Background
To date, there has been no systematic research on the intermediate level service (level 2) in outpatient palliative care that was introduced in Germany in 2017. Accordingly, the Polite research project aims at: (1) investigating the current state of level 2 palliative care and (2) developing recommendations for its optimisation.
Methods
The multi-perspective, observational study will follow a mixed-methods approach across two study phases. In phase 1a, quantitative routinely collected data from a statutory general local health insurance provider will be used to identify patients who received level 2 or other outpatient palliative care in the years 2017–2019. In phase 1b, a questionnaire will be sent to all registered general practitioners (GPs) in Lower Saxony to collect information on the number and characteristics of physicians offering level 2 palliative care. In phase 1c, a quantitative, standardised online questionnaire for teams providing specialised outpatient palliative care will be administered to assess the interfaces of level 2 palliative care. In phase 2a, the results from phases 1a–c will be discussed in an expert workshop with the aim of developing ideas to adapt and optimise level 2 outpatient palliative care. Finally, in phase 2b, the empirically derived recommendations from phases 1 and 2a will be agreed upon via a multi-round Delphi survey involving experts with sufficient influence to promote the project results and recommendations nationally.
Discussion
The results of the project will facilitate the optimisation of outpatient palliative care, as well as its administration, nationwide.
Trial registration
The study was registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien) (Registration N° DRKS00024785); date of registration: 06th May 2021) and is searchable under the International Clinical Trials Registry Platform Search Portal of the World Health Organization, under the German Clinical Trials Register number.
Zusammenfassung
Hintergrund Mit der ‚besonders qualifizierten und koordinierten palliativmedizinischen Versorgung‘ (BQKPMV) führte der Gesetzgeber eine Versorgungsform zwischen allgemeiner und spezialisierter ambulanter Palliativversorgung ein.
Ziel der Studie Analyse der Wahrnehmung und Einschätzung der BQKPMV von Akteur*innen anhand aktueller Stellungnahmen.
Methodik Diese Studie ist Teil des Projekts Polite (G-BA 01VSF20028). Im März/April 2021 wurden online publizierte, frei verfügbare Stellungnahmen zur BQKPMV recherchiert und analysiert (N = 8).
Ergebnisse Formale Barrieren können einer Implementierung im hausärztlichen Praxisalltag entgegenstehen. So wird z. B. bezweifelt, ob die BQKPMV organisatorisch und zeitlich im Praxisalltag von Hausärzt*innen zu bewältigen ist. Zudem besteht eine besondere Hürde für Patient*innen, deren Angehörige sowie andere Versorgende in der Unterscheidung von Leistungserbringenden und Leistungsinhalten.
Schlussfolgerungen BQKPMV wird grundsätzlich begrüßt, die Anforderungen aber kritisch gesehen.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.