Die neue spezialisierte ambulante Palliativversorgung - ein Positionspapier

Schneider, Nils

doi:10.1055/s-2008-1076720

Cited by 10 publications

(2 citation statements)

References 9 publications

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“…Palliative care has been stated to be a human right [ 15 ]. With the healthcare reforms in 2007 in Germany, every patient in need of specialized palliative care should be able to receive that care [ 16 ].…”

Section: Palliative Care In Germanymentioning

confidence: 99%

The size of the population potentially in need of palliative care in Germany - an estimation based on death registration data

et al. 2016

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BackgroundNo data exist on the size of the population potentially in need of palliative care in Germany. The aim of this study is to estimate the size of the German population that may benefit from palliative care.MethodBased on existing population-based methods (Rosenwax and Murtagh), German death registration data were analyzed and contrasted with international results. The data include all death cases in 2013 in Germany.ResultsAccording to the method Rosenwax defined, between 40.7 % (minimal estimate) and 96.1 % (maximal estimate) of death cases could benefit from palliative care. The estimation, based on Murtagh’s refined method, results in 78.0 % of death cases potentially being eligible for palliative care. The percentage of potential palliative care candidates is conditioned by age. Based on the Murtagh Method, in the age category between 30 and 39 years, a potential demand for palliative care can be found for 40.4 % percent of all deaths occurring in this age category, with this number increasing to 80.3 % in the age bracket of 80 years and over.ConclusionAn estimation of the size of the population in need is essential for healthcare planning. Therefore, our data serve as a guide and starting point for further research.

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Section: Palliative Care In Germanymentioning

confidence: 99%

The size of the population potentially in need of palliative care in Germany - an estimation based on death registration data

et al. 2016

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“…An example of this is the establishment of specialist outpatient palliative care ( spezialisierte ambulante Palliativversorgung, SAPV ) as part of the 2007 German health care reforms (§37b of Social Security Code V) without strengthening generalist palliative care at the same time [8]. However, most palliative care occurs in a generalist rather than a specialist palliative care setting involving family, family doctors, community nurses and nursing homes, for example [9,10].…”

Section: Introductionmentioning

confidence: 99%

Developing targets for public health initiatives to improve palliative care

et al. 2010

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BackgroundPalliative Care is an approach that improves quality of life for patients and their families facing the problems associated with incurable life-threatening illness. In many countries, due to the rapidly ageing population, increasingly more people are suffering from serious chronic disease towards the end of life, making further development in palliative care a major public health challenge. The aim of this study was to develop the first targets for public health initiatives to improve palliative care in Germany.MethodsBased on the findings from pilot studies (qualitative interviews and surveys with different stakeholders in the health care system), we conducted a modified Delphi study with two rounds of questionnaires with experts in public health and palliative care. In the first round, the experts commented on the findings from the pilot studies. The answers were evaluated descriptively and with qualitative content analysis, resulting in the formulation of 25 targets. These were presented to the experts in the second Delphi round to assess each of them separately with regard to its importance and current implementation (7-point answer scales) and in relation to the other targets (defining the five most important of the 25 targets).ResultsSix most relevant targets for public health initiatives to improve palliative care in Germany were worked out: Supporting palliative care as a basic attitude for the care of people in the last phase of life; coordinating healthcare for people in the last phase of life; establishing cooperation among health professions and disciplines; establishing education in palliative care for all professional groups with contact to people in the last phase of life; reviewing the evidence of palliative care measures; offering support to family members who are caring for someone in the last phase of life.ConclusionsTo systematically develop palliative care, it makes sense to define fields of action with individual targets. For Germany, it can be recommended to give priority to the targets that were highlighted as the most relevant in this study. The next step will be to develop, implement and evaluate tangible measures to achieve these targets.

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