Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen

Research output: Contribution to journalArticleResearchpeer review

Authors

  • 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

External Research Organisations

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

Translated title of the contributionEmpirically derived recommendations for the development and expansion of day hospices in Germany: Results of a Delphi expert panel
Original languageMultiple languages
Pages (from-to)72-82
Number of pages11
JournalZeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
Volume185
Early online date2 Mar 2024
Publication statusPublished - 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

Sustainable Development Goals

Cite this

Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen . / Stiel, Stephanie; Ernst, Alexandra; Röwer, Hanna A.A. et al.
In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, Vol. 185, 04.2024, p. 72-82.

Research output: Contribution to journalArticleResearchpeer review

Stiel, S, Ernst, A, Röwer, HAA, de Jong, L, Burger, B, Schneider, N, Damm, K, Stahmeyer, JT, Apolinarski, B & Herbst, FA 2024, 'Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen ', Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, vol. 185, pp. 72-82. https://doi.org/10.1016/j.zefq.2024.01.002
Stiel, S., Ernst, A., Röwer, H. A. A., de Jong, L., Burger, B., Schneider, N., Damm, K., Stahmeyer, J. T., Apolinarski, B., & Herbst, F. A. (2024). Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen . Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, 185, 72-82. https://doi.org/10.1016/j.zefq.2024.01.002
Stiel S, Ernst A, Röwer HAA, de Jong L, Burger B, Schneider N et al. Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen . Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 2024 Apr;185:72-82. Epub 2024 Mar 2. doi: 10.1016/j.zefq.2024.01.002
Stiel, Stephanie ; Ernst, Alexandra ; Röwer, Hanna A.A. et al. / Empirisch abgeleitete Empfehlungen für den Auf- und Ausbau von Tageshospizen in Deutschland : Ergebnisse einer Delphi-Befragung mit Expert:innen . In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 2024 ; Vol. 185. pp. 72-82.
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title = "Empirisch abgeleitete Empfehlungen f{\"u}r den Auf- und Ausbau von Tageshospizen in Deutschland: Ergebnisse einer Delphi-Befragung mit Expert:innen ",
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{\textquoteright} 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",
author = "Stephanie Stiel and Alexandra Ernst and R{\"o}wer, {Hanna A.A.} and {de Jong}, Lea and Birte Burger and Nils Schneider and Kathrin Damm and Stahmeyer, {Jona T.} and Beate Apolinarski and Herbst, {Franziska A.}",
note = "Funding Information: Das Projekt ABPATITE wurde vom Innovationsfonds beim Gemeinsamen Bundesauschusses (G-BA) f{\"u}r den Bereich Versorgungsforschung gef{\"o}rdert (F{\"o}rderkennzeichen 01VSF19034; F{\"o}rderzeitraum: 01.04.2020 bis 31.03.2023).",
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month = apr,
doi = "10.1016/j.zefq.2024.01.002",
language = "Multiple languages",
volume = "185",
pages = "72--82",

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Download

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.

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KW - Day hospices

KW - Delphi survey

KW - Health services research

KW - Palliative care

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