Details
| Original language | English |
|---|---|
| Article number | 116 |
| Number of pages | 11 |
| Journal | BMC palliative care |
| Volume | 23 |
| Publication status | Published - 3 May 2024 |
Abstract
Background: Needs-based, patient-oriented palliative care includes palliative day care clinics as a specialized semi-inpatient care offer. However, the establishment and development of these facilities has been unsystematic. Research is needed to strengthen their transparency and ensure their accessibility, quality, and structural adequacy. A national Delphi study was conducted to generate appropriate recommendations for the establishment and development of palliative day care clinics in Germany. Methods: Recommendations were formulated from focus group data on the development and expansion of palliative day care clinics in Germany. Experts on in- and outpatient palliative care rated 28 recommendations for relevance and feasibility, respectively, using a 4-point Likert-type scale. Suggestions for improvement were captured via free text comments. Items were considered consented when more than 80% of the experts scored them 4 (strongly agree) or 3 (somewhat agree), regarding both relevance and feasibility. Results: A total of 23 experts (32% response rate) completed three Delphi rounds. Following the first round, 10 of 28 recommendations were revised according to participants’ comments; 1 recommendation was rejected. After the second round, 3 of these 10 recommendations were revised, while 3 were rejected. Consensus was achieved after the third round for 22 of the initial recommendations. Conclusions: The Delphi-consented recommendations provide a basis for the targeted evidence- and needs-based development of palliative day care clinics. The findings show a need for standards setting and the meaningful integration of these clinics into existing structures. Trial registration: The present study was prospectively registered on April 20, 2020, with the German Clinical Trials Register (DRKS00021446).
Keywords
- Consensus, Day care services, Delphi technique, Medical day care, Palliative care, Palliative day care clinics
ASJC Scopus subject areas
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In: BMC palliative care, Vol. 23, 116, 03.05.2024.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Consensus-based recommendations for the development and expansion of palliative day care clinics in Germany
T2 - results of a Delphi study
AU - Stiel, Stephanie
AU - Ernst, Alexandra
AU - Apolinarski, Beate
AU - Röwer, Hanna A.A.
AU - de Jong, Lea
AU - Burger, Birte
AU - Schütte, Sabrina
AU - Schneider, Nils
AU - Damm, Kathrin
AU - Stahmeyer, Jona T.
AU - Herbst, Franziska A.
N1 - Publisher Copyright: © The Author(s) 2024.
PY - 2024/5/3
Y1 - 2024/5/3
N2 - Background: Needs-based, patient-oriented palliative care includes palliative day care clinics as a specialized semi-inpatient care offer. However, the establishment and development of these facilities has been unsystematic. Research is needed to strengthen their transparency and ensure their accessibility, quality, and structural adequacy. A national Delphi study was conducted to generate appropriate recommendations for the establishment and development of palliative day care clinics in Germany. Methods: Recommendations were formulated from focus group data on the development and expansion of palliative day care clinics in Germany. Experts on in- and outpatient palliative care rated 28 recommendations for relevance and feasibility, respectively, using a 4-point Likert-type scale. Suggestions for improvement were captured via free text comments. Items were considered consented when more than 80% of the experts scored them 4 (strongly agree) or 3 (somewhat agree), regarding both relevance and feasibility. Results: A total of 23 experts (32% response rate) completed three Delphi rounds. Following the first round, 10 of 28 recommendations were revised according to participants’ comments; 1 recommendation was rejected. After the second round, 3 of these 10 recommendations were revised, while 3 were rejected. Consensus was achieved after the third round for 22 of the initial recommendations. Conclusions: The Delphi-consented recommendations provide a basis for the targeted evidence- and needs-based development of palliative day care clinics. The findings show a need for standards setting and the meaningful integration of these clinics into existing structures. Trial registration: The present study was prospectively registered on April 20, 2020, with the German Clinical Trials Register (DRKS00021446).
AB - Background: Needs-based, patient-oriented palliative care includes palliative day care clinics as a specialized semi-inpatient care offer. However, the establishment and development of these facilities has been unsystematic. Research is needed to strengthen their transparency and ensure their accessibility, quality, and structural adequacy. A national Delphi study was conducted to generate appropriate recommendations for the establishment and development of palliative day care clinics in Germany. Methods: Recommendations were formulated from focus group data on the development and expansion of palliative day care clinics in Germany. Experts on in- and outpatient palliative care rated 28 recommendations for relevance and feasibility, respectively, using a 4-point Likert-type scale. Suggestions for improvement were captured via free text comments. Items were considered consented when more than 80% of the experts scored them 4 (strongly agree) or 3 (somewhat agree), regarding both relevance and feasibility. Results: A total of 23 experts (32% response rate) completed three Delphi rounds. Following the first round, 10 of 28 recommendations were revised according to participants’ comments; 1 recommendation was rejected. After the second round, 3 of these 10 recommendations were revised, while 3 were rejected. Consensus was achieved after the third round for 22 of the initial recommendations. Conclusions: The Delphi-consented recommendations provide a basis for the targeted evidence- and needs-based development of palliative day care clinics. The findings show a need for standards setting and the meaningful integration of these clinics into existing structures. Trial registration: The present study was prospectively registered on April 20, 2020, with the German Clinical Trials Register (DRKS00021446).
KW - Consensus
KW - Day care services
KW - Delphi technique
KW - Medical day care
KW - Palliative care
KW - Palliative day care clinics
UR - http://www.scopus.com/inward/record.url?scp=85192012813&partnerID=8YFLogxK
U2 - 10.1186/s12904-024-01441-3
DO - 10.1186/s12904-024-01441-3
M3 - Article
C2 - 38702653
AN - SCOPUS:85192012813
VL - 23
JO - BMC palliative care
JF - BMC palliative care
SN - 1472-684X
M1 - 116
ER -