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Coordination and collaboration in primary palliative care. Palliative care networks in Switzerland.

English title Coordination and collaboration in primary palliative care. Palliative care networks in Switzerland.
Applicant Liebig Brigitte
Number 167345
Funding scheme NRP 74 Smarter Health Care
Research institution Institut für Kooperationsforschung und -entwicklung Hochschule für Angewandte Psychologie FHNW
Institution of higher education University of Applied Sciences and Arts Northwestern Switzerland (without UTE) - FHNW
Main discipline Sociology
Start/End 01.06.2017 - 30.06.2020
Approved amount 445'928.00
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All Disciplines (5)

Discipline
Sociology
Internal Medicine
Public Health and Health Services
Health Education
Applied psychology

Keywords (7)

primary palliative care; family caregivers; coordination; health care professionals; Public Health; collaboration; palliative care networks

Lay Summary (German)

Lead
In der Schweiz gibt es wenig gesichertes Wissen zum Funktionieren und den Wirkungsweisen von palliativen Versorgungsnetzwerken. Diese Studie will Richtlinien für die Zusammenarbeit und Koordination von Leistungserbringern im Bereich Palliative Care generieren und erfolgreiche Modelle der palliativen Grundversorgung aufzeigen.
Lay summary

Palliative Versorgungsnetzwerke basieren auf dem Zusammenspiel von verschiedenen, voneinander abhängigen Akteuren des Gesundheitswesens. Weder die Zusammenarbeit noch die Koordination innerhalb dieser Netzwerke wurde in der Schweiz bisher untersucht. Um den Zugang zu palliativen Angeboten für die gesamte Bevölkerung zu fördern und unnötige Spitaleinweisungen zu vermeiden, bedarf es gesichertes Wissen zu erfolgreichen Modellen in diesem Bereich.

Ziel der Studie ist es, die Zusammenarbeit und Koordination von Leistungserbringern sowohl innerhalb der palliativen Grundversorgung als auch zwischen diesem Feld und der spezialisierten Palliativversorgung zu analysieren. Zudem sollen erfolgreiche Formen der lokalen/regionalen Versorgung und deren Voraussetzungen identifiziert sowie mit Blick auf die Wirkungen auf Patientinnen und Patienten ermittelt werden.

Basierend auf bestehenden Daten und Dokumenten werden die Rahmenbedingungen von palliativen Versorgungsnetzwerken in vier unterschiedlich organisierten Kantonen der Schweiz analysiert. In diesen Kantonen werden zudem palliative Leistungserbringer interviewt, um förderliche und hinderliche Faktoren für die Zusammenarbeit und Koordination sowie deren Wirkungen auf Patientinnen und Patienten zu eruieren. Überdies wird eine schweizweite Befragung von palliativen Leistungserbringern durchgeführt.  

Auf der Basis der Resultate werden Empfehlungen zur Verbesserung der Zusammenarbeit und Koordination in der Palliativversorgung sowie zu erfolgreichen Netzwerk-Modellen formuliert. Die Ergebnisse sollen überdies Entscheidungsträgern im Gesundheitswesen der Schweiz dazu dienen, die palliative Versorgung zu optimieren.

Direct link to Lay Summary Last update: 31.03.2017

Responsible applicant and co-applicants

Employees

Publications

Publication
Palliative Care in der Schweiz. Die Perspektive der Leistungserbringenden
Degen JermannEveline, LiebigBrigitte, SchweighofferReka, ReevesEmily (2020), Palliative Care in der Schweiz. Die Perspektive der Leistungserbringenden, Online, www.palliativ.ch.
An investigation of the challenges to coordination at the interface of primary and specialized palliative care services in Switzerland: A qualitative interview study
Reeves Emily, Schweighoffer Reka, Liebig Brigitte (2020), An investigation of the challenges to coordination at the interface of primary and specialized palliative care services in Switzerland: A qualitative interview study, in Journal of Interprofessional Care, 1-7.
Collaborative Networks in Primary and Specialized Palliative Care in Switzerland - Perspectives of Doctors and Nurses
Schweighoffer R., Reeves E., Liebig B. (2020), Collaborative Networks in Primary and Specialized Palliative Care in Switzerland - Perspectives of Doctors and Nurses, in The Open Public Health Journal, 13(1), 36-43.
Collaboration in Palliative Care Networks in Urban and Rural Regions of Switzerland
Schweikhoffer Reka, Nagy Noemi, Reeves Emily, Liebig Brigitte (2019), Collaboration in Palliative Care Networks in Urban and Rural Regions of Switzerland, in International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering, 13(1), 18-21.
Community readiness for palliative care services in Switzerland: Basis for public health strategy for health psychologists
Reeves Emily, Schweighoffer Reka, Liebig Brigitte (2019), Community readiness for palliative care services in Switzerland: Basis for public health strategy for health psychologists, in Psychreg Journal of Psychology, 3(2), 88-96.
Interprofessionelle Kooperation in der stationären Gesundheitsversorgung. Herausforderungen der Führung
Hegglin Irena, Liebig Brigitte (2018), Interprofessionelle Kooperation in der stationären Gesundheitsversorgung. Herausforderungen der Führung, in Zeitschrift für Führung und Personalmanagement in der Gesundheitswirtschaft, 4(3), 18-23.

