Neue gesetzliche Regelungen für die Palliativversorgung und ihre Implikationen für Politik und Praxis

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• 作者：Heiner Melching
• 关键词：SchlüsselwörterSterbehilfe ; Gesetz ; Palliativmedizin ; Spezialisierte ambulante Palliativversorgung ; Hospiz ; und Palliativgesetz
• 刊名：Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：60
• 期：1
• 页码：4-10
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：General Practice / Family Medicine; Public Health;
• 出版者：Springer Berlin Heidelberg
• ISSN：1437-1588
• 卷排序：60

文摘

In December 2015 two different laws were adopted. Both are of importance for palliative care. One of the laws criminalizes commercial, “business-like” assisted suicide (§ 217 German Criminal Code), the other one aims to improve hospice and palliative care in Germany. Through the latter far-reaching changes in Social Code Books V and XI, as well as of the Hospital Finance Act have been made. This new Act to Improve Hospice and Palliative Care (HPG) focuses, amongst others, on: (a) Better funding of hospice services, by raising the minimum grant for patients in inpatient hospices paid per day by the health insurance funds by about 28.5%, and for outpatient hospice services by about 18%; (b) further development of general outpatient nursing and medical palliative care, and the networking of different service providers; (c) introduction of an arbitration procedure for service provider agreements to be concluded between the health insurance funds and the teams providing specialized home palliative care (SAPV); (d) the right to individual advice and support by the health insurance funds; (e) care homes may offer their residents advance care planning programs to be funded by the statutory health insurers; (f) palliative care units in hospitals can be remunerated outside the DRG system by per diem rates; (g) separate funding and criteria for multi-professional palliative care services within a hospital.