Daniela Gesell

ORCID: 0000-0003-1930-8745
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About
Contact & Profiles
Research Areas
  • Palliative Care and End-of-Life Issues
  • Geriatric Care and Nursing Homes
  • Clinical practice guidelines implementation
  • Chronic Disease Management Strategies
  • Health Systems, Economic Evaluations, Quality of Life
  • Grief, Bereavement, and Mental Health
  • Health and Medical Studies
  • Medical and Health Sciences Research
  • Patient Dignity and Privacy
  • Sociology and Education Studies
  • Social Policies and Healthcare Reform
  • Social and Demographic Issues in Germany
  • Family and Patient Care in Intensive Care Units
  • Psychiatric care and mental health services
  • Childhood Cancer Survivors' Quality of Life
  • Cancer survivorship and care
  • Disaster Response and Management
  • Patient-Provider Communication in Healthcare

LMU Klinikum
2020-2025

Ludwig-Maximilians-Universität München
2020-2025

Zimmer Biomet (Germany)
2025

München Klinik
2024

Objectives Palliative care phases (stable, unstable, deteriorating, terminal and bereavement) are useful in describing the palliative situation of patients/relatives their needs as well suitability plans. Little is known about setting-specific differences association with burden symptoms/problems functional status. We aimed to describe presence symptom/problem status phase at beginning episodes specialist units, home teams advisory services. Methods This study a secondary analysis...

10.1136/spcare-2024-005017 article EN cc-by-nc BMJ Supportive & Palliative Care 2025-01-20

Introduction Care for people living with dementia is both important and complex, there evidence of large regional variations in the quality care. This study protocol describes design, methods objectives an investigation utilisation, costs care Germany. Methods analysis An exploratory, naturalistic, mixed-methods being conducted three modules: Module A: A quantitative claims data statutory health insurance will be to investigate utilisation B: In selected regions interest that deviate...

10.1136/bmjopen-2024-092210 article EN cc-by-nc-nd BMJ Open 2025-02-01

Abstract Background In the SARS-CoV-2 pandemic, general and specialist Palliative Care (PC) plays an essential role in health care, contributing to symptom control, psycho-social support, providing support complex decision making. Numbers of COVID-19 related deaths have recently increased demanding more palliative care input. Also, pandemic impacts on for non-COVID-19 patients. Strategies seriously ill dying people times are lacking. Therefore, program ‘Palliative Pandemics’ (PallPan) aims...

10.1186/s12904-021-00898-w article EN cc-by BMC Palliative Care 2022-01-13

The need for palliative care will increase over the next years because of rise in deaths from chronic illness and demographic changes. provision specialist (SPC) Germany (palliative units (PCU), home (SPHC) teams advisory (PCA) teams) has been expanded recent years. Despite increasing availability, there is still insufficient coverage with long travel times. aim was to describe spatial distribution SPC services Germany, calculate potential accessibility facilities assess...

10.1186/s12913-023-09751-7 article EN cc-by BMC Health Services Research 2023-07-24

Objectives The heterogeneity of specialist palliative care services requires a classification to enable clear description and comparison. In Germany, is provided by units, advisory teams in hospitals home teams. differentiation between the three settings can serve as first level classification. However, due profound variations regulatory structures financing systems, within each setting are heterogeneous characteristics remain unclear, which impedes quality management. Further models need be...

10.1136/bmjspcare-2021-003435 article EN cc-by BMJ Supportive & Palliative Care 2022-02-08

Abstract Background A casemix classification based on patients’ needs can serve to better describe the patient group in palliative care and thus help develop adequate future structures enable national benchmarking quality control. However, Germany, there is no such an evidence-based system differentiate complexity of care. Therefore, study aims a patient-oriented, nationally applicable for adult patients Germany. Methods COMPANION mixed-methods with data derived from three subprojects....

10.1186/s12904-021-00897-x article EN cc-by BMC Palliative Care 2022-02-04

Abstract Background Specialist palliative home care (SPHC) aims to maintain and improve patients’ quality of life in the community setting. Symptom burden may differ between oncological non-oncological patients. However, little is known about diagnosis-related differences SPHC This study describe prevalence physical symptom psychosocial problems adult patients SPHC, evaluate clusters. Methods Secondary analysis data from a prospective, cross-sectional, multi-centre on complexity patients,...

10.1186/s12904-023-01296-0 article EN cc-by BMC Palliative Care 2023-11-17

Leseprobe-----Bibliographie: Gesell, Daniela/Bethmann, Arne/Alt, Christian: Potentiale geographischer Daten für die Sozialberichterstattung im Rahmen der Familienforschung, Diskurs Kindheits- und Jugendforschung, 2-2017, S. 241-246. https://doi.org/10.3224/diskurs.v12i2.10

10.3224/diskurs.v12i2.10 article DE Diskurs Kindheits- und Jugendforschung / Discourse Journal of Childhood and Adolescence Research 2017-06-26

Fragestellung Das Angebot spezialisierter Palliativversorgung in Deutschland ist sehr heterogen. Finanzierungssysteme, Regelungen von Anforderungen an Dienste und Rahmenbedingungen variieren auf Landesebene. Zudem gibt es nur wenige Vorgaben bezüglich Struktur- Prozessmerkmalen. Die einzigen, die verpflichtend formuliert sind, gehen Finanzierungssysteme darin genannten zurück. Ziel Entwicklung einer Taxonomie zur Beschreibung Differenzierung spezialisierten palliativmedizinischen...

10.1055/s-0040-1715015 article DE Zeitschrift für Palliativmedizin 2020-08-01

Fragestellung Schwerkranke und sterbende Menschen leiden unter körperlichen, psychischen, sozialen, spirituellen praktischen Problemen. Deren Ausprägung Interaktion beschreiben die Komplexität einer Versorgungssituation. Bislang gibt es in Deutschland keine zuverlässige Einteilung für Komplexität. Projektziel: Entwicklung Case-Mix-Klassifikation erwachsene Palliativpatient*innen, basierend auf der Patient*innensituationen dem damit verbundenen anhand Kosten widergespiegelten Ressourcenverbrauch.

10.1055/s-0040-1715012 article DE Zeitschrift für Palliativmedizin 2020-08-01

Das Konzept Palliativphasen gewinnt zunehmend an Bedeutung im palliativmedizinischen Versorgungskontext. Immer mehr klinische Teams, sowohl ambulant als auch stationär, nutzen die zur Einordnung und Beschreibung ihrer Patient*innen. Des Weiteren sind Bestandteil des Datensatzes nationalen Hospiz- Palliativregisters. Aktuell finden sie zudem Anwendung Innovationsfonds-geförderten Forschungsprojekt COMPANION (s. Infobox), dessen primäres Ziel Entwicklung einer Komplexitäts-...

10.1055/a-1948-1245 article DE Zeitschrift für Palliativmedizin 2022-11-01
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