Contributions to the literature

The goal of this pre-implementation study was to gather from various perspectives how the basic idea of integrated hospice and palliative care can be realized within a university hospital in order to implement the first academic hospice in Germany.This study identified barriers and facilitators before implementing the first hospice within a university setting.Although several concerns have been raised, our results indicate that all participants believe in a positive impact and highlight the need of developing a solid concept integrating multilevel contextual factors.