Heidelberg Milestones Communication (HeiMeKOM) - Experiences, Best Practice Examples and Recommendations from the Final Symposium on January 30 and 31 in 2020

被引：1

作者：

Villalobos, Matthias ^{[1
]}

Deis, Nicole ^{[1
]}

Wesselmann, Simone ^{[2
]}

Seufferlein, Thomas ^{[3
]}

Ehlers, Frauke ^{[4
]}

Mahler, Cornelia ^{[5
]}

Letsch, Anne ^{[6
]}

Bausewein, Claudia ^{[7
]}

Krones, Tanja ^{[8
]}

Gaiser, Karin ^{[9
]}

Engeser, Peter ^{[10
]}

Kanzler, Melanie ^{[11
]}

Lauerer, Michael ^{[12
]}

Siegle, Anja ^{[1
]}

Unsoeld, Laura ^{[1
]}

Krug, Katja ^{[13
]}

Bossert, Jasmin ^{[13
]}

Nagel, Eckhard ^{[12
]}

Juenger, Jana ^{[14
]}

Wensing, Michel ^{[13
]}

Thomas, Michael ^{[1
]}

机构：

[1] Univ Klinikum Heidelberg, Thoraxklin, Translat Lung Res Ctr Heidelberg TLRC H, Abt Internist Onkol,Deutsch Zentrums Lungenforsch, Heidelberg, Germany

[2] Deutsch Krebsgesell eV, Zertifizierung, Berlin, Germany

[3] Univ Klinikum Ulm, Klin Innere Med 1, Ulm, Germany

[4] ZusammenWirken, Org & Teamentwicklung, Heidelberg, Germany

[5] Eberhard Karls Univ Tubingen, Abt Pflegewissensch, Inst Gesundheitswissensch, Med Fak, Tubingen, Germany

[6] Univ Klinikum Schleswig Holstein, Klin Innere Med mS Hamatol & Onkol 2, Kiel, Germany

[7] Univ Munich, LMU Klinikum, Klin & Poliklin Palliativmed, Munich, Germany

[8] Univ Spital Zurich, Inst Biomed Eth & Med Schichte, Zurich, Switzerland

[9] AOK Baden Wurttemberg, Fachreferat Ambulante Pflege & Palliat Care, Fachbereich Rehabilitat & Pflegemanagement, Stuttgart, Germany

[10] Heidelberg Univ, Akadem Lehrpraxis, Familydoc Pforzheim, Pforzheim, Germany

[11] Deutsch Evangel Krankenhausverband eV, DEKV, Berlin, Germany

[12] Univ Bayreuth, Inst Med Management & Gesundheitswissensch, Bayreuth, Germany

[13] Univ Klinikum Heidelberg, Abt Allgemeinmed & Versorgungsforsch, Heidelberg, Germany

[14] IMPP, Mainz, Germany

来源：

GESUNDHEITSWESEN | 2022年 / 84卷 / 10期

关键词：

interprofessional communication and collaboration; Advance Care Planning; early palliative care; collaboration between different levels of care (primary; secondary and tertiary care); institutional readiness; lung cancer; ADVANCE CARE; DEFINITION; DECISIONS; CANCER; END;

D O I：

10.1055/a-1375-0922

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The National Cancer Plan emphasises the importance of medical communication and calls for its integration into medical education and training. In this context, the Milestone Communication Approach meets the communicative challenges in dealing with lung cancer patients. Interprofessional tandems, consisting of doctors and nurses, conduct structured conversations at defined moments with patients and their relatives. The concept aims at shared decision making, continuity in the care of lung cancer patients and the early integration of palliative care. During the symposium on the Heidelberg Milestone Communication in January 2020, recommendations on the care situation of lung cancer patients in advanced stages were developed. In addition, the further adaptability of HeiMeKOM to other settings and hospitals and to other diseases was discussed as well as the possibility of implementing such a concept in standard care. This article presents the experiences, best practice examples and recommendations discussed during the symposium in order to enable their extrapolation to other similarly oriented projects. The long-term goal is to transfer the milestone concept to other hospital, primarily certified lung cancer centers, and to ensure permanent funding. For further dissemination of the concept and, above all, to have it established in standard care, health policy awareness and support are required in addition to the integration of the concept in competence catalogues of continuing medical and nursing education.

引用

页码：968 / 970

页数：3