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Background <p>Respiratory diseases are among the most common illnesses in childhood and adolescence. This study provides the first systematic analysis of specialized outpatient pediatric pulmonological care in office-based practices in Germany. Current care data are an important contribution to professional policy decisions in the areas of patient care and specialist training.</p> Material and method <p>All 244 currently practicing members of the Federal Working Group Pediatric Pneumology (BAPP) were invited to participate in an anonymous, structured online member survey. In addition to personal data such as qualifications, training authorization and practice structure, detailed information on the services provided in specialized medical care was collected.</p> Results <p>A&#xa0;total of 112 BAPP members from all regions of Germany participated in the survey. Of these, 85.7% were between 45&#xa0;and 65&#xa0;years old, 81.3% worked full-time, 45.5% worked in group practices and 39.3% in solo practices. In addition to holding the specialization in pediatric pulmonology, 71.4% also had an additional qualification in allergology. Training authorization existed in 45.5% for pediatrics, 38.4% for pediatric pulmonology and 28.6% for allergology. Also, 41.9% of respondents plan to retire within the next 10&#xa0;years. All practices offer a&#xa0;very broad range of services with the proportion of specialized medical patients averaging 49% (range: 10–100%). 78.6%/41.1%/18.8% hold training certifications for asthma/atopic dermatitis/anaphylaxis, respectively and 30.3% are currently administering treatment with biologics in their practice.</p> Conclusion <p>Pediatric and adolescent pulmonologists working in specialized outpatient practices play a&#xa0;key role in the provision of specialized respiratory and allergological care. This care is delivered in conjunction with other healthcare structures and shows considerable regional variation. However, the baby boomer generation is approaching retirement in the coming years. The persistently high prevalence of respiratory and allergic diseases in childhood, along with the increasing complexity of care, necessitates reforms. To ensure continued access to specialized local care, the necessary personnel, economic and time-related conditions must be established to support competent, cross-sectoral and interdisciplinary collaboration.</p>

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Ambulante spezialisierte kinderpneumologische Versorgung in Deutschland

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月2日

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  • J. O. Steiß,
  • N. Derichs,
  • M. Feindt,
  • G. Gudowius,
  • M. Knappe,
  • B. Leniger,
  • B. Lüders,
  • M. Millner-Uhlemann,
  • S. Müller-Stöver,
  • K. Nemat,
  • M. Pincus,
  • K. Stiglitz,
  • C. Wahlen

摘要

Background

Respiratory diseases are among the most common illnesses in childhood and adolescence. This study provides the first systematic analysis of specialized outpatient pediatric pulmonological care in office-based practices in Germany. Current care data are an important contribution to professional policy decisions in the areas of patient care and specialist training.

Material and method

All 244 currently practicing members of the Federal Working Group Pediatric Pneumology (BAPP) were invited to participate in an anonymous, structured online member survey. In addition to personal data such as qualifications, training authorization and practice structure, detailed information on the services provided in specialized medical care was collected.

Results

A total of 112 BAPP members from all regions of Germany participated in the survey. Of these, 85.7% were between 45 and 65 years old, 81.3% worked full-time, 45.5% worked in group practices and 39.3% in solo practices. In addition to holding the specialization in pediatric pulmonology, 71.4% also had an additional qualification in allergology. Training authorization existed in 45.5% for pediatrics, 38.4% for pediatric pulmonology and 28.6% for allergology. Also, 41.9% of respondents plan to retire within the next 10 years. All practices offer a very broad range of services with the proportion of specialized medical patients averaging 49% (range: 10–100%). 78.6%/41.1%/18.8% hold training certifications for asthma/atopic dermatitis/anaphylaxis, respectively and 30.3% are currently administering treatment with biologics in their practice.

Conclusion

Pediatric and adolescent pulmonologists working in specialized outpatient practices play a key role in the provision of specialized respiratory and allergological care. This care is delivered in conjunction with other healthcare structures and shows considerable regional variation. However, the baby boomer generation is approaching retirement in the coming years. The persistently high prevalence of respiratory and allergic diseases in childhood, along with the increasing complexity of care, necessitates reforms. To ensure continued access to specialized local care, the necessary personnel, economic and time-related conditions must be established to support competent, cross-sectoral and interdisciplinary collaboration.