title: [Integration of Palliative and Hospice Care Structures in the Care of Neurological Patients: Opinion of Chief Consultant Neurologists in Germany].
abstract: An online survey of chief neurological consultants was conducted to find out how they judged the demand for and access to palliative and hospice care (PHC) structures for their neurological patients (NP) as well as their collaboration with PHC structures. 110 of 881 chief consultants who were contacted participated in the survey. About 10 % of their NP were considered suitable for PHC. They estimated that 9 % of the deceased had died from their underlying neurological disease. The integration of PHC structures into the management of various neurological diseases was considered worthwhile but 51.9 - 78.5 % indicated that there was no or little collaboration with PHC structures. 12 % of the participants were trained in palliative care (PC). To guarantee an adequate PHC also for NP, PHC knowledge should be integrated into the curriculum and training of neurologists and the PC community should further extend its services to NP, adapting their knowledge and structures to these patients' special needs.
authors.affiliation: Zentrum für Palliativmedizin, Universitätsklinikum Köln, Köln.
authors.forename: H
authors.initials: H
authors.lastname: Golla
authors.affiliation: Abteilung für Neurologie und Neurorehabilitation, Dr. Becker Rhein-Sieg-Klinik, Nümbrecht.
authors.forename: M
authors.initials: M
authors.lastname: Ebke
authors.affiliation: Klinik für Palliativmedizin, Medizinische Fakultät der RWTH Aachen.
authors.forename: R
authors.initials: R
authors.lastname: Rolke
authors.affiliation: Institut für Pflegewissenschaften und Pflegepraxis, Private Medizinische Paracelsus Universität, Salzburg, Österreich.
authors.forename: S
authors.initials: S
authors.lastname: Lorenzl
authors.affiliation: Abteilung für Neurologie und Neurorehabilitation, Klinikum Duisburg GmbH, Duisburg.
authors.forename: W
authors.initials: W
authors.lastname: Nacimiento
authors.affiliation: Geschäftsführung der Deutschen Gesellschaft für Neurologie, Berlin.
authors.forename: T
authors.initials: T
authors.lastname: Thiekötter
authors.affiliation: Klinik für Neurologie, Universitätsklinik Köln, Köln.
authors.forename: G R
authors.initials: GR
authors.lastname: Fink
authors.affiliation: Klinik für Neurologie, St. Josef Krankenhaus, Medizinische Fakultät, Ruhr-Universität, Bochum.
authors.forename: R
authors.initials: R
authors.lastname: Gold
authors.affiliation: Zentrum für Palliativmedizin, Universitätsklinikum Köln, Köln.
authors.forename: R
authors.initials: R
authors.lastname: Voltz
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002423:Cause of Death; D002983:Clinical Competence; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004493:Education; D005858:Germany; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000458:organization & administration; D017051:Hospice Care / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008875:Middle Aged; D009422:Nervous System Diseases / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D010166:Palliative Care / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D008486:Physician Executives; D012017:Referral and Consultation; D012955:Societies, Medical