Now showing 1 - 10 of 34
  • 2020Journal Article
    [["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Palliative Care"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Stichling, K."],["dc.contributor.author","Krause, M."],["dc.contributor.author","Ditscheid, B."],["dc.contributor.author","Hach, M."],["dc.contributor.author","Jansky, M."],["dc.contributor.author","Kaufmann, M."],["dc.contributor.author","Lehmann, T."],["dc.contributor.author","Meißner, W."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Schneider, W."],["dc.contributor.author","Schulz, S."],["dc.contributor.author","Vollmar, H. C."],["dc.contributor.author","Wedding, U."],["dc.contributor.author","Bleidorn, J."],["dc.contributor.author","Freytag, A."],["dc.date.accessioned","2021-04-14T08:23:57Z"],["dc.date.available","2021-04-14T08:23:57Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1186/s12904-020-00603-3"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81107"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1472-684X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Factors influencing GPs’ perception of specialised palliative homecare (SPHC) importance – results of a cross-sectional study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2019Journal Article Research Paper
    [["dc.bibliographiccitation.artnumber","8"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Palliative Care"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Jansky, Maximiliane"],["dc.contributor.author","Owusu-Boakye, Sonja"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2019-07-09T11:49:53Z"],["dc.date.available","2019-07-09T11:49:53Z"],["dc.date.issued","2019"],["dc.description.abstract","Abstract Background Migrants seem to be underrepresented in palliative care in Germany. Access barriers and challenges in care remain unclear. We aimed to provide a comprehensive insight into palliative care for migrants, using expert interviews. Methods Interviews with experts on palliative and general health care for migrants were audiotaped and transcribed. Data analysis followed a qualitative content analysis method for expert interviews proposed by Meuser and Nagel. Results In total, 13 experts from various fields (palliative and hospice care, other care, research and training) were interviewed. Experts identified access barriers on the health care system and the patient level as well as the sociopolitical level. Services don’t address migrants, who may use parallel structures. Patients may distrust the health care system, be oriented towards their home country and expect the family to care for them. In care, poor adaptation and inflexibility of health care services regarding needs of migrant patients because of scarce resources, patients’ preferences which may contradict professionals' values, and communication both on the verbal and nonverbal level were identified as the main challenges. Conflicts between patients, families and professionals are at risk to be interpreted exclusively as cultural conflicts. Palliative care providers should use skilled interpreters instead of family interpreters or unskilled staff members, and focus on training cultural competence. Furthermore, intercultural teams could enhance palliative care provision for migrants. Conclusions Though needs and wishes of migrant patients are often found to be similar to those of non-migrant patients, there are migration-specific aspects that can influence care provision at the end of life. Migration should be regarded as a biographical experience that has a severe and ongoing impact on the life of an individual and their family. Language barriers have to be considered, especially regarding patients' right to informed decision making. The reimbursement of interpreters in health care remains an open question."],["dc.identifier.doi","10.1186/s12904-019-0392-y"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15799"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59649"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","“An odyssey without receiving proper care” – experts’ views on palliative care provision for patients with migration background in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article
    [["dc.bibliographiccitation.firstpage","1502"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz"],["dc.bibliographiccitation.lastpage","1510"],["dc.bibliographiccitation.volume","63"],["dc.contributor.author","Ditscheid, Bianka"],["dc.contributor.author","Krause, Markus"],["dc.contributor.author","Lehmann, Thomas"],["dc.contributor.author","Stichling, Kathleen"],["dc.contributor.author","Jansky, Maximiliane"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Wedding, Ulrich"],["dc.contributor.author","Schneider, Werner"],["dc.contributor.author","Marschall, Ursula"],["dc.contributor.author","MeiĂźner, Winfried"],["dc.contributor.author","Freytag, Antje"],["dc.date.accessioned","2021-04-14T08:32:15Z"],["dc.date.available","2021-04-14T08:32:15Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00103-020-03240-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83862"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1437-1588"],["dc.relation.issn","1436-9990"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Palliativversorgung am Lebensende in Deutschland"],["dc.title.alternative","Inanspruchnahme und regionale Verteilung"],["dc.title.translated","Palliative care at the end of life in Germany : Utilization and regional distribution"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","60"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Onkologische Pflege"],["dc.bibliographiccitation.lastpage","66"],["dc.bibliographiccitation.volume","10"],["dc.contributor.author","Banse, Christian"],["dc.contributor.author","Jansky, Maximiliane Katharina"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-03-17T19:16:07Z"],["dc.date.available","2022-03-17T19:16:07Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.4486/j.op.2020.03.09"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/104818"],["dc.language.iso","de"],["dc.relation.issn","2198-5650"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Kulturelle Barrieren bei der Versorgung?