„Der spielt im Moment nicht mehr ganz die Rolle“

Schwabe, Sven; Ateş, Gülay; Ewert, Benjamin; Hasselaar, Jeroen; Hesse, Michaela; Linge-Dahl, Lisa; Jaspers, Birgit; Radbruch, Lukas

doi:10.1007/s00103-016-2478-5

Cited by 18 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Continuity thus not only concerns the organizational level of having only one team involved but also the staff level with one trusted physician. GPs and qualified palliative care physicians, therefore, complement each other to allow for a patient-centered level of care (Schwabe et al, 2017). There was high overlap between external collaboration and comprehensive responsibility (Schneider et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Availability as key determinant in the palliative home care setting from the patients’ and family caregivers’ perspectives: A quantitative-qualitative-content analysis approach

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objective A sense of security is important in palliative home care. Yet, knowledge about which components contribute most to feeling secure from the patients’ and family caregivers’ perspectives, especially since the introduction of specialist palliative home care, is sparse. The goal of the current study was to determine the key components contributing to a sense of security and how they relate to each other as experienced by patients and family caregivers in specialist and generalist palliative home care. Methods The current sub-study, as part of a larger study, was performed in different regions in Germany. Palliative care patients and family caregivers of at least 18 years of age, being cared for at home were interviewed using semi-structured interview guides following a three-factor model and analyzed by using a combined quantitative-qualitative-content approach. Results One hundred and ninty-seven patients and 10 carers completed interviews between December 2017 and April 2019. The majority of patients were diagnosed with an oncological disease. Sense of security was mentioned particularly often suggesting its high relevance. We identified nine subcategories that were all mentioned more frequently by specialist than generalist palliative home care recipients in the following order of priority and relation: (i) patient-centeredness: availability, provision of information/education, professional competence, patient empowerment, and trust (ii) organizational work: comprehensive responsibility, external collaboration, and internal cooperation, and (iii) direct communication. Significance of results The work of specialist palliative home care services in particular was perceived as very effective and beneficial. Our findings confirm a previously developed three-factor model allowing for generalizability and revealed that availability was most important for improving the sense of security for effective palliative home care.

show abstract

Section: Discussionmentioning

confidence: 99%

Availability as key determinant in the palliative home care setting from the patients’ and family caregivers’ perspectives: A quantitative-qualitative-content analysis approach

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…A similar sentiment is displayed by the finding that SPHC referrals by other health care providers (e.g. hospitals) lead to a lack of consideration of the GP's role [30], impeding their perception of SPHC importance.…”

Section: Further Findingsmentioning

confidence: 71%

“…Firstly, instead of reinforcing GPs' withdrawal from palliative care delivery by shifting traditional tasks from GPs to specialists [30], strengthening PPC could be promising. Here, our survey confirms starting points that have been found in qualitative study designs already: Primary care professionals have the potential, ability and motivation to provide palliative care for most patients [1,38] given adequate training, resources, remuneration, a supportive and cooperative surrounding palliative care infrastructure [34] and specialist advice when needed [24,38,39].…”

Section: Implications For Palliative Care Politicsmentioning

confidence: 99%

Factors influencing GPs’ perception of specialised palliative homecare (SPHC) importance – results of a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

