IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i3p2231-d1047695.html
   My bibliography  Save this article

Population-Based, Spatial Analysis of Specialised Ambulatory Palliative Care in Mecklenburg-Western Pomerania, Germany, on the Basis of Reimbursement Data

Author

Listed:
  • Maren Leiz

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

  • Kilson Moon

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

  • Laura Kerstin Rehner

    (Institute for Nursing Science and Interprofessional Learning, University Medicine, 17475 Greifswald, Germany)

  • Ulrike Stentzel

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

  • Franziska Radicke

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

  • Wolfgang Hoffmann

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

  • Neeltje van den Berg

    (Institute for Community Medicine, University Medicine, 17475 Greifswald, Germany)

Abstract

In rural areas, healthcare providers, patients and relatives have to cover long distances. For specialised ambulatory palliative care (SAPV), a supply radius of max. 30 km is recommended. The aim of this study was to analyse whether there are regional disparities in the supply of SAPV and whether it is associated with the distance between the SAPV team’s site and the patient’s location. Therefore, anonymised data of the Association of Statutory Health Insurance Physicians of the Federal State of Mecklenburg-Western Pomerania (M-V) were retrospectively analysed for the period of 2014–2017. Identification as a palliative patient was based on palliative-specific items from the ambulatory reimbursement catalogue. In total, 6940 SAPV patients were identified; thereof, 48.9% female. The mean age was 73.3 years. For 28.3% of the identified SAPV patients ( n = 1961), the SAPV teams had a travel distance of >30 km. With increasing distance, the average number of treatment days per patient increased. It was found that there are regional disparities in the provision of SAPV services in M-V and that local structures have an important impact on regional supply patterns. The distance between the SAPV team’s site and the patient’s location is not the only determining factor; other causes must be considered.

Suggested Citation

  • Maren Leiz & Kilson Moon & Laura Kerstin Rehner & Ulrike Stentzel & Franziska Radicke & Wolfgang Hoffmann & Neeltje van den Berg, 2023. "Population-Based, Spatial Analysis of Specialised Ambulatory Palliative Care in Mecklenburg-Western Pomerania, Germany, on the Basis of Reimbursement Data," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2231-:d:1047695
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/3/2231/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/3/2231/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Xiaokun Gu & Lufa Zhang & Siyuan Tao & Boming Xie, 2019. "Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai," IJERPH, MDPI, vol. 16(2), pages 1-16, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gu, Zongni & Luo, Xiaolong & Tang, Mi & Liu, Xiaoman, 2023. "Does the edge effect impact the healthcare equity? An examination of the equity in hospitals accessibility in the edge city in multi-scale," Journal of Transport Geography, Elsevier, vol. 106(C).
    2. Yongling Zhang & Xin Li & Nana Kong & Miao Zhou & Xiaobing Zhou, 2022. "Spatial Accessibility Assessment of Emergency Response of Urban Public Services in the Context of Pluvial Flooding Scenarios: The Case of Jiaozuo Urban Area, China," Sustainability, MDPI, vol. 14(24), pages 1-15, December.
    3. Jingya Luan & Yuhong Tian & Chi Yung Jim & Xu Liu & Mengxuan Yan & Lizhu Wu, 2023. "Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China," IJERPH, MDPI, vol. 20(1), pages 1-19, January.
    4. Wei Hu & Lin Li & Mo Su, 2019. "Spatial Inequity of Multi-Level Healthcare Services in a Rapid Expanding Immigrant City of China: A Case Study of Shenzhen," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    5. Jabrullah Ab Hamid & Muhamad Hanafiah Juni & Rosliza Abdul Manaf & Sharifah Norkhadijah Syed Ismail & Poh Ying Lim, 2023. "Spatial Accessibility of Primary Care in the Dual Public–Private Health System in Rural Areas, Malaysia," IJERPH, MDPI, vol. 20(4), pages 1-21, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2231-:d:1047695. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.