:00:00"}