Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Jan 2017
[New legal regulations for palliative care with implications for politics and practice].
In December 2015 two different laws were adopted. Both are of importance for palliative care. One of the laws criminalizes commercial, "business-like" assisted suicide (§ 217 German Criminal Code), the other one aims to improve hospice and palliative care in Germany. ⋯ This new Act to Improve Hospice and Palliative Care (HPG) focuses, amongst others, on: (a) Better funding of hospice services, by raising the minimum grant for patients in inpatient hospices paid per day by the health insurance funds by about 28.5%, and for outpatient hospice services by about 18%; (b) further development of general outpatient nursing and medical palliative care, and the networking of different service providers; (c) introduction of an arbitration procedure for service provider agreements to be concluded between the health insurance funds and the teams providing specialized home palliative care (SAPV); (d) the right to individual advice and support by the health insurance funds; (e) care homes may offer their residents advance care planning programs to be funded by the statutory health insurers; (f) palliative care units in hospitals can be remunerated outside the DRG system by per diem rates; (g) separate funding and criteria for multi-professional palliative care services within a hospital. While little concrete impact on hospice and palliative care can be expected following the new § 217 German Criminal Code, the HPG provides a good basis to improve care. For this purpose, however, which complementary and more concrete agreements are made to put the new legal regulations into practice will be crucial.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Jan 2017
["He is not that important anymore" : General practitioners in a specialized palliative home care setting from a patient's point of view].
The outpatient medical care of palliative patients (PPs) has always fallen within the duties of general practitioners. Since the specialized palliative out-patient care (SAPV) legislation in 2007 palliative home care teams (PCTs) were established, providing holistic medical, nursing, and psychosocial support for patients with life-limiting illness and their care providers. ⋯ Shifting of traditional tasks from GPs to PCTs influences the role of the GP. PCTs can unburden the GP from unrealistic expectations and improve the patients' quality of life. However, this leads to a tendency for reduced importance of the GP.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Jan 2017
[Attitudes and experiences regarding physician assisted suicide : A survey among members of the German Association for Palliative Medicine].
The need to regulate physician-assisted suicide (PAS) and organizations offering assisted suicide has been controversially debated in Germany. Before the German parliament voted on various drafts in November 2015, the German Association for Palliative Medicine surveyed its members on their attitudes and experiences regarding PAS. ⋯ The respondents show a broad spectrum of attitudes, only partly supporting statements of relevant bodies, such as DGP. Because many are confronted with the issue, PAS is relevant to professionals in palliative care.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Nov 2016
Review Meta Analysis[Prevention of overweight in children: Standard setting documents].
The quality of preventive measures is an essential precondition for their success. A current objective of health policy in Germany is to find the criteria for quality, as well as to process and discuss them systematically with relevant stakeholders. ⋯ To develop common standards, mutual recognition is needed between actors of the field, science and politics. The scientific discourse needs to interrelate better studies of primary prevention with overweight research as well as quality assessment.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz · Nov 2016
Meta Analysis[Reduce sedentary behaviour among children - a systematic review].
Sedentary behaviour is itself a health-related behaviour. This systematic review examines whether family-based interventions can reduce sitting time among children and adolescents and which variables moderate potential intervention effects. ⋯ There are many promising opportunities to reduce sitting time using family-based approaches. Statements in terms of replication of interventions and explanations of the effective mechanisms within interventions are limited. Therefore, future interventions should use subjective as well as objective evaluation measures and consider overall sitting time. To strengthen the basis of interventional effort in this research field, a theoretical planning approach is recommended.