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[Spatial access to palliative care units in Germany: integrated analysis of availability and accessibility using the
Theresa Petzold1, Friedemann Nauck2, Christian Banse2
1Klinik für Palliativmedizin, Universitätsmedizin Göttingen (UMG), Georg-August-Universität Göttingen, Von-Siebold-Straße 3, 37075, Göttingen, Deutschland. Theresa.Petzold@med.uni-goettingen.de.
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|September 3, 2025
Summary
Access to palliative care units in Germany varies regionally, with most people able to reach a unit within 30 minutes. The Enhanced Two-Step Floating Catchment Area (E2SFCA) method provides a realistic assessment of palliative care access.
Area of Science:
- Healthcare access research
- Spatial analysis in public health
- Palliative care services evaluation
Context:
- Increasing demand for palliative care due to demographic shifts.
- Challenges in ensuring equitable spatial access to palliative care units.
- Previous studies often analyzed availability and accessibility separately.
Purpose:
- To integrate availability and accessibility of palliative care units using the Enhanced Two-Step Floating Catchment Area (E2SFCA) method.
- To identify regional disparities in palliative care access across Germany.
- To provide a more realistic assessment of the palliative care situation.
Summary:
- The E2SFCA method was applied to calculate an access index based on population, bed capacity, and 30-minute travel time.
- Analysis revealed significant regional variations in access to 372 palliative care units in Germany.
- While urban areas often have high access due to service density, remote areas may experience longer travel times despite above-average services.
Impact:
- The E2SFCA method offers a more precise analysis of palliative care access compared to traditional methods.
- Findings highlight the need for detailed examination of care provision in underserved regions.
- Results inform policy and planning for improved palliative care distribution.
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