Collaboration

Group / person Country
Types of collaboration
Dr. med Christoph Cina, pilot project "Supply chain in Palliative Care" Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Industry/business/other use-inspired collaboration
Spitex Schweiz Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Monika Obrist, Palliative.ch; Palliative-Care-ÄrztInnen im Kanton Zürich Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Institute for Primary Health Care and Community Care, Lucerne Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Industry/business/other use-inspired collaboration
Dr. med Hans Neuenschwander; Primario di Cure Palliative IOSI/EOC, Lugano Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Krebsliga Schweiz Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Dr. med Florian Suter; Geschäftsführer Ärztenetz Nordwest AG Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Industry/business/other use-inspired collaboration
Dr. Sandra Eckstein, Universitätsspital Basel Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Steffen Eychmüller, Palliactive Care Research NRP 74 Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Beat Müller, Kantonsspital Aarau Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Primary Palliative Care Research Group, Univ. of Edinburgh Great Britain and Northern Ireland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Palliativ.ch Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
From Evidence to Public Health Policy and Practice, Swiss Public Health Conference 2020 Talk given at a conference Coordination at the Interface of Primary and Specialized Palliative Care Service 01.07.2020 Online, Switzerland Reeves Emily; Liebig Brigitte;
Hochschulkolloquium, Hochschule für Angewandte Psychologie Individual talk Kooperation und Koordination im Bereich der Palliativversorgung 12.02.2020 Olten, Switzerland Liebig Brigitte;
Hochschulkolloquium, Hochschule für Angewandte Psychologie Individual talk Teamwork across the Interface in Palliative Care. Options and Limits 12.02.2020 Olten, Switzerland Reeves Emily;
6. World Conference on Advanced Nursing and HealthCare 2019:Exploring Latest Innovations in Nursing and Healthcare Talk given at a conference Crossing boarders: Teamwork Related Challenges in Palliative Care 13.06.2019 Brussels, Belgium Schweighoffer Reka; Liebig Brigitte; Reeves Emily;
16. World Congress of the EAPC Palliative Care 2019: Global palliative care – shaping the future Poster Poster: Coordination and collaboration in Palliative Care. Palliative Care Networks in Switzerland 23.05.2019 Berlin, Germany Liebig Brigitte; Schweighoffer Reka; Reeves Emily;
• 5. Forumsveranstaltung der Nationalen Plattform für Palliative Care (Frühlingsforum): Palliativversorgung in der Schweiz. Talk given at a conference Voraussetzungen erfolgreicher Kooperation in der Palliative Care: Die Sicht der Fachpersonen 26.04.2019 Bern, Switzerland Degen Jermann Eveline; Reeves Emily; Liebig Brigitte;
21. International Conference on Palliative Care and Pain Syndromes, Nursing (ICPCPSN 2019) Talk given at a conference Primary and Specialized Palliative Care in Switzerland: A Nationwide Survey on Prerequisites and Best Practices of Collaboration and Coordination 21.01.2019 London, Great Britain and Northern Ireland Reeves Emily; Liebig Brigitte; Schweighoffer Reka; Nagy Noemi;
National Palliative Care Congress: Gemeinsam Sorge tragen/Prendre soins ensemble Talk given at a conference Coordination and Leadership in Palliative Care Teams 14.11.2018 Biel, Switzerland Degen Jermann Eveline; Reeves Emily; Schweighoffer Reka; Liebig Brigitte;
12. Kongress der Deutschen Gesellschaft für Palliativmedizin: Auf breiten Wegen. Integration, Innovation, Intuition Talk given at a conference Barriers and facilitators of coordination between primary palliative care and specialized palliative care 05.09.2018 Bremen , Germany Reeves Emily; Schweighoffer Reka; Liebig Brigitte;
Wennberg International Collaborative Spring Policy Meeting Talk given at a conference Community Readiness for Palliative Care - a Comparison of four Swiss Cantons 12.04.2018 Zurich, Switzerland Liebig Brigitte; Schweighoffer Reka; Reeves Emily;
Public Health 3: Vorarlberger Gesellschaft für Public Health: „High noon“ für die Primärversorgung – Versorgungsmodelle für die Zukunft Poster Coordination and Collaboration in Palliative Care Networks in Switzerland 19.01.2018 Schloss Hofen, Vorarlberg, Austria Liebig Brigitte; Schweighoffer Reka; Reeves Emily;
Smarter Health Care, NRP 74 Conference Talk given at a conference Collaboration and Coordination in Primary Palliative Care. Palliative Care Networks in Switzerland 05.09.2017 Lucerne, Switzerland Schweighoffer Reka; Liebig Brigitte; Reeves Emily;


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved


Self-organised

Title Date Place
Palliative Care in der Schweiz: Die Perspektive der Leistungserbringenden 04.06.2019 Olten, Switzerland

Communication with the public

Communication Title Media Place Year
New media (web, blogs, podcasts, news feeds etc.) BAG «Interprofessionelle Qualitätszirkel Palliative Care» im «Verzeichnis Modelle guter Praxis – I Rhaeto-Romanic Switzerland German-speaking Switzerland Western Switzerland Italian-speaking Switzerland 2020
New media (web, blogs, podcasts, news feeds etc.) Les soins palliatifs en SuisseLe point de vue des prestataires www.palliativ.ch International Western Switzerland 2020
New media (web, blogs, podcasts, news feeds etc.) Palliativ Care in der Schweiz optimieren FHNW Media German-speaking Switzerland 2020
New media (web, blogs, podcasts, news feeds etc.) Palliative Care in der Schweiz. Die Perspektive der Leistungserbringenden German-speaking Switzerland International 2020

Abstract

Palliative care networks constitute the smallest unit of local and regional palliative care supply. They are based on the collaboration and coordination of interdependent professional subsystems, including profession¬als in and outside of service units and institutions. Up till now, neither collaboration of heath care providers nor current approaches to coordinate palliative care in the community are systematically explored in Switzerland. Collaborative practices between health care professional and the steering and control of collaborative practices seem widely based on individual strategies and informality, what jeopardizes the quality of care and effectivity of palliative care supply. Only first initiatives and approaches of collaboration and management exist in the Swiss context of community-based palliative care. More information and knowledge about collaboration and coordination of health care professionals in the field of primary palliative care (PPC) is needed, in order to avoid negative consequences, such as low accessibility of palliative care for all people or unnecessary hospital admissions.The aim of this study is twofold: Firstly, it strives for a deeper understanding of collaboration and coordination within PPC as well as between PPC, specialized palliative care (SPC) and further support services. Secondly, we aim on analyzing and evaluating collaboration and coordination in community based palliative care in Switzerland, also with respect to their structural embeddedness and to perceived patient outcomes. The findings of this study shall contribute to the development of guidelines for collaboration/coordination in PPC as well as to the elaboration and implementation of standards and models for integrated PPC-services on regional level. The knowledge gained in this project will also serve to strengthen the role health care providers in PPC, by informing education and training. To achieve its objectives the study is based on a mixed-method-approach: In a first step, document analysis and qualitative interviews with health care professionals in PPC/SPC and family caregivers in four selected cantons/regions (presumably BS, LU, VD, TI) will be conducted, in order to allow an in-depth analysis of collaboration/coordination in different contexts of palliative care supply. With respect to outcomes family caregivers' perspective of collaborative practice and coordination of palliative care in the community shall be elicited in the qualitative part of the study. In a second step a cross-cantonal survey on collaboration and coordination is planned, which allows for a comparison of different regional, cantonal, urban and rural settings. Findings from both empirical steps will be triangulated and merged in order to identify facilitators and barriers, as well as different approaches of integrated palliative care services in the community and challenges of organizing and managing collaboration of health care providers. The theoretical perspective and empirical approach of this study will provide for highly innovative answers on essential questions to current health science research in the area of application, notably a description and analysis of inter-professional collaboration between health providers in the field of PPC and at the interface to SPC. For cantonal health departments, health care providers and units, nursing homes, leagues and patient organizations, managers of hospitals and hospital units, and health insurances the study provides important information and key instructions for the promotion and development of palliative care networks on regional and cantonal level and it informs about necessary staff, education and further resources.
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