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. 2026 Jan 1;123(1):17–18. doi: 10.3238/arztebl.m2025.0170

Table. Characteristics of individuals seeking help by access pathway.

Telephone consultation Online self-assessment
n 6 067 734 897 232
Sex
  Male 41.7 38.8
  Female 58.2 57.0
  n.s. < 0.1 4.2
Age group
  < 14 Years 13.8 11.0
  14–49 Years 32.2 69.1
  50–65 Years 15.6 10.0
  66–80 Years 17.6 3.6
  > 80 Years 20.9 2.1
  n.s. < 0.1 4.2
Time of day
  Daytime (08:00–19:59) vs. nighttime 69.6 67.8
Day of the week
  Mon-Fri vs. weekends/public holidays 48.6 59.7
Practice opening hours *1
  During vs. outside 27.1 38.8
Urgency of care
  Emergency 5.1 14.3
  Immediate medical care 44.7 42.1
  Medical attention within 24 h 33.5 28.9
  Medical attention > 24 h 16.2 14.7
  n.s./Survey unclear 0.5 < 0.1
Level of care
  112/Emergency services 3.4 11.0
  Emergency department 24.8 35.6
  Contract physician 51.6 41.0
  Remote consultation (telephone or video) 19.6 12.3
  n.s./Survey unclear 0.6 0.1
Reason category
  General symptoms*2 17.4 12.8
  Respiratory/cardiovascular symptoms 14.3 13.8
  Eye/ENT symptoms 12.6 18.0
  Digestive/urinary system symptoms 20.6 15.5
  Symptoms of the male/female reproductive organs 1.5 2.8
  Skin symptoms 6.1 5.7
  Musculoskeletal symptoms 14.9 10.3
  Neurological symptoms 3.3 5.0
  Mental health symptoms 1.8 8.2
  Injury/general pain/bleeding 7.5 7.7

Values are given in percent, except for line “n”

*1

“During practice opening hours,” as specified in the German fee schedule item (Gebührenordnungsposition, GOP) 01210: between 07:00 and 19:00 (excluding Saturdays, Sundays, public holidays, and 24 and 31 December); “outside practice opening hours,” as specified in GOP 01212: between 19:00 and 07:00 on the following day; all day on Saturdays, Sundays, public holidays, and on 24 and 31 December

*2

Allergy symptoms, loss of appetite, blood sugar problems, (suspected) COVID-19, reduced ability to perform everyday activities, cold/flu, fever, frailty, weight changes, immunization reaction, lymph node complaints, fatigue, sunstroke/heat stroke, malaise, poisoning

Source: SmED data for 2022–2024, German Associations of Statutory Health Insurance Physicians (Kassenärztliche Vereinigungen)