Nauck Friedemann, Jansky Maximiliane
Dtsch Med Wochenschr. 2018 Apr;143(8):558-565. doi: 10.1055/s-0043-115628. Epub 2018 Apr 12.
Since 2007, patients with severe advanced life-limiting illnesses and high, complex symptom burdens have a right to receive specialized outpatient palliative care (SAPV). Multi-professional teams with heterogeneous organizational structures provide care in cooperation with primary care givers, not limited to cancer patients. The aim of SAPV is to foster patient's autonomy and quality of life. SAPV can be provided as counseling of patient and care givers, coordination of care, additional supportive and full care provision. While the basis of SAPV provision is regulated by a SAPV directive, different contracts between care providers and health care insurances regulate organization, cooperation, definition of care levels, service provision and compensation. Some regions have model contracts that are binding for all SAPV teams in the area; in other regions teams negotiate e. g. compensation, individually with insurances. The article gives an overview of the regulations regarding SAPV.
自2007年以来，患有严重晚期绝症且症状负担严重、复杂的患者有权接受专门的门诊姑息治疗（SAPV）。具有不同组织结构的多专业团队与初级护理人员合作提供护理，不限于癌症患者。SAPV的目的是促进患者的自主性和生活质量。SAPV可以作为对患者和护理人员的咨询、护理协调、额外的支持性护理和全面护理来提供。虽然提供SAPV的基础由一项SAPV指令规定，但护理提供者与医疗保险之间的不同合同规定了组织、合作、护理级别定义、服务提供和补偿。一些地区有对该地区所有SAPV团队具有约束力的示范合同；在其他地区，团队则单独与保险公司协商，例如补偿问题。本文概述了有关SAPV的规定。
