The COVID-19 pandemic placed a significant burden on the German healthcare system. Based on the experience of severe disease progression of the SARS-CoV‑2 infection from neighboring European countries in the early 2020s, with ICU overload and high mortality rates, efforts were made in Germany to increase the capacity of available ICU beds. Subsequently, all documentation and reporting focused on the ICU capacities for COVID-19 patients. It was hypothesized that mainly a few large hospitals provided care for the majority of COVID-19 patients. The COVID-19 Registry RLP of Rhineland-Palatinate documented SARS-CoV‑2 inpatients from daily mandatory queries of all hospitals throughout the pandemic from April 2020 to March 2023, distinguishing between patients in ICUs and normal wards. In its 18th Corona Ordinance, the state government required all hospitals to participate in the care of SARS-CoV‑2 inpatients. We investigated the participation of hospitals at different levels of care in Rhineland-Palatinate in the management of the COVID-19 pandemic. Nine pandemic waves were documented during the pandemic and exemplary data on the respective pandemic peaks were evaluated. A distinction was made between the burden on hospitals at different levels of care: primary care hospitals, standard care hospitals, specialty hospitals, and maximal care hospitals. Analysis of the data showed that all hospital types participated equally in the care of SARS-CoV-2 patients. The requirement of the Ministry of Health of Rhineland-Palatinate to provide at least 20% of the available capacity was met by all levels of care and there were no disparities between hospitals of different levels of care in the management of the pandemic.

Hospitals at all levels of care participated equally in the care of SARS-CoV‑2 inpatients and thus contributed significantly to the management of the pandemic in Rhineland-Palatinate.

COVID-19 大流行给德国医疗保健系统带来了沉重负担。根据 2020 年代初欧洲邻国 SARS-CoV-2 感染的严重疾病进展、ICU 超负荷和高死亡率的经验，德国努力增加可用 ICU 病床的容量。随后，所有文件和报告都集中在 ICU 处理 COVID-19 患者的能力上。据推测，主要是少数几家大医院为大多数 COVID-19 患者提供护理。莱茵兰-普法尔茨州的 COVID-19 登记 RLP 记录了 SARS-CoV-2 住院患者，这些患者来自 2020 年 4 月至 2023 年 3 月整个大流行期间所有医院的每日强制查询，区分了 ICU 和普通病房的患者。在其第 18 条新冠条例中，州政府要求所有医院参与 SARS-CoV-2 住院患者的护理。我们调查了莱茵兰-普法尔茨州各级医院在 COVID-19 大流行管理中的参与情况。在大流行期间记录了九次大流行浪潮，并评估了各个大流行高峰的示范数据。不同护理级别的医院的负担有所不同：初级保健医院、标准护理医院、专科医院和最大护理医院。数据分析表明，所有类型的医院都平等地参与了 SARS-CoV-2 患者的护理。

各级医院平等参与 SARS-CoV-2 住院患者的护理，从而为莱茵兰-普法尔茨大流行病的管理做出了重大贡献。