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2016Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","18"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Bundes-Hospiz-Anzeiger"],["dc.bibliographiccitation.lastpage","19"],["dc.bibliographiccitation.volume","14"],["dc.contributor.author","Jansky, Maximiliane Katharina"],["dc.contributor.author","Owusu-Boakye, Sonja"],["dc.contributor.author","Banse, Christian"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-05-10T12:05:09Z"],["dc.date.available","2022-05-10T12:05:09Z"],["dc.date.issued","2016"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/107707"],["dc.language.iso","de"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Palliative Versorgung von Menschen mit Migrationshintergrund - Forschungsergebnisse und Handlungsempfehlungen"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2021-12-23Journal Article Research Paper
    [["dc.bibliographiccitation.journal","Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen"],["dc.contributor.author","Gebel, Cordula"],["dc.contributor.author","Rothaug, Judith"],["dc.contributor.author","Kruschel, Isabel"],["dc.contributor.author","Lehmann, Thomas"],["dc.contributor.author","Jansky, Maximiliane Katharina"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Freytag, Antje"],["dc.contributor.author","Bauer, Anna"],["dc.contributor.author","Krauss, Sabine H."],["dc.contributor.author","Schneider, Werner"],["dc.contributor.author","Nageler, Cornelia"],["dc.contributor.author","Meißner, Winfried"],["dc.contributor.author","Wedding, Ulrich"],["dc.date.accessioned","2022-03-07T07:26:17Z"],["dc.date.available","2022-03-07T07:26:17Z"],["dc.date.issued","2021-12-23"],["dc.description.abstract","Since 2007, patients receiving palliative care have been entitled to specialised outpatient palliative care (SAPV). Until now, the quality of care of the SAPV was only regionally focussed or in relation to individual SAPV teams. A nationwide analysis of outcome quality is still awaited. The organisation and design of structures and processes vary greatly from region to region, which complicates a comparative assessment of implementation. One way to measure the quality of the heterogeneous structures and processes is to collect patient-reported outcomes. Here, it is possible to use symptom burden, quality of care and patient satisfaction with SAPV care, since patients' quality of life is a central focus of SAPV care. This article is part of the research project SAVOIR, which is funded by the G-BA Innovation Fund."],["dc.identifier.doi","10.1016/j.zefq.2021.10.001"],["dc.identifier.pmid","34955440"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/104368"],["dc.language.iso","de"],["dc.relation.eissn","2212-0289"],["dc.relation.issn","1865-9217"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Symptomverlauf, Betreuungsqualität und Zufriedenheit mit der spezialisierten ambulanten Palliativversorgung (SAPV) aus Patient innenperspektive: eine bundesweite prospektive Längsschnittstudie"],["dc.title.alternative","Patient-reported outcomes and quality of care in specialized palliative home care: a nationwide, prospective longitudinal cohort trial"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2019Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","300"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Tumordiagnostik & Therapie"],["dc.bibliographiccitation.lastpage","307"],["dc.bibliographiccitation.volume","40"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Jansky, Maximiliane Katharina"],["dc.date.accessioned","2022-02-21T12:22:55Z"],["dc.date.available","2022-02-21T12:22:55Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1055/a-0900-2474"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/100134"],["dc.language.iso","de"],["dc.relation.issn","0722-219X"],["dc.relation.issn","1439-1279"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Spezialisierte Ambulante Palliativ-Versorgung"],["dc.title.alternative","Palliative Home Care Teams in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2022-02-08Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.journal","BMJ Supportive & Palliative Care"],["dc.bibliographiccitation.lastpage","9"],["dc.contributor.author","Wikert, Julia"],["dc.contributor.author","Gesell, Daniela"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Jansky, Maximiliane Katharina"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Kranz, Steven"],["dc.contributor.author","Hodiamont, Farina"],["dc.date.accessioned","2022-07-12T11:20:38Z"],["dc.date.available","2022-07-12T11:20:38Z"],["dc.date.issued","2022-02-08"],["dc.description.abstract","The heterogeneity of specialist palliative care services requires a classification to enable a clear description and comparison. In Germany, specialist palliative care is provided by palliative care units, palliative care advisory teams in hospitals and palliative home care teams. The differentiation between the three care settings can serve as a first level of classification. However, due to profound variations in regulatory structures and financing systems, services within each setting are heterogeneous and characteristics remain unclear, which impedes quality management. Further characteristics of specialist palliative care models need to be considered to allow for differentiation. Thus, services should be described on a polyhierarchical basis, such as a typology, representing relevant characteristics. We aimed at the development of a comprehensive classification to facilitate the description and differentiation of specialist palliative care models."],["dc.identifier.doi","10.1136/bmjspcare-2021-003435"],["dc.identifier.pmid","35135807"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112474"],["dc.language.iso","en"],["dc.relation.doi","10.1136/bmjspcare-2021-003435"],["dc.relation.eissn","2045-4368"],["dc.relation.issn","2045-435X"],["dc.relation.issn","2045-4368"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Specialist