{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T03:12:42Z","timestamp":1773889962483,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Palliativversorgung in Westfalen-Lippe zeichnet sich durch ein\n                        interdisziplin\u00e4res Netzwerk von Palliativmedizinischen Konsiliardiensten\n                        aus, das die Versorgung ohne strikte Unterscheidung zwischen Allgemeiner\n                        Ambulanter Palliativversorgung und Spezialisierter Ambulanter\n                        Palliativversorgung erm\u00f6glicht. Ziel dieser Studie war es, die\n                        Besonderheiten und Herausforderungen dieser Netzwerkarbeit zu\n                        analysieren.<\/jats:p>\n                  <jats:p>In einer qualitativen Studie innerhalb des VESPAL-Projekts (VESPAL \u2013\n                        Versorgungsqualit\u00e4t in der ambulanten Palliativversorgung am Beispiel von\n                        Westfalen-Lippe) wurden 50 Versorger*innen im Palliativversorgungsmodell\n                        Westfalen-Lippe mithilfe von Einzelinterviews und Fokusgruppen interviewt.\n                        Zus\u00e4tzlich wurden vorab nicht-teilnehmende Beobachtungen durchgef\u00fchrt, um\n                        die Versorgungsrealit\u00e4t besser abbilden zu k\u00f6nnen. Anschlie\u00dfend wurden die\n                        Beobachtungen und Interviews mithilfe der qualitativen Inhaltsanalyse in\n                        Anlehnung an Kuckartz mit der Software MAXQDA ausgewertet.<\/jats:p>\n                  <jats:p>Die Versorger*innen betonten die Vorteile der interdisziplin\u00e4ren\n                        Zusammenarbeit, die schnelle L\u00f6sungen und eine individuelle und\n                        bedarfsgerechte Betreuung der Patient*innen erm\u00f6gliche. Herausforderungen\n                        erg\u00e4ben sich durch Rufbereitschaft, Koordinationsprobleme und logistische\n                        Schwierigkeiten, insbesondere im l\u00e4ndlichen Raum.<\/jats:p>\n                  <jats:p>Das Modell der Palliativversorgung in Westfalen-Lippe bietet eine flexible,\n                        bed\u00fcrfnisorientierte Versorgung mit kurzen Dienstwegen und vernetzten Teams,\n                        erfordert jedoch Anpassungen, um die Kommunikation und Koordination zu\n                        verbessern.<\/jats:p>","DOI":"10.1055\/a-2801-0534","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T23:43:09Z","timestamp":1773877389000},"source":"Crossref","is-referenced-by-count":0,"title":["Zwischen maximalem Einsatz und Herausforderungen: Interdisziplin\u00e4re\n                    Netzwerke in der ambulanten Palliativversorgung im Modell Westfalen-Lippe \u2013\n                    Ergebnisse einer qualitativen Studie"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2198-0311","authenticated-orcid":false,"given":"Anastasia","family":"Suslow","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Allgemeinmedizin (AM RUB), Ruhr-Universit\u00e4t Bochum,\n                    Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3771-1394","authenticated-orcid":false,"given":"Chantal","family":"Flemm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Altersmedizin und Fr\u00fchrehabilitation, Universit\u00e4tsklinik\n                    Marien Hospital Herne, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8549-629X","authenticated-orcid":false,"given":"Nino","family":"Chikhradze","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Diversit\u00e4tsmedizin, Ruhr-Universit\u00e4t Bochum,\n                    Ruhr-Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0117-7188","authenticated-orcid":false,"given":"Horst","family":"Christian Vollmar","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Allgemeinmedizin (AM RUB), Ruhr-Universit\u00e4t Bochum,\n                    Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0280-0899","authenticated-orcid":false,"given":"Ina Carola","family":"Otte","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Versorgungsforschung, Institut f\u00fcr Diversit\u00e4tsmedizin,\n                    Ruhr-Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"CD012780","DOI":"10.1002\/14651858.CD012780.pub2","article-title":"The effectiveness and cost-effectiveness of hospital-based specialist palliative\n                    care for adults with advanced illness and their caregivers","volume":"9","author":"S Bajwah","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s12904-019-0398-5","article-title":"Study protocol for a multi-methods study: SAVOIR \u2013 evaluation of specialized\n                    outpatient palliative care (SAPV) in Germany: outcomes, interactions, regional\n                    differences","volume":"18","author":"A Freytag","year":"2019","journal-title":"BMC Palliat Care"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1472-684X-8-7","article-title":"Palliative care for older people \u2013 exploring the views of doctors