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Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung
BACKGROUND: Palliative care supply increased in Germany in recent years. But how many people use which forms of palliative care and how does this differ between regions? METHOD: Retrospective cohort study with claims data from insured persons who died in 2016: Based on services billed at least once...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686196/ https://www.ncbi.nlm.nih.gov/pubmed/33185710 http://dx.doi.org/10.1007/s00103-020-03240-6 |
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author | Ditscheid, Bianka Krause, Markus Lehmann, Thomas Stichling, Kathleen Jansky, Maximiliane Nauck, Friedemann Wedding, Ulrich Schneider, Werner Marschall, Ursula Meißner, Winfried Freytag, Antje |
author_facet | Ditscheid, Bianka Krause, Markus Lehmann, Thomas Stichling, Kathleen Jansky, Maximiliane Nauck, Friedemann Wedding, Ulrich Schneider, Werner Marschall, Ursula Meißner, Winfried Freytag, Antje |
author_sort | Ditscheid, Bianka |
collection | PubMed |
description | BACKGROUND: Palliative care supply increased in Germany in recent years. But how many people use which forms of palliative care and how does this differ between regions? METHOD: Retrospective cohort study with claims data from insured persons who died in 2016: Based on services billed at least once in the last six months of life, we determined the use of primary palliative care (PPC), specialized palliative homecare (SPHC), as well as inpatient palliative and hospice care, using regional billing codes for PPC and SPHC services for the first time. RESULTS: Of the 95,962 deceased in the study population, 32.7% received palliative care nationwide, with variations from 26.4% in Bremen to 40.8% in Bavaria. PPC services were billed at 24.4% (16.9% in Brandenburg to 34.1% in Bavaria). SPHC services received 13.1% (6.3% in Rhineland-Palatinate to 18.9% in Brandenburg and 22.9% in Westphalia-Lippe with different SPHC practices). Inpatient palliative care was received by 8.1% (6.7% in Schleswig-Holstein/Hesse to 13.0% in Thuringia); 3.3% (1.6% in Bremen to 5.6% in Berlin) with hospice services. CONCLUSION: SPHC is used more frequently than previously reported, while PPC is declining. Utilization seems to be based less on objective needs than on region-specific framework conditions. Besides needs criteria, further development of palliative care should be oriented more towards outcomes and relevant framework conditions. |
format | Online Article Text |
id | pubmed-7686196 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-76861962020-11-30 Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung Ditscheid, Bianka Krause, Markus Lehmann, Thomas Stichling, Kathleen Jansky, Maximiliane Nauck, Friedemann Wedding, Ulrich Schneider, Werner Marschall, Ursula Meißner, Winfried Freytag, Antje Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Originalien und Übersichten BACKGROUND: Palliative care supply increased in Germany in recent years. But how many people use which forms of palliative care and how does this differ between regions? METHOD: Retrospective cohort study with claims data from insured persons who died in 2016: Based on services billed at least once in the last six months of life, we determined the use of primary palliative care (PPC), specialized palliative homecare (SPHC), as well as inpatient palliative and hospice care, using regional billing codes for PPC and SPHC services for the first time. RESULTS: Of the 95,962 deceased in the study population, 32.7% received palliative care nationwide, with variations from 26.4% in Bremen to 40.8% in Bavaria. PPC services were billed at 24.4% (16.9% in Brandenburg to 34.1% in Bavaria). SPHC services received 13.1% (6.3% in Rhineland-Palatinate to 18.9% in Brandenburg and 22.9% in Westphalia-Lippe with different SPHC practices). Inpatient palliative care was received by 8.1% (6.7% in Schleswig-Holstein/Hesse to 13.0% in Thuringia); 3.3% (1.6% in Bremen to 5.6% in Berlin) with hospice services. CONCLUSION: SPHC is used more frequently than previously reported, while PPC is declining. Utilization seems to be based less on objective needs than on region-specific framework conditions. Besides needs criteria, further development of palliative care should be oriented more towards outcomes and relevant framework conditions. Springer Berlin Heidelberg 2020-11-13 2020 /pmc/articles/PMC7686196/ /pubmed/33185710 http://dx.doi.org/10.1007/s00103-020-03240-6 Text en © The Author(s) 2020 Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de. |
spellingShingle | Originalien und Übersichten Ditscheid, Bianka Krause, Markus Lehmann, Thomas Stichling, Kathleen Jansky, Maximiliane Nauck, Friedemann Wedding, Ulrich Schneider, Werner Marschall, Ursula Meißner, Winfried Freytag, Antje Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title | Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title_full | Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title_fullStr | Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title_full_unstemmed | Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title_short | Palliativversorgung am Lebensende in Deutschland: Inanspruchnahme und regionale Verteilung |
title_sort | palliativversorgung am lebensende in deutschland: inanspruchnahme und regionale verteilung |
topic | Originalien und Übersichten |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686196/ https://www.ncbi.nlm.nih.gov/pubmed/33185710 http://dx.doi.org/10.1007/s00103-020-03240-6 |
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