Lukasczik M, Geyer S, Neuderth S, Gerlich C, Weis I, Raiber I, Weber-Falkensammer H, Vogel H
Universität Würzburg, Institut für Psychotherapie und Medizinische Psychologie, Arbeitsbereich Rehabilitationswissenschaften, 97070 Würzburg.
Gesundheitswesen. 2008 Feb;70(2):68-76. doi: 10.1055/s-2008-1046780.
In accident patient care, there is a substantial overlap between the scope of duties of hospital social services and tasks fulfilled by the German statutory accident insurances' visiting staff that regularly takes care of accident patients. Therefore, a project on the integration of hospital social services into the organizational structures of the German statutory accident insurance was initiated which aimed at optimising communication and realising synergy effects. A formative evaluation of the project was conducted that provided process- and outcome-related data for a comprehensive evaluation of the strengths and potentials of the project. Report forms containing patient-related information were completed by hospital social services. Forms were evaluated in terms of their utility for case management by accident insurance administrators using a checklist. Project implementation and procedures were documented and evaluated using semi-structured interviews with social services staff and accident insurance employees. Through the model, a comprehensive care for accident patients could be reached. In one third of all cases reviewed, rehabilitation management could be improved by including hospital social services. Moreover, in one third of all cases, care-related activities initiated by accident insurance funds could be reduced by involving local hospital social services. The report form used by hospital social services was evaluated as a useful tool in the context of patient care and rehabilitation management. The model was evaluated by interview participants as a highly targeted approach in accident patients' care management. Implications of the study for improving health care are discussed.
在事故患者护理中,医院社会服务的职责范围与德国法定事故保险机构定期照顾事故患者的访视人员所履行的任务之间存在大量重叠。因此,启动了一个将医院社会服务纳入德国法定事故保险组织结构的项目,旨在优化沟通并实现协同效应。对该项目进行了形成性评估,提供了与过程和结果相关的数据,以便对项目的优势和潜力进行全面评估。医院社会服务部门填写了包含患者相关信息的报告表格。事故保险管理人员使用一份清单对表格在病例管理方面的实用性进行了评估。通过与社会服务人员和事故保险员工进行半结构化访谈,对项目实施情况和程序进行了记录和评估。通过该模式,可以实现对事故患者的全面护理。在所有审查的病例中,有三分之一通过纳入医院社会服务,康复管理得到了改善。此外,在所有病例中有三分之一,通过让当地医院社会服务部门参与,事故保险基金发起的护理相关活动得以减少。医院社会服务部门使用的报告表格在患者护理和康复管理方面被评估为一种有用的工具。访谈参与者将该模式评估为事故患者护理管理中的一种极具针对性的方法。讨论了该研究对改善医疗保健的意义。