Universität zu Köln

Joshi, Melanie ORCID: 0000-0003-0130-3348, Dillen, Kim ORCID: 0000-0002-0270-3338, Krumm, Norbert ORCID: 0000-0002-7527-4183, Hesse, Michaela ORCID: 0000-0002-2082-8513, Brunsch, Holger ORCID: 0009-0000-7450-4541, Strupp, Julia ORCID: 0000-0002-0070-4337, Radbruch, Lukas ORCID: 0000-0001-9526-396X, Rolke, Roman ORCID: 0000-0002-7370-8574, Voltz, Raymond ORCID: 0000-0002-4761-3395, Pfaff, Holger ORCID: 0000-0001-9154-6575, Scholten, Nadine ORCID: 0000-0002-7793-7745, Hellmich, Martin ORCID: 0000-0001-5174-928X, Rietz, Christian, Meyer, Ingo ORCID: 0000-0001-8515-8285 and Fink, Robin (2025). "We need time, a great know-how and security for patients to always be there in time”: a qualitative study on factors distinguishing General from Specialized Palliative Home Care. BMC Health Services Research, 25 (1). pp. 1-9. Springer Nature. ISSN 1472-6963

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Abstract

[Article number 245] Background: An increasing number of patients in the palliative phase of their disease are cared for at home by palliative home care services. A sense of security, normality of everyday life and symptom control are found to be active factors of quality of care in Specialized Palliative Home Care. Whether this also applies to General Palliative Home Care has not yet been systematically investigated. The aim of this study was to identify distinctions between General and Specialized Palliative Home Care from a healthcare professional’s perspective concerning those factors. Methods: With a qualitative approach, we conducted 11 semi-structured interviews with healthcare professionals from different professional backgrounds in General and/or Specialized Palliative Home Care. Results: In both General and Specialized Palliative Home Care, healthcare-professionals (HCP) found a sense of security (through availability ) to be most relevant for the patients. The majority saw aspects of normality of everyday life as a key component for high-quality palliative home care, especially having time for the patient and the family caregiver(s). However, statements about symptom control are mainly related to Specialized Palliative Home Care. The subcodes availability , having time and competence, symptom burden and financial resources were the main distinguishing factors between General and Specialized Palliative Home Care in sense of security , normality of everyday life and symptom control, respectively. Conclusions: Our results provide the basis for a clearer definition of GPHC and SPHC and contribute to identifying factors for a transferal between the two services to provide best care for the patient. Distinguishing (sub)factors revealed challenges and short-term solutions. Providing (financial) incentives to guarantee time and availability in General Palliative Home Care would lead to more effective care.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Joshi, Melanie UNSPECIFIED https://orcid.org/0000-0003-0130-3348 UNSPECIFIED Dillen, Kim UNSPECIFIED https://orcid.org/0000-0002-0270-3338 UNSPECIFIED Krumm, Norbert UNSPECIFIED https://orcid.org/0000-0002-7527-4183 UNSPECIFIED Hesse, Michaela UNSPECIFIED https://orcid.org/0000-0002-2082-8513 UNSPECIFIED Brunsch, Holger UNSPECIFIED https://orcid.org/0009-0000-7450-4541 UNSPECIFIED Strupp, Julia UNSPECIFIED https://orcid.org/0000-0002-0070-4337 UNSPECIFIED Radbruch, Lukas UNSPECIFIED https://orcid.org/0000-0001-9526-396X UNSPECIFIED Rolke, Roman UNSPECIFIED https://orcid.org/0000-0002-7370-8574 UNSPECIFIED Voltz, Raymond UNSPECIFIED https://orcid.org/0000-0002-4761-3395 UNSPECIFIED Pfaff, Holger UNSPECIFIED https://orcid.org/0000-0001-9154-6575 UNSPECIFIED Scholten, Nadine UNSPECIFIED https://orcid.org/0000-0002-7793-7745 UNSPECIFIED Hellmich, Martin UNSPECIFIED https://orcid.org/0000-0001-5174-928X UNSPECIFIED Rietz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Ingo UNSPECIFIED https://orcid.org/0000-0001-8515-8285 UNSPECIFIED Fink, Robin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-793469
Identification Number:	10.1186/s12913-025-12258-y
Journal or Publication Title:	BMC Health Services Research
Volume:	25
Number:	1
Page Range:	pp. 1-9
Date:	13 February 2025
Publisher:	Springer Nature
ISSN:	1472-6963
Language:	English
Faculty:	External institution Faculty of Medicine
Divisions:	Außeruniversitäre Forschungseinrichtungen > Forschungszentrum Jülich Faculty of Medicine > Palliativmedizin
Subjects:	Medical sciences Medicine
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/79346