ArticleBMC health services research2023
Accessibility to specialist palliative care services in Germany: a geographical network analysis.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
20 citing papers in PubMed, 30 citations in OpenAlex.
- Quantifying spatial accessibility to inpatient hospices in Germany.BMC health services research · 2026Article
- FuturePall: Forecasting the specialized inpatient palliative care in Germany based on demographic trends and utilization rates.BMC palliative care · 2026Article
- Palliative care for the people without medical insurance in Germany: an empirical ethical approach.BMC medicine · 2026Article
- Palliative care interventions and outcome in patients with glioblastoma - a retrospective, single-center study.BMC palliative care · 2026Article
- Diversity-sensitive palliative and hospice care in Germany - awareness, attitudes, and measures taken by service providers.BMC palliative care · 2026Article
- Geospatial Insights into Healthcare Accessibility in Europe: A Scoping Review of GIS Applications.Healthcare (Basel, Switzerland) · 2025Review
- Promising Concept, Challenging Implementation of a Minimally Invasive Intervention (MINI) to Identify Patients in Their Last Year of Life-A Multi-Methods Feasibility Study at a German University Hospital.Healthcare (Basel, Switzerland) · 2025Article
- Palliative Care for Children and Adults With Inherited Metabolic Disease in Europe: An Underutilised Service for Supportive Treatment and Care.Journal of inherited metabolic disease · 2025Article
- [Spatial access to palliative care units in Germany: integrated analysis of availability and accessibility using the E2SFCA method].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Impact of outpatient palliative care on healthcare costs in Germany - an analysis of cancer and non-cancer patients based on health insurance data.Health economics review · 2025Article
- Geographical accessibility and case loads in subarachnoid hemorrhage care: a nationwide study of German hospitals.Neurosurgical review · 2025Observational
- Patients potentially in need for palliative care in Germany-A regional small-area estimation based on death registry data.Research in health services & regions · 2025Article
- Access to palliative care in India: situational analysis and modeling of access from public healthcare centers.Ecancermedicalscience · 2025Article
- Accessibility and Quality of Palliative Care-Experience in Primary Health Care.Medicina (Kaunas, Lithuania) · 2024Article
- Volunteer Services in Palliative Care by Third Age University Students.Healthcare (Basel, Switzerland) · 2024Article
- Regional hospice and palliative care networks worldwide: scoping review.BMJ supportive & palliative care · 2024Article
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- "Let's put it this way: you can't really live without it" - digital technologies in routine palliative care delivery: an explorative qualitative study with patients and their family caregivers in Germany.BMC health services research · 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
- Structural characteristics and contractual terms of specialist palliative homecare in Germany.BMC palliative care · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe need for palliative care will increase over the next years because of the rise in deaths from chronic illness and demographic changes. The provision of specialist palliative care (SPC) in Germany (palliative care units (PCU), specialist palliative home care (SPHC) teams and palliative care advisory (PCA) teams) has been expanded in recent years. Despite the increasing availability, there is still insufficient coverage with long travel times. The aim was to describe the spatial distribution of SPC services in Germany, to calculate the potential accessibility of facilities and to assess potential spatial under-provision.
methodsRetrospective cross-sectional study with regional analysis of SPC services in Germany. Addresses of SPC services registered online were geocoded, accessibility and network analyses were conducted, and proportion of the population living up to 60 minutes driving time were calculated.
resultsA total of 673 facilities were included. Their distribution is heterogeneous with every fourth of the 401 districts (110/401; 27.4%) lacking a SPC service. In half of the area of Germany the existing PCU and SPHC teams are within reach of 30 minutes, with nearly 90% of the population living there. Hospitals providing PCA teams can be reached within 30 minutes in 17% of the total area with provision for 43% of the population.
conclusionsA high coverage of SPHC teams and PCU indicates a good spatial distribution in Germany but no complete adequate provision of SPC services, especially for PCA teams. There is a persistent need for further implementation of hospital PCA teams.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.