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Advance Care Planning in End of Life Care$
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Keri Thomas, Ben Lobo, and Karen Detering

Print publication date: 2017

Print ISBN-13: 9780198802136

Published to Oxford Scholarship Online: January 2018

DOI: 10.1093/oso/9780198802136.001.0001

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Advance care planning in Germany: on track for nationwide implementation

Advance care planning in Germany: on track for nationwide implementation

(p.239) Chapter 22 Advance care planning in Germany: on track for nationwide implementation
Advance Care Planning in End of Life Care

Georg Marckmann

Kornelia Götze

Jürgen in der Schmitten

Oxford University Press

Advance care planning (ACP) is a rather new development in Germany. From 2008 to 2011, the Federal Ministry for Research and Education funded the prospective inter-regionally controlled study of the ACP programme ‘beizeiten begleiten’ which was implemented in one town’s nursing homes. In September 2015, the fifth International Society of Advance Care Planning and End of Life Care conference in Munich further stimulated ACP development in Germany, both on regional and national levels. In December 2015, new legislation was passed which will provide funding from the sickness funds to German nursing homes and care institutions for people with disabilities if they offer ACP to their residents. While currently the details of the implementation are being negotiated between national representatives of the care home carriers and the sickness funds, several regions have started to implement the ACP programme ‘beizeiten begleiten’, and the first ACP facilitator trainings are being offered across Germany.

Keywords:   Germany, advance care planning, advance directives, nursing homes, health care policy, implementation, controlled trial, legislation, legal framework

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