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Die Corona-Pandemie führte zu tiefgreifenden Veränderungen in der Studien- und Lebenssituation sowie bezüglich der finanziellen und psychischen Belastungen, von der insbesondere nicht-traditionelle Studierende betroffen sein könnten. Vor diesem Hintergrund analysieren wir, inwiefern sich zwischen nicht-traditionellen Studierenden, traditionellen Studierenden sowie Studierenden mit fachgebundener oder Fachhochschulreife Unterschiede im Belastungsempfinden und der Studienabbruchintention zeigen. Unsere Ergebnisse verdeutlichen, dass die Auswirkungen der Corona-Pandemie sich hinsichtlich der drei hier fokussierten Gruppen nicht wesentlich unterscheiden. Demnach nimmt der vorhochschulische Bildungsweg gegenüber der individuellen Lebenssituation eine untergeordnete Rolle für das Belastungsempfinden der Studierenden und deren Abbruchintention ein.

Overboarding politcal influence in Germany concerning medical issues has come to a new peak. The report by the IGES Institute published in 2022 made an important contribution in this regard. Unfortunately, only that part of the recommendations of this report were implemented in a new version of the contract for outpatient surgery according to Section 115b SGB V (AOP contract), that called for an expansion of outpatient surgery. In particular, those aspects that are important from a medical point of view for a patient-specific adjustment of outpatient surgery (e. g. old age, frailty, comorbidities) as well as the important structural requirements for outpatient postoperative care were included in the new AOP contract at best in a rudimentary manner. For this reason, the German Society for Hand Surgery felt compelled to give its members a recommendation as to which medical aspects must be taken into account, especially when performing hand surgery operations, in order to ensure the highest level of safety for the patients entrusted to us while performing outpatient surgery. An expert group of experienced hand surgeons and hand therapists who work in hospitals of all levels of care as well as resident surgeons was formed in order to formulate mutually agreed recommendations for action., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht., (Thieme. All rights reserved.)

The quality of treatment within the total concept of the healthcare system is subject to multifactorial influences. With the intention to improve the quality of hand surgery the German Society for Hand Surgery (DGH) has initiated a number of projects. These include the S3 guidelines codeveloped by the DGH, the hand trauma register of the DGH, the definition of criteria for hand surgical procedures to be performed in an outpatient setting within the framework of a consensus recommendation as well as participation in a large epidemiological study with the special documentation of pathological alterations of the hand to determine the prevalences (study of health in Pomerania, SHIP); however, within these projects the quality of treatment itself is not assessed. In the attempt to document the quality, the currently available quality indicators in hand surgery probably only evaluate the aspects really relevant for the patients to a limited extent. Therefore, the DGH participated at an early stage in the development of assessments within the international study named by the WHO as a lighthouse project. These developed and validated assessments are intended to include all aspects of the results including the individual patient view in order to precisely relate the quality of treatment to an exactly defined pattern of hand injury. The use of these assessments should permanently enable a prediction of outcome quality for each individual patient. All these projects require the largest involvement possible to collect as much data as possible. With this intention the DGH further coordinates and develops these projects within the committees of the extended executive board and attempts to motivate as many surgeons as possible to participate., (© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

Competing Interests: Disclosure The authors report no conflicts of interest in this work.