Universität zu Köln

Gahr, Susanne, Berendt, Julia, Loedel, Sarah, Ostgathe, Christoph ORCID: 0000-0003-4449-5036, Simon, Steffen T. ORCID: 0000-0002-6884-1813, Tewes, Mitra ORCID: 0000-0001-8868-8329, Zader, Kirsten, Schwartz, Jacqueline and Neukirchen, Martin ORCID: 0000-0002-2287-7896 (2019). Palliative Care Teams in the German Comprehensive Cancer Centers. Dtsch. Med. Wochenschr., 144 (23). S. E153 - 7. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

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Abstract

Background A palliative care team is recognized as a quality indicator in the consultation and care of patients with a tumor disease and is used nationally (92 %) in the National Cancer Institutes, model of the German Comprehensive Cancer Center (CCC). This begs the question of how palliative care teams are presently integrated into the CCCs. Method From July to August 2017, a paper-based quantitative survey of 16 locations of the CCCs, supported to that date, gathered information on the existence, personnel situation, use and prospects of a specialized inpatient palliative care service. The survey was addressed to the heads of the palliative medical units of the CCCs. The data were evaluated in SPSS (frequency, median, mean, range). Results Fifteen CCCs took part in the survey (response 94 %). Thirteen of the fifteen CCCs have a service that also treats palliative patients. Twelve of thirteen CCCs of these are attainable during regular working hours (8a. m.-4p. m. on weekdays). All services are staffed by physicians, additional eleven are staffed by nurses. Seven services are besides physicians and nurses joined by other professions. In 2016, 4482 median co-treatments were provided by the services, 80 % of these as additional charges without revenue and without codable OPS. In 2017, five centers plan to charge ZE 2017-133, two centers ZE 60 and three centers both intend to charge ZE 2017-133. Conclusions Services for palliative patients exist generally in the German CCCs, but only half of them satisfy the condition of multi-professionality required for the fulfillment of the german guidelines. The new surcharge introduced in 2017, which can be charged on an hourly basis, could create improvements in this regard and contribute to cost recovery. Thus, contrary to the previous arrangement, essential and reasonable performances with a time of treatment of less than seven days can be charged.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gahr, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Berendt, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Loedel, Sarah UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostgathe, Christoph UNSPECIFIED orcid.org/0000-0003-4449-5036 UNSPECIFIED Simon, Steffen T. UNSPECIFIED orcid.org/0000-0002-6884-1813 UNSPECIFIED Tewes, Mitra UNSPECIFIED orcid.org/0000-0001-8868-8329 UNSPECIFIED Zader, Kirsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwartz, Jacqueline UNSPECIFIED UNSPECIFIED UNSPECIFIED Neukirchen, Martin UNSPECIFIED orcid.org/0000-0002-2287-7896 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-129061
DOI:	10.1055/a-0961-7236
Journal or Publication Title:	Dtsch. Med. Wochenschr.
Volume:	144
Number:	23
Page Range:	S. E153 - 7
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4413
Language:	German
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language HOSPICE; LARGER; PART Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12906