Polite
Analysis of the implementation of the "Particularly qualified and coordinated palliative medical care" (BQKPMV) in the reality of care and recommendations for further development in the federal state of Lower Saxony
Background
Hospice and palliative care for people with incurable, progressive illnesses has developed significantly in recent years. With the introduction of the "Particularly qualified and coordinated palliative medical care" (BQKPMV) in 2017, the legislator intended to further improve outpatient care for seriously ill and dying people in Germany. An analysis of implementation is necessary to assess the extent to which the BQKPMV has been incorporated into care practice. In this way, the added value of palliative medical care for those affected and their relatives can also be recorded.
Aims
The aim of the Polite project is to examine the implementation of the BQKPMV to date and to identify opportunities for further development. The result should be recommendations that supplement the legally required evaluation. This will enable a rapid nationwide transfer of the results and further optimization of palliative medical care.
Methods
The project will initially analyze the implementation of the BQKPMV in the federal state of Lower Saxony. To this end, routine data from the AOK Lower Saxony will be evaluated. On the other hand, surveys of general practitioners and teams of specialized outpatient palliative care will be conducted. Based on this, a nationwide workshop with experts will be organized in order to derive recommendations for the further development of the care under consideration.
Publications
Flyer on recommendations for the further development of the BQKPMV - results of a Delphi survey
Hemmerling M, Stahmeyer JT, Schütte S, van Baal K, Stiel S. New form of outpatient palliative care - An evaluation of SHI routine data after its introduction. Deutsches Ärzteblatt. 2022; 119(31-32): 548-549 (German Medical Journal)
Stiel S, van Baal K, Ülgüt R, Stahmeyer JT, Schneider N. Analyzing the administration of an intermediate level of outpatient palliative care in Germany and developing recommendations for improvement (Polite): A study protocol for a mixed-methods study. PLoS One. 2021;16(9):e0256467. DOI: 10.1371/journal.pone.0256467 (PLoS One)
Ülgüt R, van Baal K, Köpping L, Schneider N, Stiel S. Particularly qualified and coordinated palliative care - an analysis of statements. Z Palliativmed. 2022; DOI: 10.1055/a-1749-9536(Z Palliativmed)
van Baal K, Ülgüt R, Schulze C, Schneider N, Siel S. Implementation of the "Particularly qualified and coordinated palliative medical care" (BQKPMV) - experiences and perspectives of SAPV teams. Z Evid Fortbild Qual Gesundhwes. 2022; DOI: 10.1016/j.zefq.2022.03.005(ZEFQ)
Relevance of the expected results
In the long term, the project results should contribute to improved care for those affected. Good outpatient palliative care enables people to die at home. It helps to avoid hospital admissions and cost-intensive therapies, improve quality of life and better control symptoms at the end of life.
Funding
The project is funded by the Innovation Fund of the Joint Federal Committee for the area of care research (funding code 01VSF20028) for 18 months with approx. 265,000 euros.
Consortium and cooperation partners
The AOK Lower Saxony is involved in the Polite project as a consortium partner. In addition, the Hannover Medical School is cooperating in Polite with the Landesstützpunkt für Hospizarbeit und Palliativversorgung Niedersachsen e.V. (LSHPN) and the Fachverband spezialisierte ambulante Palliativversorgung Niedersachsen e.V. (Lower Saxony Association for Specialized Outpatient Palliative Care).
Polite Team
Prof. Dr. Dr. Stephanie Stiel (Project Manager)
- Phone: +49 511 532-4548
Dr. Katharina van Baal (Deputy Project Manager)
- Phone: +49 511 532-4506
Polite - Project Office:
Phone: +49 511 532-4506
Fax: +49 511 532-16-1177
E-mail: polite@mh-hannover.de
Address
Hannover Medical School
Institute ofGeneral Medicine and Palliative Medicine
Carl-Neuberg-Strasse 1
30625 Hanover