[Concept-dependent and -independent care effects of site-specific care concepts using "pain" as an example].

IF 1.1 4区医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-12-01 Epub Date: 2023-09-29 DOI:10.1007/s00482-023-00754-1

Sarah Peuten, Birgit Jaspers, Irmtraud Hainsch-Müller, Christoph Aulmann, Werner Schneider, Lukas Radbruch, Gülay Ateş

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Abstract

Background: Structures 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).

Methods: The 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.

Results: The 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.

Discussion: Commonalities 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.

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[以“疼痛”为例的特定地点护理概念的概念依赖性和独立性护理效果]。

背景：在两个地点调查了有姑息治疗需求的患者的姑息治疗结构、跨部门过渡和护理途径。以“疼痛”为例，对相似性和差异进行系统比较，旨在提供与特定地点姑息治疗概念（综合和合作）相关程度的信息。方法：本研究采用混合方法设计。除了对匿名患者记录（n = 774），专家访谈（n = 20），以及对患者、亲属（n = 60）和焦点组（n = 12），进行了。结果：系统比较分析为综合或合作姑息治疗中概念独立的共性（如社会人口分布、加重疼痛治疗）以及概念依赖性差异（如护理途径、通过综合护理结构促进持续症状控制）提供了证据。讨论：正如本文所关注的，疼痛主题及其组织管理的共同点和差异随着各自组织结构（=概念依赖性）以及概念独立的外部影响因素的影响而变得明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Schmerz 医学-临床神经学

CiteScore

2.00

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.