Details
| Translated title of the contribution | Empirically derived recommendations for the development and expansion of day hospices in Germany: Results of a Delphi expert panel |
|---|---|
| Original language | Multiple languages |
| Pages (from-to) | 72-82 |
| Number of pages | 11 |
| Journal | Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen |
| Volume | 185 |
| Early online date | 2 Mar 2024 |
| Publication status | Published - Apr 2024 |
Abstract
Introduction: A needs-based and patient-oriented hospice and palliative care also includes day hospices as a specialised semi-inpatient care offer. The establishment and development of these facilities in Germany has been rather unsystematic. In order to ensure quality and adequacy of these structures, research is needed. Methods: A Delphi consensus study was conducted online from November 2022 to February 2023 aiming at generating recommendations for the development and expansion of day hospices in Germany. For each recommendation, the participants indicated on a four-point verbal rating scale how much they agreed upon a) the relevance and b) the feasibility of the recommendation. Items were considered consented when 80 % of the participants (strongly) agreed with the recommendation regarding both criteria. If no consensus was reached, the recommendations were revised according to the participants’ free text comments and presented in the next Delphi round. Descriptive analyses were applied. Results: A total of 64 experts participated in the first Delphi round and 44 in the second. In round 1, 34 recommendations and in round 2 six recommendations were consented. The final set contains a total of 40 recommendations: 18 on the tasks of day hospices, 13 on cooperation, 7 on funding, and 2 on public relations. Discussion: Recommendations for the development and expansion of day hospices in Germany were developed. Due to their highly rated feasibility, the recommendations should be directly transferable into care practice. It remains to be seen to what extent they will be taken into account in the renegotiation of the framework agreement for day hospices. Conclusion: The Delphi-consented recommendations provide a basis to guide action in the currently very dynamic development of hospice work and palliative care in Germany.
Keywords
- Day care services, Day hospices, Delphi survey, Health services research, Palliative care
ASJC Scopus subject areas
- Medicine(all)
- Medicine (miscellaneous)
- Social Sciences(all)
- Education
- Medicine(all)
- Health Policy
Sustainable Development Goals
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In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, Vol. 185, 04.2024, p. 72-82.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland
T2 - Ergebnisse einer Delphi-Befragung mit Expert:innen
AU - Stiel, Stephanie
AU - Ernst, Alexandra
AU - Röwer, Hanna A.A.
AU - de Jong, Lea
AU - Burger, Birte
AU - Schneider, Nils
AU - Damm, Kathrin
AU - Stahmeyer, Jona T.
AU - Apolinarski, Beate
AU - Herbst, Franziska A.
N1 - Funding Information: Das Projekt ABPATITE wurde vom Innovationsfonds beim Gemeinsamen Bundesauschusses (G-BA) für den Bereich Versorgungsforschung gefördert (Förderkennzeichen 01VSF19034; Förderzeitraum: 01.04.2020 bis 31.03.2023).
PY - 2024/4
Y1 - 2024/4
N2 - Introduction: A needs-based and patient-oriented hospice and palliative care also includes day hospices as a specialised semi-inpatient care offer. The establishment and development of these facilities in Germany has been rather unsystematic. In order to ensure quality and adequacy of these structures, research is needed. Methods: A Delphi consensus study was conducted online from November 2022 to February 2023 aiming at generating recommendations for the development and expansion of day hospices in Germany. For each recommendation, the participants indicated on a four-point verbal rating scale how much they agreed upon a) the relevance and b) the feasibility of the recommendation. Items were considered consented when 80 % of the participants (strongly) agreed with the recommendation regarding both criteria. If no consensus was reached, the recommendations were revised according to the participants’ free text comments and presented in the next Delphi round. Descriptive analyses were applied. Results: A total of 64 experts participated in the first Delphi round and 44 in the second. In round 1, 34 recommendations and in round 2 six recommendations were consented. The final set contains a total of 40 recommendations: 18 on the tasks of day hospices, 13 on cooperation, 7 on funding, and 2 on public relations. Discussion: Recommendations for the development and expansion of day hospices in Germany were developed. Due to their highly rated feasibility, the recommendations should be directly transferable into care practice. It remains to be seen to what extent they will be taken into account in the renegotiation of the framework agreement for day hospices. Conclusion: The Delphi-consented recommendations provide a basis to guide action in the currently very dynamic development of hospice work and palliative care in Germany.
AB - Introduction: A needs-based and patient-oriented hospice and palliative care also includes day hospices as a specialised semi-inpatient care offer. The establishment and development of these facilities in Germany has been rather unsystematic. In order to ensure quality and adequacy of these structures, research is needed. Methods: A Delphi consensus study was conducted online from November 2022 to February 2023 aiming at generating recommendations for the development and expansion of day hospices in Germany. For each recommendation, the participants indicated on a four-point verbal rating scale how much they agreed upon a) the relevance and b) the feasibility of the recommendation. Items were considered consented when 80 % of the participants (strongly) agreed with the recommendation regarding both criteria. If no consensus was reached, the recommendations were revised according to the participants’ free text comments and presented in the next Delphi round. Descriptive analyses were applied. Results: A total of 64 experts participated in the first Delphi round and 44 in the second. In round 1, 34 recommendations and in round 2 six recommendations were consented. The final set contains a total of 40 recommendations: 18 on the tasks of day hospices, 13 on cooperation, 7 on funding, and 2 on public relations. Discussion: Recommendations for the development and expansion of day hospices in Germany were developed. Due to their highly rated feasibility, the recommendations should be directly transferable into care practice. It remains to be seen to what extent they will be taken into account in the renegotiation of the framework agreement for day hospices. Conclusion: The Delphi-consented recommendations provide a basis to guide action in the currently very dynamic development of hospice work and palliative care in Germany.
KW - Day care services
KW - Day hospices
KW - Delphi survey
KW - Health services research
KW - Palliative care
UR - http://www.scopus.com/inward/record.url?scp=85186572821&partnerID=8YFLogxK
U2 - 10.1016/j.zefq.2024.01.002
DO - 10.1016/j.zefq.2024.01.002
M3 - Article
AN - SCOPUS:85186572821
VL - 185
SP - 72
EP - 82
JO - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
JF - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
SN - 1865-9217
ER -