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首页> 外文期刊>Zeitschrift fur Palliativmedizin >Amhularste Palllatiwersorgung In Westfalen-LIppe Strukturierte Bestandsaufnahme 12 Monate nach Inkrafttreten der ,,Vereinbarung zur Umsetzung der ambulanten palliativmedlzinischen Versorgung von unheilbar Kranken im hauslichen Umfeld' Health Care of Palliative Outpatients in the German Region Westfafia-LippeA Baseline Study 12 Month After Inception of the Agreement 'Health Care of Palliative Outpatients at Home'
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Amhularste Palllatiwersorgung In Westfalen-LIppe Strukturierte Bestandsaufnahme 12 Monate nach Inkrafttreten der ,,Vereinbarung zur Umsetzung der ambulanten palliativmedlzinischen Versorgung von unheilbar Kranken im hauslichen Umfeld' Health Care of Palliative Outpatients in the German Region Westfafia-LippeA Baseline Study 12 Month After Inception of the Agreement 'Health Care of Palliative Outpatients at Home'

机译：Westphalia-LIppe中的Amhularste姑息治疗结构性清单，在“在家庭环境中实施针对难治性疾病患者的门诊姑息治疗协议”生效后的德国地区Westfafia-LippeA姑息门诊患者的医疗保健协议生效后12个月“在家中姑息门诊病人的保健”

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摘要

Introduction: On 1.4.2009, the Association of Statutory Health Insurance Physicians of Westfalia-Lippe (KV-WL) published with associations of health insurers' an agreement to implement palliative care for terminally ill patients at home. Based on this agreement, the healthcare-service providers of general and specialized out-patient palliative care are organized, supported by coordinators.Method: 12 month after introduction of the agreement a questionnaire to the regional palliative care networks was send to collect data about supply structure, number of patients and their places of death.Results: 68.7% of 5277 patients, included in the contractual relationship structures, died at home, 1.2% in palliative care units, 15.4% in inpatient hospices and 14.7% in hospitals. The quality of structures and results in urban as well rural palliative care networks is different. A correlation between the population density or the number of included patients per palliative network could not be detected.Conclusion: Through the opening of the idea of palliative care team to the primary healthcare providers (family doctors/specialists) a significant strengthening of the general out-patient palliative care can be seen. Essential guarantee of multidisciplinary and multiprofessional working are in palliative care-trained and experienced coordinators. With the objective of developing the outpatient palliative care structures in the area of KV-WL data on quality assurance should be collected and evaluated regularly in the future.
机译：简介：2009年1月1.4日，Westfalia-Lippe法定健康保险医师协会（KV-WL）与健康保险公司协会发布了一项协议，该协议旨在为在家中绝症患者提供姑息治疗。在此协议的基础上，组织了普通和专科门诊姑息治疗的医疗服务提供者，并得到了协调员的支持。方法：在协议引入后12个月，向区域姑息治疗网络发送了一份问卷，以收集有关供应的数据结果：包括在合同关系结构中的5277例患者中，有68.7％死于家中，姑息治疗病房死亡1.2％，住院病人的住院率为15.4％，医院为14.7％。城市以及农村姑息治疗网络的结构和结果质量是不同的。结论：通过向主要医疗保健提供者（家庭医生/专科医生）开放姑息治疗团队的想法，可以显着增强全科医疗服务水平，从而无法检测到人口密度或每个姑息治疗网络所包括的患者人数之间的相关性。可以看到病人的姑息治疗。多学科和多专业工作的基本保证是经过姑息治疗培训且经验丰富的协调员。为了发展KV-WL领域的门诊姑息治疗结构，将来应定期收集和评估质量保证数据。

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