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Specialist palliative care classification: typology development.

Julia Wikert1, Daniela Gesell2, Claudia Bausewein2

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A new classification system was developed to describe and compare diverse specialist palliative care services in Germany. This typology enhances understanding of structural and process characteristics for improved quality management.

Keywords:
home carehospital caremethodological research

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Area of Science:

  • Palliative Care Research
  • Health Services Research
  • Healthcare Classification Systems

Background:

  • Specialist palliative care services in Germany exhibit significant heterogeneity across different settings (units, advisory teams, home care).
  • Existing classifications are insufficient due to variations in regulatory structures and financing, hindering quality management.
  • A more detailed and polyhierarchical classification is needed to accurately describe and differentiate these services.

Purpose of the Study:

  • To develop a comprehensive classification system for specialist palliative care models in Germany.
  • To facilitate clear description and comparison of diverse palliative care services.
  • To address the need for refined differentiation based on structural and process characteristics.

Main Methods:

  • Qualitative study approach.
  • Development of a preliminary list of structural and processual characteristics based on literature review.
  • Conducting expert interviews (n=11) and focus groups (n=2, with 7 and 9 participants respectively) between May 2020 and January 2021.

Main Results:

  • Identification of key structural and process characteristics suitable for specifying specialist palliative care.
  • Development of a classification typology incorporating these relevant characteristics.
  • The developed typology offers a refined means of differentiating palliative care services.

Conclusions:

  • The advanced typology improves the differentiation of specialist palliative care services within Germany.
  • This classification enhances the understanding of service structures and processes.
  • A deeper insight into these characteristics is crucial for international palliative care development and quality improvement.