palliative care classification: typology development"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2021Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","1158"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Palliative Medicine"],["dc.bibliographiccitation.lastpage","1169"],["dc.bibliographiccitation.volume","35"],["dc.contributor.author","Krause, Markus"],["dc.contributor.author","Ditscheid, Bianka"],["dc.contributor.author","Lehmann, Thomas"],["dc.contributor.author","Jansky, Maximiliane"],["dc.contributor.author","Marschall, Ursula"],["dc.contributor.author","Meißner, Winfried"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Wedding, Ulrich"],["dc.contributor.author","Freytag, Antje"],["dc.date.accessioned","2021-07-05T14:57:47Z"],["dc.date.available","2021-07-05T14:57:47Z"],["dc.date.issued","2021"],["dc.description.abstract","Background: Comparative effectiveness of different types of palliative homecare is sparsely researched internationally—despite its potential to inform necessary decisions in palliative care infrastructure development. In Germany, specialized palliative homecare delivered by multi-professional teams has increased in recent years and factors beyond medical need seem to drive its involvement and affect the application of primary palliative care, delivered by general practitioners who are supported by nursing services. Aim: To compare effectiveness of primary palliative care and specialized palliative homecare in reducing potentially aggressive interventions at the end-of-life in cancer and non-cancer. Design: Retrospective population-based study with claims data from 95,962 deceased adults in Germany in 2016 using multivariable regression analyses. Settings/participants: Patients having received primary palliative care or specialized palliative homecare (alone or in addition to primary palliative care), for at least 14 days before death, differentiating between cancer and non-cancer patients. Results: Rates of potentially aggressive interventions in most indicators were higher in primary palliative care than in specialized palliative homecare ( p < 0.01), in both cancer and non-cancer patients: death in hospital (odds ratio (OR) 4.541), hospital care (OR 2.720), intensive care treatment (OR 6.749), chemotherapy (OR 2.173), and application of a percutaneous endoscopic gastrostomy (OR 4.476), but not for parenteral nutrition (OR 0.477). Conclusion: Specialized palliative homecare is more strongly associated with reduction of potentially aggressive interventions than primary palliative care in the last days of life. Future research should identify elements of specialized palliative homecare applicable for more effective primary palliative care, too. German Clinical Trials Register (DRKS00014730)."],["dc.description.abstract","Background: Comparative effectiveness of different types of palliative homecare is sparsely researched internationally—despite its potential to inform necessary decisions in palliative care infrastructure development. In Germany, specialized palliative homecare delivered by multi-professional teams has increased in recent years and factors beyond medical need seem to drive its involvement and affect the application of primary palliative care, delivered by general practitioners who are supported by nursing services. Aim: To compare effectiveness of primary palliative care and specialized palliative homecare in reducing potentially aggressive interventions at the end-of-life in cancer and non-cancer. Design: Retrospective population-based study with claims data from 95,962 deceased adults in Germany in 2016 using multivariable regression analyses. Settings/participants: Patients having received primary palliative care or specialized palliative homecare (alone or in addition to primary palliative care), for at least 14 days before death, differentiating between cancer and non-cancer patients. Results: Rates of potentially aggressive interventions in most indicators were higher in primary palliative care than in specialized palliative homecare ( p < 0.01), in both cancer and non-cancer patients: death in hospital (odds ratio (OR) 4.541), hospital care (OR 2.720), intensive care treatment (OR 6.749), chemotherapy (OR 2.173), and application of a percutaneous endoscopic gastrostomy (OR 4.476), but not for parenteral nutrition (OR 0.477). Conclusion: Specialized palliative homecare is more strongly associated with reduction of potentially aggressive interventions than primary palliative care in the last days of life. Future research should identify elements of specialized palliative homecare applicable for more effective primary palliative care, too. German Clinical Trials Register (DRKS00014730)."],["dc.identifier.doi","10.1177/02692163211013666"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/87735"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-441"],["dc.relation.eissn","1477-030X"],["dc.relation.issn","0269-2163"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2021Journal Article
    [["dc.bibliographiccitation.firstpage","e22"],["dc.bibliographiccitation.issue","04"],["dc.bibliographiccitation.journal","Deutsche medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","e28"],["dc.bibliographiccitation.volume","146"],["dc.contributor.author","Banse, Christian"],["dc.contributor.author","Owusu-Boakye, Sonja"],["dc.contributor.author","Schade, Franziska"],["dc.contributor.author","Jansky, Maximiliane"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2021-04-14T08:26:18Z"],["dc.date.available","2021-04-14T08:26:18Z"],["dc.date.issued","2021"],["dc.identifier.doi","10.1055/a-1263-3437"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81894"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1439-4413"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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