Universität zu Köln

Strupp, Julia, Dose, Christina, Kuhn, Ulrike, Galushko, Maren, Duesterdiek, Anne, Ernstmann, Nicole ORCID: 0000-0001-7685-6110, Pfaff, Holger ORCID: 0000-0001-9154-6575, Ostgathe, Christoph ORCID: 0000-0003-4449-5036, Voltz, Raymond and Golla, Heidrun (2018). Analysing the impact of a case management model on the specialised palliative care multi-professional team. Support. Care Cancer, 26 (2). S. 673 - 680. NEW YORK: SPRINGER. ISSN 1433-7339

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Abstract

Palliative care (PC) involves many health care providers leading to a high complexity of structures that requires efficient coordination as provided by case management (CM). Our study aimed to evaluate the effects of CM newly implemented in a specialised palliative care unit by evaluating team members' tasks and time resources before (T0) and after implementation (T1). It was hypothesised that team members would be able to spend less time on organisational and administrative tasks and more time on patient care. A prospective pre-post study design was used. Time distribution of different tasks at T0 and T1 was compared between three different professional groups: physicians, nursing staff and social work. To document their tasks and time required, a documentation form with several items for each profession was developed. Data was analysed using t tests for independent samples. After Bonferroni correction, a significant pre-post difference was found for the time spent on discharge interview and discharge as rated by the physicians (p < .001) with less time spent on this activity after CM implementation. The nursing staff had significantly more time for conversations with patients (p < .001) after CM implementation. Moreover, they spent significantly less time on patient-related requests/advice by telephone (p < .001) and discussions with relatives/participation in family discussions at post-assessment (p < .001). The social worker had significantly more time for patient advice and support services (p = .013) after CM implementation. Integrating CM can be time efficient and ensures team members to spend more time on their core tasks in patient care.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Strupp, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Dose, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhn, Ulrike UNSPECIFIED UNSPECIFIED UNSPECIFIED Galushko, Maren UNSPECIFIED UNSPECIFIED UNSPECIFIED Duesterdiek, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Ostgathe, Christoph UNSPECIFIED orcid.org/0000-0003-4449-5036 UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED Golla, Heidrun UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-196759
DOI:	10.1007/s00520-017-3893-3
Journal or Publication Title:	Support. Care Cancer
Volume:	26
Number:	2
Page Range:	S. 673 - 680
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-7339
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTEGRATED CARE; INPATIENT; PROGRAM Multiple languages Oncology; Health Care Sciences & Services; Rehabilitation Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19675