Constitution of a New Specialised Pediatric Home Care Team - First Year Experience

Since the amendment of the Social Law V in Germany in 2007 the financial basis for a Specialised Home Palliative Care for Children (SHPC) for children was established. In Hesse 3 different SHPC teams entered into collective negotiations with health insurance companies. In 2014, the team of the Unive...

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Bibliographic Details
Published in:	Klinische Padiatrie Vol. 228; no. 3; p. 145
Main Authors:	Hauch, H, Klinkel, N, Chao, C-M, Behrje, J, Kreuzaler, P, Bagheri, A, Sibelius, U, Berthold, D
Format:	Journal Article
Language:	German
Published:	Germany 01-04-2016
Subjects:	Adolescent Cause of Death Child Child, Preschool Congenital Abnormalities - mortality Congenital Abnormalities - therapy Female Germany Home Care Services - legislation & jurisprudence Home Care Services - organization & administration Hospitals, University Humans Infant Infant, Newborn Male Metabolic Diseases - mortality Metabolic Diseases - therapy National Health Programs - legislation & jurisprudence Neoplasms - mortality Neoplasms - therapy Palliative Care - legislation & jurisprudence Palliative Care - organization & administration Patient Care Team - legislation & jurisprudence Patient Care Team - organization & administration Resuscitation Orders - legislation & jurisprudence Retrospective Studies Survival Analysis
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Summary:	Since the amendment of the Social Law V in Germany in 2007 the financial basis for a Specialised Home Palliative Care for Children (SHPC) for children was established. In Hesse 3 different SHPC teams entered into collective negotiations with health insurance companies. In 2014, the team of the University Children's Hospital in Giessen started to treat the first patient with a lead time of two months. Thus in this paper the development of a SHPC team is described. After the first year anonymized patients data were retrospectively analyzed. Within 12 months 35 patients, 24 females and 11 males, were treated. All of the 6 patients who died, died at home. Calculated 48 weeks survival was 78%. 45% of the patients suffered from malignancies, 34% of malformations and 34% had metabolic disorders. 51% needed crisis intervention and 51% infusion therapy. Only 26% of parents denied cardiopulmonary resuscitation (CPR). Only 10% of the patients or their families received professional psychological care. Formation of a SHPC is feasible within a short time period once a financial basis is established. So, empathic guidance of families to help decision making for emergency situations are considered to be important. Analysis of patient's data after one year could help to improve the quality of care. Our data provides information for developing a palliative care team und could motivate colleagues to start the job.
ISSN:	1439-3824
DOI:	10.1055/s-0042-103327