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Background <p>The emergency medical services (EMS) in Germany are facing growing challenges and a&#xa0;changing spectrum of calls resulting in a&#xa0;need for structural adjustments towards community paramedicine. This concept is already being successfully applied internationally in many areas and initial pilot projects in Germany also show huge potential for this new approach to care.</p> Methodology <p>At the 2nd&#xa0;Regensburg Expert Forum on Preventive Emergency Medical Services 2025, 29&#xa0;experts discussed the importance of proactive action for preventive emergency medical services and the associated structural requirements and competencies in three workshops and agreed on the key statements presented here.</p> Results <p>The importance of proactive intervention was highlighted and the legal and structural anchoring, including in the Social Security Code V (SGB&#xa0;V) and in the state emergency medical services laws, was identified as a&#xa0;prerequisite for this new type of service. Furthermore, the broadening roles of emergency dispatch centers were examined and a&#xa0;wide range of competencies were described. Additionally, the implications for tailored quality management were discussed.</p> Conclusion <p>Cross-sectoral networking and proactive independent outreaching without prior alerting requires anchoring within existing support structures and initiates the transformation of emergency medical services into a&#xa0;proactively reacting system.</p>

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Wie vorbeugender Rettungsdienst den Anforderungen der Zukunft begegnen kann

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月10日

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  • Philipp Dahlmann,
  • Mathias Burgmaier,
  • Frank Flake,
  • Susanne Heininger,
  • Sebastian Lange,
  • Christoph Redelsteiner,
  • Johannes Gottschalk,
  • Patrick Ristau,
  • Andreas Bauer,
  • Alexandra Beck,
  • Veronika Böhmer,
  • Mathias Burgmaier,
  • Christopher Cyrus,
  • Florian Breuer,
  • Frank Flake,
  • Sebastian Gerosch,
  • André Gnirke,
  • Johannes Gottschalk,
  • Susanne Heininger,
  • Björn Heinrich,
  • Benedikt K. Huber,
  • René Kerschbaumer,
  • Marlon Konertz,
  • Sebastian Lange,
  • Marc Lechner,
  • Marie Leistikow,
  • Johanna Lubasch,
  • Klaus Meyer,
  • Jan Moll,
  • Markus Müller,
  • Christoph Redelsteiner,
  • Nina Rahder,
  • Christian Rester,
  • Patrick Ristau,
  • Charlotte Rust,
  • Insa Seeger,
  • Andrea Tragschitz

摘要

Background

The emergency medical services (EMS) in Germany are facing growing challenges and a changing spectrum of calls resulting in a need for structural adjustments towards community paramedicine. This concept is already being successfully applied internationally in many areas and initial pilot projects in Germany also show huge potential for this new approach to care.

Methodology

At the 2nd Regensburg Expert Forum on Preventive Emergency Medical Services 2025, 29 experts discussed the importance of proactive action for preventive emergency medical services and the associated structural requirements and competencies in three workshops and agreed on the key statements presented here.

Results

The importance of proactive intervention was highlighted and the legal and structural anchoring, including in the Social Security Code V (SGB V) and in the state emergency medical services laws, was identified as a prerequisite for this new type of service. Furthermore, the broadening roles of emergency dispatch centers were examined and a wide range of competencies were described. Additionally, the implications for tailored quality management were discussed.

Conclusion

Cross-sectoral networking and proactive independent outreaching without prior alerting requires anchoring within existing support structures and initiates the transformation of emergency medical services into a proactively reacting system.