[Balancing maximum commitment and challenges: Interdisciplinary networks in outpatient palliative care within the Westphalia-Lippe model - results of a qualitative study].

BACKGROUND

Palliative care in Westphalia-Lippe is characterized by an interdisciplinary network of palliative medical consultation services. This network enables care without a strict distinction between general and specialized outpatient palliative care. This study aimed to analyze the special features and challenges of this network.

METHODS

In a qualitative study within the VESPAL project (VESPAL - "care quality in ambulatory palliative care with Westphalia-Lippe as example"), 50 care providers in the Palliative Care Model Westphalia-Lippe were interviewed individually and in focus groups. In addition, non-participant observations were carried out in order to provide a more accurate depiction of the reality of care. Afterwards, the observations and interviews were analyzed using qualitative content analysis based on Kuckartz using MAXQDA software.

RESULTS

Providers emphasized the advantages of interdisciplinary cooperation, which enabled quick solutions and individual patient care. Challenges arose due to on-call duty, coordination problems, and logistical difficulties, particularly in rural areas.

CONCLUSIONS

The palliative care model Westphalia-Lippe offers flexible, needs-oriented care with short service routes and networked teams. However, it requires adjustments to improve communication and coordination.