{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:20:47Z","timestamp":1785320447906,"version":"3.55.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Kassen\u00e4rztliche Vereinigung Westfalen-Lippe e.V."},{"name":"Berufsverband der Palliativmediziner in Westfalen-Lippe e.V."}],"content-domain":{"domain":["zefq-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.zefq.2025.06.001","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T19:56:11Z","timestamp":1752609371000},"page":"19-29","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Gut und kosteneffektiv palliativ versorgt in Westfalen-Lippe \u2013 aber warum? Ergebnisse einer Mixed-Methods Studie"],"prefix":"10.1016","volume":"197","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2198-0311","authenticated-orcid":false,"given":"Anastasia","family":"Suslow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nino","family":"Chikhradze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianka","family":"Ditscheid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantal","family":"Giehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst Christian","family":"Vollmar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Freytag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina Carola","family":"Otte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.zefq.2025.06.001_b0005","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12904-018-0363-8","article-title":"Study protocol: evaluation of specialized outpatient palliative care in the German state of Hesse (ELSAH study) - work package I: assessing the quality of care","volume":"17","author":"Kuss","year":"2018","journal-title":"BMC Palliat Care"},{"key":"10.1016\/j.zefq.2025.06.001_b0010","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s15006-013-1053-3","article-title":"Ambulante Palliativversorgung in Westfalen-Lippe","volume":"155","author":"Lux","year":"2013","journal-title":"MMW-Fortschritte der Medizin Originalien"},{"key":"10.1016\/j.zefq.2025.06.001_b0015","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s12904-019-0398-5","article-title":"Study protocol for a multi-methods study: SAVOIR - evaluation of specialized outpatient palliative care (SAPV) in Germany: outcomes, interactions, regional differences","volume":"18","author":"Freytag","year":"2019","journal-title":"BMC Palliat Care"},{"key":"10.1016\/j.zefq.2025.06.001_b0020","author":"Stichling","year":"2023","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"10.1016\/j.zefq.2025.06.001_b0025","author":"Freytag","year":"2023","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"10.1016\/j.zefq.2025.06.001_b0030","unstructured":"Hofmeister U. Praxisbeispiel Westfalen-Lippe: Wichtige Aspekte einer patientenorientierten ambulanten Palliativversorgung in Westfalen-Lippe. https:\/\/faktencheck-gesundheit.de\/fileadmin\/files\/Projekte\/Faktencheck_Gesundheit\/Paper_Palliativversorgung_Westfalen_Lippe.pdf."},{"key":"10.1016\/j.zefq.2025.06.001_b0035","article-title":"Medical specialties providing outpatient palliative care - a comparison across regions based on German statutory health insurance claims data","author":"Ditscheid","year":"2024","journal-title":"Dtsch Arztebl Int"},{"key":"10.1016\/j.zefq.2025.06.001_b0040","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/s00103-023-03683-7","article-title":"Inanspruchnahme von Palliativversorgung am Lebensende in Deutschland: zeitlicher Verlauf (2016\u20132019) und regionale Variabilit\u00e4t","volume":"66","author":"Ditscheid","year":"2023","journal-title":"Bundesgesundheitsbl."},{"key":"10.1016\/j.zefq.2025.06.001_b0045","series-title":"Mixed Methods","author":"Kuckartz","year":"2014"},{"key":"10.1016\/j.zefq.2025.06.001_b0050","series-title":"The Sage Handbook of Mixed Methods Research Design","first-page":"21","article-title":"Revisiting Mixed methods: research designs twenty years later","author":"Creswell","year":"2023"},{"key":"10.1016\/j.zefq.2025.06.001_b0055","doi-asserted-by":"crossref","first-page":"255","DOI":"10.3102\/01623737011003255","article-title":"Toward a conceptual framework for mixed-method evaluation designs","author":"Greene","year":"1989","journal-title":"Educ Eval Policy Anal"},{"key":"10.1016\/j.zefq.2025.06.001_b0060","article-title":"DNVF-Memorandum Versorgungsforschung im letzten Lebensjahr","author":"Kremeike","year":"2022","journal-title":"Das Gesundheitswesen."