Hartmann J, Nocon M, Hartmann H, Kilian M, Ordemann J, Müller J M
Klinik für Allgemein-, Viszeral-, Gefäss- und Thoraxchirurgie, Universitäre Medizin Berlin - Charité Campus Mitte, Charitéplatz 1, 10117 Berlin, Deutschland.
Chirurg. 2007 May;78(5):462, 464-6, 468. doi: 10.1007/s00104-006-1294-0.
New demands and possibilities of collaboration between hospitals and private practices in Germany have appeared, now that the way has been opened legally. A poll was conducted to analyse the current status of collaboration between outpatient gastroenterologists and hospital surgical departments and to identify possible future collaborations.
One thousand twenty-six private practices specialising in endoscopy were found by contacting the Association of Statutory Health Insurance Physicians and additional internet research. Of these, 50% were randomly selected (513 private practices) and contacted by mail with anonymous questionnaires about cooperation with their clinical partners. Two hundred three (39.6%) practices responded, of which 200 could be analysed.
Of all practices reached, 75% considered the cooperation with clinics very valuable or even exceptional. Still, almost half (46%) suggested necessary improvements in these collaborations. Around a third of all contacted colleagues were already involved in projects following integrated care models. In about 80% of all participants, the main interest in integrated models was specified to be common therapy planning.
The data analysis of this study shows a substantial interest of private-practice gastroenterologists in close collaboration with hospitals. It is now up to the hospitals to open contracts with their medical outpatient partners.
既然德国医院与私人诊所之间合作的法律途径已经打通，新的合作需求和可能性便应运而生。开展了一项调查，以分析门诊胃肠病学家与医院外科部门之间的合作现状，并确定未来可能的合作方向。
通过联系法定医疗保险医师协会并进行额外的网络搜索，找到了1026家专门从事内窥镜检查的私人诊所。其中，随机抽取了50%（513家私人诊所），并通过邮件向其发送匿名问卷，询问与临床合作伙伴的合作情况。203家（39.6%）诊所回复，其中200家可用于分析。
在所有联系到的诊所中，75%认为与诊所的合作非常有价值甚至堪称卓越。不过，近一半（46%）的诊所建议对这些合作进行必要改进。在所有联系到的同事中，约三分之一已经参与了遵循综合护理模式的项目。在所有参与者中，约80%表示对综合模式的主要兴趣在于共同制定治疗计划。
本研究的数据分析表明，私人执业胃肠病学家对与医院密切合作有着浓厚兴趣。现在，医院有责任与其门诊医疗合作伙伴签订合作协议。
