Abstract
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.
Ziel der Spezialisierten Ambulanten Palliativ-Versorgung (SAPV) ist es, die Selbstbestimmung
und Lebensqualität schwer belasteter Patienten am Lebensende zu stärken. Diese bundesweite
Leistung ermöglicht Unterstützung bei besonders komplexen physischen und psychosozialen
Belastungssituationen und bietet eine multiprofessionelle, häusliche Behandlung in
Kooperation mit Primärversorgern.
Schlüsselwörter
Palliativversorgung - ambulante Versorgung - Gesundheitssystem
Key words
palliative care - home care services - health policy