and nurses\n                    from different fields in Germany","volume":"8","author":"T Brueckner","year":"2009","journal-title":"BMC Palliat Care"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1007\/s00103-023-03683-7","article-title":"Inanspruchnahme von Palliativversorgung am Lebensende in Deutschland: zeitlicher\n                    Verlauf (2016\u20132019) und regionale Variabilit\u00e4t","volume":"66","author":"B Ditscheid","year":"2023","journal-title":"Bundesgesundheitsbl"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-023-03746-9","article-title":"Ergebnisqualit\u00e4t und Kosten der allgemeinen und spezialisierten\n                    Palliativversorgung in Deutschland im regionalen Vergleich: eine\n                    GKV-Routinedatenstudie. [A regional comparison of outcomes quality and costs of\n                    general and specialized palliative care in Germany: a claims data analysis]","author":"A Freytag","year":"2023","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung\n                    Gesundheitsschutz"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2022.12.006","article-title":"Haus\u00e4rztliche Palliativversorgung in Westfalen-Lippe im Vergleich mit anderen\n                    Bundesl\u00e4ndern \u2013 sekund\u00e4re Auswertung einer Befragungsstudie. [General\n                    practitioners\u2019 palliative care activities in Westphalia-Lippe compared to other\n                    federal states \u2013 Secondary analysis of a survey]","author":"K Stichling","year":"2023","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1186\/s12904-018-0363-8","article-title":"Study protocol: evaluation of specialized outpatient palliative care in the\n                    German state of Hesse (ELSAH study) \u2013 work package I: assessing the quality of\n                    care","volume":"17","author":"K Kuss","year":"2018","journal-title":"BMC Palliat Care"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s15006-013-1053-3","article-title":"Ambulante Palliativversorgung in Westfalen-Lippe","volume":"155","author":"E A Lux","year":"2013","journal-title":"MMW-Fortschritte der Medizin Originalien"},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-658-21308-4","volume-title":"Handbuch Methoden der empirischen Sozialforschung","author":"N Baur","year":"2019"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-531-92076-4","volume-title":"Die Qualit\u00e4t qualitativer Daten: Manual f\u00fcr die Durchf\u00fchrung qualitativer\n                    Interviews. 4th ed.","author":"C Helfferich","year":"2011"},{"key":"ref14","doi-asserted-by":"publisher","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":"A P Bikker","year":"2017","journal-title":"BMC Med Res Methodol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2029","DOI":"10.1177\/10497323211022312","article-title":"Ethnography in Health Services Research: Oscillation Between Theory and\n                    Practice","volume":"31","author":"L Cubellis","year":"2021","journal-title":"Qual Health Res"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-531-19397-7","volume-title":"editors. Fokusgruppen in der empirischen Sozialwissenschaft: Von der Konzeption\n                    bis zur Auswertung","author":"M Schulz","year":"2012"},{"key":"ref18","volume-title":"Qualitative Inhaltsanalyse. Methoden, Praxis, Umsetzung mit Software und\n                    k\u00fcnstlicher Intelligenz. 6th ed.","author":"U Kuckartz","year":"2024"},{"key":"ref19","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-658-22095-2","volume-title":"Analyse qualitativer Daten mit MAXQDA","author":"S R\u00e4diker","year":"2019"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207672","article-title":"Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic\n                    Review with Meta-Analysis","author":"J L G\u00f3mez-Urquiza","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19106240","article-title":"Mental and Physical Well-Being and Burden in Palliative Care Nursing: A\n                    Cross-Setting Mixed-Methods Study","author":"S May","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.zefq.2023.10.001","article-title":"Identifikation regionaler Hospiz- und Palliativnetzwerke in Deutschland \u2013\n                    Ergebnisse einer multimethodischen Bestandserhebung. [Identification of regional\n                    hospice and palliative care networks in Germany \u2013 Results of a multi-method\n                    survey]","volume":"182\u2013183","author":"S Schwabe","year":"2023","journal-title":"Z Evid Fortbild Qual Gesundhwes"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2801-0534.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T23:43:13Z","timestamp":1773877393000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2801-0534"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":18,"URL":"https:\/\/doi.org\/10.1055\/a-2801-0534","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,18]]}}}