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@ARTICLE{Kuhnt:304487,
      author       = {S. Kuhnt and A.-K. Köditz and S. Heyne and C. Gmeiner and
                      M. Mahlberg and S. Weg-Remers$^*$ and A. Mehnert-Theuerkauf
                      and J. Ernst},
      title        = {{H}ow do employees of cancer counseling centers and their
                      providers evaluate the funding of outpatient cancer
                      counseling centers by health insurance funds – {A}
                      qualitative interview study. [{W}ie bewerten
                      {M}itarbeiter:innen von {K}rebsberatungsstellen und deren
                      {T}räger die {F}örderung ambulanter
                      {K}rebsberatungsstellen durch {K}rankenkassen – {E}ine
                      qualitative {I}nterviewstudie ({KEVA})].},
      journal      = {Psychotherapie, Psychosomatik, medizinische Psychologie},
      volume       = {nn},
      issn         = {0937-2032},
      address      = {Stuttgart [u.a.]},
      publisher    = {Thieme},
      reportid     = {DKFZ-2025-01879},
      pages        = {nn},
      year         = {2025},
      note         = {epub},
      abstract     = {Since 2020, cancer counselling centers (CCCs) have been
                      eligible for funding from health insurance funds under the
                      legal regulation on 'Outpatient Cancer Counseling' (§65e
                      SGB V). This article investigates the rationale for or
                      against applying for funding and evaluates the funding
                      option from the perspective of staff members at both funded
                      and non-funded CCCs, as well as sponsoring organizations.
                      The aim is to analyse the practical feasibility of the
                      financing model.We conducted a qualitative study using
                      guided expert interviews with employees of CCCs and
                      sponsoring organizations. The institutions for interview
                      participation were selected from all existing CCCs and
                      sponsoring organizations, taking into account factors such
                      as size, region, and funding status of the CCC through a
                      quota-based random selection process. The interviews were
                      analyzed using content-structural evaluation methods
                      according to Kuckartz.The analysis is based on statements
                      from 44 expert interviews, including 17 funded CCCs, 9
                      non-funded CCCs, 6 CCCs with changing status, and 12
                      sponsoring organizations. The funding option was generally
                      rated positively and recognized as a significant advancement
                      for outpatient cancer counselling. With regard to the
                      required minimum number of consultations, it should be noted
                      that the majority of CCCs considered this to be achievable.
                      However, certain structural aspects were criticized,
                      particularly regarding the allocation process, funding
                      stability, and the requirements of financial auditing.
                      Issues such as the remaining uncertainty of stable
                      financing, and the insufficient recognition of essential
                      work areas, such as group services, were highlighted, as
                      well as the inadequate consideration of differences in
                      service mandates, especially for CCCs in rural areas.The
                      partial funding of outpatient CCCs by health insurance funds
                      is an important step towards stable financing and
                      standardization in outpatient cancer counselling. Future
                      amendments should aim to ensure long-term security and
                      flexibility of funding options in order to maintain
                      comprehensive, needs-based and quality-assured cancer
                      counselling in Germany with a growing proportion of cancer
                      survivors, a significant proportion of whom have
                      psychosocial problems and need counselling.},
      cin          = {M100},
      ddc          = {150},
      cid          = {I:(DE-He78)M100-20160331},
      pnm          = {319H - Addenda (POF4-319H)},
      pid          = {G:(DE-HGF)POF4-319H},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40921164},
      doi          = {10.1055/a-2654-5683},
      url          = {https://inrepo02.dkfz.de/record/304487},
}