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Consensus-based recommendations for the development and expansion of palliative day care clinics in Germany: results of a Delphi study

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Titel: Consensus-based recommendations for the development and expansion of palliative day care clinics in Germany: results of a Delphi study
Autoren: Stephanie Stiel, Alexandra Ernst, Beate Apolinarski, Hanna A. A. Röwer, Lea de Jong, Birte Burger, Sabrina Schütte, Nils Schneider, Kathrin Damm, Jona T. Stahmeyer, Franziska A. Herbst
Quelle: BMC Palliat Care
BMC Palliative Care, Vol 23, Iss 1, Pp 1-11 (2024)
Verlagsinformationen: Springer Science and Business Media LLC, 2024.
Publikationsjahr: 2024
Schlagwörter: Male, Adult, Consensus, Delphi Technique, Medical day care, Research, Palliative Care, RC952-1245, Focus Groups, Middle Aged, 3. Good health, Day care services, 03 medical and health sciences, 0302 clinical medicine, Special situations and conditions, Delphi technique, Germany, Palliative care, Female [MeSH], Adult [MeSH], Humans [MeSH], Day Care, Medical/standards [MeSH], Day Care, Medical/methods [MeSH], Middle Aged [MeSH], Palliative day care clinics, Palliative Care/methods [MeSH], Male [MeSH], Focus Groups/methods [MeSH], Germany [MeSH], Palliative Care/standards [MeSH], Delphi Technique [MeSH], Consensus [MeSH], Humans, Female, 0305 other medical science, Day Care, Medical
Beschreibung: 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).
Publikationsart: Article
Other literature type
Sprache: English
ISSN: 1472-684X
DOI: 10.1186/s12904-024-01441-3
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/38702653
https://doaj.org/article/5c487d4c789646c4951f5b83cff85972
https://repository.publisso.de/resource/frl:6502438
Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (http://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Dokumentencode: edsair.doi.dedup.....8fa5e6cb6ec088a4fd5d5fb1d8bb3df6
Datenbank: OpenAIRE
Beschreibung
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).
ISSN:1472684X
DOI:10.1186/s12904-024-01441-3