Kuhn Rita, Schmidt Ulrike, Ottomar Bahrs, Riehl-Emde Astrid
Inst für Psychosomatische Kooperationsforschung und Familientherapie, Psychosoziales Zen- trum des Universitätsklinikums Heidelberg.
Prax Kinderpsychol Kinderpsychiatr. 2007;56(9):772-94. doi: 10.13109/prkk.2007.56.9.772.
Although according to section 2 of the Pregnancy Conflicts Law, there is a legal claim to psychosocial counselling and although its benefit has been proven empirically, pregnant women rarely draw upon it in the context of prenatal diagnostics (PND). One of the reasons is probably that physicians are not sufficiently aware of this counselling offer. By means of the model project "Interprofessional quality circles in prenatal diagnostics" an attempt was made to counteract this deficit. For this purpose, interprofessional quality circles have been established in six different places in Germany in order to motivate medical and psychosocial consultants to an increased cooperation. The effects and realization of the quality circle efforts have been evaluated. For this purpose, structural characteristics such as cooperation practice and utilization of psychosocial counselling have been assessed using a questionnaire before and after the introduction of the quality circles. All sessions have been documented; in addition, they have been evaluated by the participants using another shorter questionnaire. The results show that the quality circles led to an improved cooperation between the different professional groups and an increased utilization of psychosocial counselling. The work of the quality circles has been evaluated positively. It was regarded as conductive to cooperation, emotionally exonerative and extremely helpful with respect to the daily counselling work. Most of all, its practicality and case management were appraised. Thus, interprofessional quality circles prove to be an adequate instrument to advance the interprofessional and aim-oriented cooperation in such a way as demanded emphatically by the German Expert Advisory Board of Community Health in its recent experts report.
尽管根据《孕期冲突法》第2条，孕妇有获得心理社会咨询的合法权利，且其实用性已得到实证证明，但在产前诊断（PND）中，孕妇很少利用这一权利。原因之一可能是医生对这一咨询服务了解不足。通过“产前诊断跨专业质量圈”示范项目，试图弥补这一缺陷。为此，在德国六个不同地点设立了跨专业质量圈，以激励医学和心理社会咨询顾问加强合作。对质量圈工作的效果和实施情况进行了评估。为此，在引入质量圈之前和之后，通过问卷调查评估了合作实践和心理社会咨询的利用等结构特征。所有会议都有记录；此外，参与者还使用另一份较短的问卷对会议进行了评估。结果表明，质量圈促进了不同专业群体之间的合作，提高了心理社会咨询的利用率。质量圈的工作得到了积极评价。它被认为有助于合作、减轻情绪负担，对日常咨询工作非常有帮助。最重要的是，其实用性和病例管理得到了高度评价。因此，跨专业质量圈被证明是一种适当的工具，可以按照德国社区健康专家咨询委员会在其最新专家报告中大力要求的方式，推进跨专业和目标导向的合作。
