Universität zu Köln

Kasdorf, Alina ORCID: 0000-0002-4982-9288, Dust, Gloria, Vennedey, Vera ORCID: 0000-0003-4977-750X, Rietz, Christian, Polidori, Maria C., Voltz, Raymond and Strupp, Julia (2021). What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals' perspectives for improving care in Germany. BMC Health Serv. Res., 21 (1). LONDON: BMC. ISSN 1472-6963

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Abstract

BackgroundLittle is known about the nature of patients' transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, such as hospitals and long-term facilities including nursing homes and hospices. The perspective of healthcare professionals can therefore provide information on transitions in the LYOL that are avoidable from a medical perspective. This study aims to explore factors influencing avoidable transitions across healthcare settings in the LYOL and to disclose how these could be prevented.MethodsTwo focus groups (n=11) and five individual interviews were conducted with healthcare professionals working in hospitals, hospices and nursing services from Cologne, Germany. They were asked to share their observations about avoidable transitions in the LYOL. The data collection continued until the point of information power was reached and were audio recorded and analysed using qualitative content analysis.ResultsFour factors for potentially avoidable transitions between care settings in the LYOL were identified: healthcare system, organization, healthcare professional, patient and relatives. According to the participants, the most relevant aspects that can aid in reducing unnecessary transitions include timely identification and communication of the LYOL; consideration of palliative care options; availability and accessibility of care services; and having a healthcare professional taking main responsibility for care planning.ConclusionsPreventing avoidable transitions by considering the multicomponent factors related to them not only immediately before death but also in the LYOL could help to provide more value-based care for patients and improving their quality of life.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kasdorf, Alina UNSPECIFIED orcid.org/0000-0002-4982-9288 UNSPECIFIED Dust, Gloria UNSPECIFIED UNSPECIFIED UNSPECIFIED Vennedey, Vera UNSPECIFIED orcid.org/0000-0003-4977-750X UNSPECIFIED Rietz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, Maria C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED Strupp, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-577804
DOI:	10.1186/s12913-021-06138-4
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TERMINALLY-ILL PATIENTS; NURSING-HOME RESIDENTS; PALLIATIVE CARE; HOSPITAL ADMISSIONS; GENERAL-PRACTITIONERS; FAMILY PHYSICIANS; SURPRISE QUESTION; HEALTH-CARE; END; SETTINGS Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57780