Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland

Ergebnisse einer Delphi-Befragung mit Expert:innen

authored by

Stephanie Stiel, Alexandra Ernst, Hanna A.A. Röwer, Lea de Jong, Birte Burger, Nils Schneider, Kathrin Damm, Jona T. Stahmeyer, Beate Apolinarski, Franziska A. Herbst

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.

Organisation(s)

Institute of Insurance Business Administration

External Organisation(s)

Hannover Medical School (MHH)
AOK - Die Gesundheitskasse für Niedersachsen

Type

Article

Journal

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

Volume

185

Pages

72-82

No. of pages

11

ISSN

1865-9217

Publication date

04.2024

Publication status

Published

Peer reviewed

Yes

ASJC Scopus subject areas

Medicine (miscellaneous), Education, Health Policy

Sustainable Development Goals

SDG 3 - Good Health and Well-being

Electronic version(s)

https://doi.org/10.1016/j.zefq.2024.01.002 (Access: Open)