},{"key":"10.1016\/j.zefq.2025.06.001_b0065","series-title":"Die Qualit\u00e4t qualitativer Daten: Manual f\u00fcr die Durchf\u00fchrung qualitativer Interviews","author":"Helfferich","year":"2011"},{"key":"10.1016\/j.zefq.2025.06.001_b0070","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12874-017-0422-5","article-title":"Conducting a team-based multi-sited focused ethnography in primary care","volume":"17","author":"Bikker","year":"2017","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.zefq.2025.06.001_b0075","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1177\/10497323211022312","article-title":"Ethnography in health services research: oscillation between theory and practice","volume":"31","author":"Cubellis","year":"2021","journal-title":"Qual Health Res"},{"key":"10.1016\/j.zefq.2025.06.001_b0080","series-title":"Handbuch Methoden der empirischen Sozialforschung","author":"Baur","year":"2019"},{"key":"10.1016\/j.zefq.2025.06.001_b0085","series-title":"Analyse qualitativer Daten mit MAXQDA","author":"R\u00e4diker","year":"2019"},{"key":"10.1016\/j.zefq.2025.06.001_b0090","series-title":"Qualitative Inhaltsanalyse. Methoden, Praxis, Umsetzung mit Software und k\u00fcnstlicher Intelligenz","author":"Kuckartz","year":"2024"},{"key":"10.1016\/j.zefq.2025.06.001_b0095","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: exploring its conceptualization and operationalization","volume":"52","author":"Saunders","year":"2018","journal-title":"Qual Quant."},{"key":"10.1016\/j.zefq.2025.06.001_b0100","article-title":"Saturation in qualitative research: an evolutionary concept analysis","volume":"6","author":"Rahimi","year":"2024","journal-title":"Int J Nurs Stud Adv"},{"key":"10.1016\/j.zefq.2025.06.001_b0105","series-title":"Fokusgruppen in der empirischen Sozialwissenschaft: Von der Konzeption bis zur Auswertung","year":"2012"},{"key":"10.1016\/j.zefq.2025.06.001_b0110","article-title":"Aspekte der Durchf\u00fchrung von Fokusgruppen in der Gesundheitsforschung: Welche Anforderungen ergeben sich aufgrund der besonderen Zielgruppen und Fragestellungen?","author":"Tausch","year":"2015","journal-title":"Mannheim"},{"key":"10.1016\/j.zefq.2025.06.001_b0115","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1472-684X-8-7","article-title":"Palliative care for older people - exploring the views of doctors and nurses from different fields in Germany","volume":"8","author":"Brueckner","year":"2009","journal-title":"BMC Palliat Care"},{"key":"10.1016\/j.zefq.2025.06.001_b0120","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/s00482-019-0384-0","volume":"33","author":"M\u00fchlensiepen","year":"2019","journal-title":"Schmerz"},{"key":"10.1016\/j.zefq.2025.06.001_b0125","first-page":"219","article-title":"Zur Praxis von SAPV in Bayern: Wirksamkeit, Struktur-\/prozesseffekte und l\u00e4ndliche Versorgung. [Specialised out-patient palliative care (SAPV) in Bavaria: efficiency, structural and process-related effects and rural care]","volume":"77","author":"Schneider","year":"2015","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.zefq.2025.06.001_b0130","unstructured":"Palliativversorgung in Deutschland: Perspektiven f\u00fcr Praxis und Forschung: [Stellungnahme. Halle (Saale): Dt. Akad. der Naturforscher Leopoldina; 2015."},{"key":"10.1016\/j.zefq.2025.06.001_b0135","unstructured":"Deutsche Gesellschaft f\u00fcr Palliativmedizin e. V. Gemeinsame Empfehlung von DEGAM und DGP ver\u00f6ffentlicht: \u201eHaus\u00e4rztliche Betreuung auch bei SAPV fortf\u00fchren\u201c. https:\/\/www.dgpalliativmedizin.de\/dgp-aktuell\/gute-zusammenarbeit-essentiell-in-der-versorgung-am-lebensende-gemeinsame-empfehlung-von-degam-und-dgp-veroeffentlicht-hausaerztliche-betreuung-auch-bei-sapv-fortfuehren. [Accessed 30 January 2025]."}],"container-title":["Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1865921725001540?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1865921725001540?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T10:30:38Z","timestamp":1761906638000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1865921725001540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":27,"alternative-id":["S1865921725001540"],"URL":"https:\/\/doi.org\/10.1016\/j.zefq.2025.06.001","relation":{},"ISSN":["1865-9217"],"issn-type":[{"value":"1865-9217","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Gut und kosteneffektiv palliativ versorgt in Westfalen-Lippe \u2013 aber warum? Ergebnisse einer Mixed-Methods Studie","name":"articletitle","label":"Article Title"},{"value":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.zefq.2025.06.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier GmbH.","name":"copyright","label":"Copyright"}]}}