Background: General Practitioners (GPs) are the main providers of primary palliative care (PPC). At the same time they are the main initiators of specialised palliative homecare (SPHC). In Germany, little is known about factors which influence GPs in their involvement of SPHC. Aim of our study is to identify factors that drive GPs to give value to and involve SPHC. Methods: A cross-sectional survey was performed. In 2018, questionnaires were mailed to 6000 randomly selected GPs from eight German federal states, focusing on the extent of GPs' palliative care activities and their involvement of SPHC. Results: With a response rate of 19.4% and exclusion of GPs working in SPHC-teams, n = 1026 questionnaires were appropriate for analysis. GPs valued SPHC support as the most "important/very important" for both "technical/ invasive treatment measures" (95%) and availability outside practice opening hours (92%). The most relevant factor influencing perceived SPHC-importance was GPs' self-reported extent of engagement in palliative care (β = − 0.283; CI 95% = − 0.384;−0.182), followed by the perceived quality of utilised SPHC (β = 0.119; CI 95% = 0.048;0.190), involvement in treatment of palliative patients after SPHC initiation (β = 0.088; CI 95% = 0.042; 0.134), and conviction that palliative care should be a central part of GPs' work (β = − 0.062; CI 95% = − 0.116; −0.008). Perceived SPHC-importance is also associated with SPHC-referrals (β =0.138; p < 0.001). The lower the engagement of GPs in palliative care, the more they involve SPHC and vice versa. Conclusions: GPs with low reported activity in palliative care are more likely to initialise SPHC for palliative care activities they do not deliver themselves for various reasons, which might mean that the involvement of SPHC is substitutive instead of complementary to primary palliative care. This finding and its interpretation should be given more attention in the future policy framework for (specialised) palliative homecare.

show abstract

“…Dies wird als Ausgrenzung und Kompetenzabschreibung interpretiert. Jenes bereits in der Literatur beschriebene Phänomen 14 15 kulminiert in der nicht selten ausgeübten (bei ca. 20 % der Patienten, die SAPV erhalten 3 ) Möglichkeit für Krankenhausärzte, für 7 Tage SAPV aus dem Krankenhaus heraus zu verordnen, ohne dabei einen HA zu involvieren.…”

Section: Diskussionunclassified

Hausärztliche Einschätzungen zur Verbesserung der Palliativversorgung an der Schnittstelle zur spezialisierten ambulanten Palliativversorgung (SAPV)

Stichling

Bleidorn

Krause

et al. 2022

Zeitschrift für Palliativmedizin

View full text Add to dashboard Cite

Zusammenfassung Ziel der Studie Erhebung von Perspektiven palliativversorgender Hausärzte (HÄ)1 an der Schnittstelle zur SAPV und Verbesserungsvorschläge. Methodik Querschnittliche Befragung von HÄ aus acht Kassenärztlichen Vereinigungen (KV). Quantitative Analyse von 1144 Fragebögen zu Verbesserungsvorschlägen und qualitative Analyse von 187 Freitextkommentaren. Ergebnisse Eine bessere Qualifikation ambulanter Pflegedienste wurde am häufigsten (91,7 %) als wichtige Rahmenbedingung für die hausärztliche Palliativversorgung (PV) genannt. Die 187 Freitextkommentare adressierten vielschichtige Dimensionen hausärztlich erlebter PV: HÄ betonen ihre zentrale Rolle; die Beurteilung der SAPV-Einbindung variiert von Ressource bis zur hausärztlichen Ausgrenzung aus der Versorgung und Kompetenzabschreibung. Schlussfolgerung Geäußerte Lösungsansätze für empfundene Defizite sollten Gehör finden, wenn sie zu einer effizienten Deckung des PV-Bedarfs beitragen: bessere Qualifizierung der Pflegedienste; Vermeidung von Ausgrenzung von HÄ aus der Versorgung bei SAPV-Einbindung; bessere Vernetzung aller Akteure.

show abstract

„Der spielt im Moment nicht mehr ganz die Rolle“

Abstract: Shifting of traditional tasks from GPs to PCTs influences the role of the GP. PCTs can unburden the GP from unrealistic expectations and improve the patients' quality of life. However, this leads to a tendency for reduced importance of the GP.

Cited by 18 publications

References 19 publications

Availability as key determinant in the palliative home care setting from the patients’ and family caregivers’ perspectives: A quantitative-qualitative-content analysis approach

Availability as key determinant in the palliative home care setting from the patients’ and family caregivers’ perspectives: A quantitative-qualitative-content analysis approach

Factors influencing GPs’ perception of specialised palliative homecare (SPHC) importance – results of a cross-sectional study

Hausärztliche Einschätzungen zur Verbesserung der Palliativversorgung an der Schnittstelle zur spezialisierten ambulanten Palliativversorgung (SAPV)

Contact Info

Product

Resources

About