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Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians

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Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians. / Coym, Anja; Oechsle, Karin; Kanitz, Alena; Puls, Nora; Blum, David; Bokemeyer, Carsten; Ullrich, Anneke.

in: BMC HEALTH SERV RES, Jahrgang 20, Nr. 1, 04.02.2020, S. 86.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Coym, A, Oechsle, K, Kanitz, A, Puls, N, Blum, D, Bokemeyer, C & Ullrich, A 2020, 'Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians', BMC HEALTH SERV RES, Jg. 20, Nr. 1, S. 86. https://doi.org/10.1186/s12913-020-4936-x

APA

Coym, A., Oechsle, K., Kanitz, A., Puls, N., Blum, D., Bokemeyer, C., & Ullrich, A. (2020). Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians. BMC HEALTH SERV RES, 20(1), 86. https://doi.org/10.1186/s12913-020-4936-x

Vancouver

Coym A, Oechsle K, Kanitz A, Puls N, Blum D, Bokemeyer C et al. Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians. BMC HEALTH SERV RES. 2020 Feb 4;20(1):86. https://doi.org/10.1186/s12913-020-4936-x

Bibtex

@article{8dda2b8fe940477699be6d91a4360d8f,
title = "Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians",
abstract = "BACKGROUND: Inpatient palliative care consultation (IPCC) teams have been established to improve care for patients with specialist palliative care (PC) needs throughout all hospital departments. The objective is to explore physicians' perceptions on the impact of IPCC, its triggers, challenges and limits, and their suggestions for future service improvements.METHODS: A Qualitative study drawing on semi-structured interviews with 10 PC specialists of an IPCC team and nine IPCC requesting physicians from oncology and non-oncological departments of a university hospital. Analysis was performed using qualitative content analysis.RESULTS: PC specialists and IPCC requesting physicians likewise considered organization of further care and symptom-burden as main reasons for IPCC requests. The main impact however was identified from both as improvement of patients' (and their caregivers') coping strategies and relief of the treating team. Mostly, PC specialists emphasized a reduction of symptom burden, and improvement of further care. Challenges in implementing IPCC were lack of time for both. PC specialists addressed requesting physicians' skepticism towards PC. Barriers for realization of IPCC included structural aspects for both: limited time, staff capacities and setting. PC specialists saw problems in implementing recommendations like disagreement towards their suggestions. All interviewees considered education in PC a sensible approach for improvement.CONCLUSIONS: IPCC show various positive effects in supporting physicians and patients, but are also limited due to structural problems, lack of knowledge, insecurity, and skepticism by the requesting physicians. To overcome some of these challenges implementation of PC education programs for all physicians would be beneficial.",
author = "Anja Coym and Karin Oechsle and Alena Kanitz and Nora Puls and David Blum and Carsten Bokemeyer and Anneke Ullrich",
year = "2020",
month = feb,
day = "4",
doi = "10.1186/s12913-020-4936-x",
language = "English",
volume = "20",
pages = "86",
journal = "BMC HEALTH SERV RES",
issn = "1472-6963",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians

AU - Coym, Anja

AU - Oechsle, Karin

AU - Kanitz, Alena

AU - Puls, Nora

AU - Blum, David

AU - Bokemeyer, Carsten

AU - Ullrich, Anneke

PY - 2020/2/4

Y1 - 2020/2/4

N2 - BACKGROUND: Inpatient palliative care consultation (IPCC) teams have been established to improve care for patients with specialist palliative care (PC) needs throughout all hospital departments. The objective is to explore physicians' perceptions on the impact of IPCC, its triggers, challenges and limits, and their suggestions for future service improvements.METHODS: A Qualitative study drawing on semi-structured interviews with 10 PC specialists of an IPCC team and nine IPCC requesting physicians from oncology and non-oncological departments of a university hospital. Analysis was performed using qualitative content analysis.RESULTS: PC specialists and IPCC requesting physicians likewise considered organization of further care and symptom-burden as main reasons for IPCC requests. The main impact however was identified from both as improvement of patients' (and their caregivers') coping strategies and relief of the treating team. Mostly, PC specialists emphasized a reduction of symptom burden, and improvement of further care. Challenges in implementing IPCC were lack of time for both. PC specialists addressed requesting physicians' skepticism towards PC. Barriers for realization of IPCC included structural aspects for both: limited time, staff capacities and setting. PC specialists saw problems in implementing recommendations like disagreement towards their suggestions. All interviewees considered education in PC a sensible approach for improvement.CONCLUSIONS: IPCC show various positive effects in supporting physicians and patients, but are also limited due to structural problems, lack of knowledge, insecurity, and skepticism by the requesting physicians. To overcome some of these challenges implementation of PC education programs for all physicians would be beneficial.

AB - BACKGROUND: Inpatient palliative care consultation (IPCC) teams have been established to improve care for patients with specialist palliative care (PC) needs throughout all hospital departments. The objective is to explore physicians' perceptions on the impact of IPCC, its triggers, challenges and limits, and their suggestions for future service improvements.METHODS: A Qualitative study drawing on semi-structured interviews with 10 PC specialists of an IPCC team and nine IPCC requesting physicians from oncology and non-oncological departments of a university hospital. Analysis was performed using qualitative content analysis.RESULTS: PC specialists and IPCC requesting physicians likewise considered organization of further care and symptom-burden as main reasons for IPCC requests. The main impact however was identified from both as improvement of patients' (and their caregivers') coping strategies and relief of the treating team. Mostly, PC specialists emphasized a reduction of symptom burden, and improvement of further care. Challenges in implementing IPCC were lack of time for both. PC specialists addressed requesting physicians' skepticism towards PC. Barriers for realization of IPCC included structural aspects for both: limited time, staff capacities and setting. PC specialists saw problems in implementing recommendations like disagreement towards their suggestions. All interviewees considered education in PC a sensible approach for improvement.CONCLUSIONS: IPCC show various positive effects in supporting physicians and patients, but are also limited due to structural problems, lack of knowledge, insecurity, and skepticism by the requesting physicians. To overcome some of these challenges implementation of PC education programs for all physicians would be beneficial.

U2 - 10.1186/s12913-020-4936-x

DO - 10.1186/s12913-020-4936-x

M3 - SCORING: Journal article

C2 - 32019562

VL - 20

SP - 86

JO - BMC HEALTH SERV RES

JF - BMC HEALTH SERV RES

SN - 1472-6963

IS - 1

ER -