[Mutual communication is often lacking--interviews with professional care givers on ambulatory palliative care].
OBJECTIVE
Within the study "possibilities and borders of ambulatory palliative care" interviews with employees of the outpatient care service were carried out. Thereby the subjective view of the professional care givers was the maintaining of interest. The focus was on problems in palliative home care, co-operation with other professionals and family caregivers as well as the conditions of their work.


METHODS
With the help of qualitative manual interviews, the questioning took place with nine cooperating ambulatory care services. The interviews were recorded, transliterated, analysed and evaluated following the qualitative content analysis of Mayring.


RESULTS
From the ambulant caregivers' point of view the causes for a failure of home care are particularly the poor cooperation with other professionals and the large distress of the family caregivers. In contrast, they estimate that a good cooperation with the family doctor and other participants of the care, a sufficient qualification and networking as well as committed family caregivers and pleased patients are beneficial factors for ambulatory palliative care.


CONCLUSIONS
An efficient implementation of specialised ambulatory care models (SAPV) is imperative in order to ensure an interdisciplinary and cooperative care for palliative patients and to afford an effective working field for professional care givers.
Götze
H
H
Selbstständige Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Medizinische Fakultät. heide.goetze@medizin.uni-leipzig.de
Perner
A
A
Anders
D
D
Brähler
E
E
D000553:Ambulatory Care / Q000592:standards*; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D003258:Consumer Behavior; D003299:Cooperative Behavior; D005858:Germany; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D009313:National Health Programs / Q000592:standards; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards