• Sarah Peuten, Birgit Jaspers, Irmtraud Hainsch-Müller, Christoph Aulmann, Werner Schneider, Lukas Radbruch, and Gülay Ateş.
• Institut für Sozialwissenschaften, Universität Augsburg, Universitätsstr. 10, 86159, Augsburg, Deutschland. sarah.peuten@phil.uni-augsburg.de.
• Schmerz. 2024 Dec 1; 38 (6): 433440433-440.

BackgroundStructures of palliative care, cross-sectoral transitions and care pathways of patients with palliative care needs were investigated at two sites. The systematic comparison of similarities and differences using the topic of 'pain' as an example is intended to provide information on the extent to which these are related to site-specific palliative care concepts (integrated and cooperative).MethodsThe study follows a mixed-methods design. In addition to a document analysis of anonymised patient records (n = 774), expert interviews (n = 20), as well as interviews with patients, relatives (n = 60) and focus groups (n = 12), were conducted.ResultsThe systematic comparative analysis provides evidence for concept-independent commonalities (e.g. sociodemographic distribution, aggravated pain treatment) as well as concept-dependent differences (e.g. care pathways, facilitated continuous symptom control through integrated care structures) in the context of integrated or cooperative palliative care.DiscussionCommonalities and differences with regard to the topic of pain, as focused on here, and its organisational management become tangible as effects of the respective organisational structure (= concept-dependent) as well as concept-independent external influencing factors.© 2023. The Author(s).

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