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Assessment and Communication for People with Disorders of Consciousness

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

Advance Care Planning in Germany.

Kornelia Götze¹, Berend Feddersen², Jürgen In der Schmitten³

¹Institute of General Practice, Center for Health and Society, Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen

|July 1, 2023

Summary

Advance Care Planning (ACP) implementation in Germany faces challenges due to inconsistent facilitator training and insufficient consideration of institutional factors. Efforts are ongoing to improve ACP accessibility and consistency across regions.

Keywords:

Advance Care Planning Advance directives Deutschland Germany Nursing homes Patientenverfügung Pflegeheime Social Code Book V Sect. 132g Vorausschauende Gesundheitsplanung § 132g SGB V

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Area of Science:

Healthcare Policy and Management
Public Health
Gerontology

Background:

Advance Care Planning (ACP) is crucial for aligning care with patient preferences during incapacitation.
Initial German regional projects demonstrated the potential of ACP.
Legislation in 2015 enabled statutory health insurance coverage for ACP facilitation in specific care settings.

Purpose of the Study:

To evaluate the implementation of Advance Care Planning (ACP) in Germany.
To identify challenges and areas for improvement in current ACP legislation and practice.

Main Methods:

Analysis of the 2015 German legislation (§ 132g, Social Code Book V) regarding ACP facilitation.
Review of the implementation of ACP in regional projects (LIMITS, beizeiten begleiten).
Assessment of training requirements and qualifications for ACP facilitators.

Main Results:

The 2015 legislation allows for insured ACP facilitation but lacks specific trainer qualifications and a defined training program, leading to varied facilitator competencies.
Institutional and regional implementation aspects are inadequately addressed in the current legal framework.
Despite legislative gaps, numerous initiatives and research projects are actively working to expand ACP.

Conclusions:

Current German legislation for Advance Care Planning (ACP) requires refinement to ensure consistent quality and effective implementation.
Standardized training and a focus on institutional/regional integration are essential for successful ACP.
Continued efforts by various stakeholders are vital for advancing ACP accessibility and quality.