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Abwanderung, demographischer Wandel, ein Versagen der kassenärztlichen Bedarfsplanung sowie eine zu geringe Zahl an nachrückenden Allgemeinmedizinern führen in einer wachsenden Zahl von ländlichen Regionen zu Mängeln in der medizinischen Versorgung. Trotz einer Vielzahl unterschiedlicher Initiativen ist eine Lösung dieses Problems nicht in Sicht.