ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2020
[Palliative care at the end of life in Germany : Utilization and regional distribution].
Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed.
- Better palliative care for residents of inpatient nursing homes through qualification of nursing staff - a cluster randomised study.BMC palliative care · 2026Trial
- Evaluating palliative care case conferences in primary care for patients with advanced non-malignant chronic conditions: a cluster-randomised controlled trial (KOPAL).Age and ageing · 2024Trial
- [Analgesics and supportive care in the last month of life : Retrospective analysis of outpatient prescriptions using BARMER data from patients with oncological diseases (2016-2021)].Schmerz (Berlin, Germany) · 2026Article
- FuturePall: Forecasting the specialized inpatient palliative care in Germany based on demographic trends and utilization rates.BMC palliative care · 2026Article
- Interprofessional KOPAL case conferences on patients with non-oncological palliative care needs - a qualitative analysis of interaction.BMC palliative care · 2026Article
- Hospital-to-hospice transfers in Germany: analyzing the impact of age and gender at the care transition interface.Frontiers in oncology · 2026Article
- Patient Characteristics and Different Decision Paths for Establishing Palliative Care for Patients Admitted via the Emergency Department.Journal of clinical medicine · 2025Article
- [Specialized ambulatory palliative care for urological tumors].Urologie (Heidelberg, Germany) · 2025Article
- Instructors' Views on and Experiences withInternational journal of environmental research and public health · 2025Article
- Women with Gynecological Cancers Receiving Specialized Ambulatory Palliative Care (SAPV).Geburtshilfe und Frauenheilkunde · 2025Article
- Health-oriented leadership in specialized outpatient palliative care teams in Germany: a qualitative study with palliative care professionals.BMC palliative care · 2025Article
- Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.BMC palliative care · 2025Article
- Medical Specialties Providing Outpatient Palliative Care-a Comparison Across Regions Based on German Statutory Health Insurance Claims Data.Deutsches Arzteblatt international · 2024Article
- End-of-life care in Germany between 2016 and 2020 - A repeated cross-sectional analysis of statutory health insurance data.BMC palliative care · 2024Article
- Palliative care education and knowledge transfer into practice - a multicenter survey among medical students and resident physicians in Germany using a mixed-methods design.GMS journal for medical education · 2024Article
- Symptom and problem clusters in German specialist palliative home care - a factor analysis of non-oncological and oncological patients' symptom burden.BMC palliative care · 2023Article
- [Emergency department visits by nursing home residents: analysis of routine data from an urban hospital].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- [A regional comparison of outcomes quality and costs of general and specialized palliative care in Germany: a claims data analysis].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Observational
- Home-based care for people living with dementia at the end of life: the perspective of experts.BMC palliative care · 2023Article
- Accessibility to specialist palliative care services in Germany: a geographical network analysis.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPalliative care supply increased in Germany in recent years. But how many people use which forms of palliative care and how does this differ between regions?
methodRetrospective cohort study with claims data from insured persons who died in 2016: Based on services billed at least once in the last six months of life, we determined the use of primary palliative care (PPC), specialized palliative homecare (SPHC), as well as inpatient palliative and hospice care, using regional billing codes for PPC and SPHC services for the first time.
resultsOf the 95,962 deceased in the study population, 32.7% received palliative care nationwide, with variations from 26.4% in Bremen to 40.8% in Bavaria. PPC services were billed at 24.4% (16.9% in Brandenburg to 34.1% in Bavaria). SPHC services received 13.1% (6.3% in Rhineland-Palatinate to 18.9% in Brandenburg and 22.9% in Westphalia-Lippe with different SPHC practices). Inpatient palliative care was received by 8.1% (6.7% in Schleswig-Holstein/Hesse to 13.0% in Thuringia); 3.3% (1.6% in Bremen to 5.6% in Berlin) with hospice services.
conclusionSPHC is used more frequently than previously reported, while PPC is declining. Utilization seems to be based less on objective needs than on region-specific framework conditions. Besides needs criteria, further development of palliative care should be oriented more towards outcomes and relevant framework conditions.
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