Girardi P, Acherer E, Holzapfl M, Strebl L
Sozialmedizinische OrganisationsgesmbH, Bregenz.
Rehabilitation (Stuttg). 1998 Nov;37(4):229-32.
Presented is the Social-Medical Organization active in the field of ambulatory neurological care of adults in Vorarlberg, Austria, offering interdisciplinary cooperation possibilities in terms of team consultation, case presentation and discussion, as well as supervision. Ambulatory interdisciplinary teamwork is situated in a theory-practice field of tension, with occupational training failing to teach interdisciplinary cooperation and interdisciplinarity role models not encountered either during practicals. The ensuing, deliberately identified problems and issues have been addressed in a planned process. Familiarization with the various occupational fields involved, with each field having its specific job profile, as well as the notions on cooperation among the various fields are presented. The role the various occupational fields have in neurological aftercare as well as existing job profile clichés are reflected upon. Communication is in addition hampered by the diversity of training contents in the various occupational fields. Focussing on case presentation and discussion, teams are considered a place for obtaining advice, for joint development of targets and strategies, and interdisciplinary interfacing is no longer perceived as threatening but as enriching and productive. The role of stronger family doctor inclusion in formulation therapy goals remains an issue as yet unsolved.
本文介绍了奥地利福拉尔贝格州一家活跃于成人门诊神经护理领域的社会医疗组织，该组织在团队咨询、病例展示与讨论以及监督等方面提供跨学科合作机会。门诊跨学科团队工作处于理论与实践的紧张领域，职业培训未能教授跨学科合作，在实习期间也未遇到跨学科的榜样。由此产生的、经刻意识别的问题已在一个有计划的过程中得到解决。介绍了对所涉及的各个职业领域的熟悉情况，每个领域都有其特定的工作概况，以及关于各个领域之间合作的观念。反思了各个职业领域在神经康复护理中的作用以及现有的工作概况陈词滥调。此外，各个职业领域培训内容的多样性也阻碍了沟通。专注于病例展示与讨论，团队被视为获取建议、共同制定目标和策略的场所，跨学科对接不再被视为具有威胁性，而是被视为丰富且富有成效的。让家庭医生更多地参与制定治疗目标的作用仍是一个尚未解决的问题。
