[针对精神病患者的汉堡综合照护模式：第1部分。预研究的基本原理、治疗理念及结果]
[The Hamburg-model of integrated care for patients with psychosis: Part 1. Rationale, treatment concept and results of the pre-study].
作者信息
Lambert Martin, Bock Thomas, Daubmann Anne, Meigel-Schleiff Christina, Lange Benjamin, Lange Matthias, Ohm Gunda, Bussopulos Alexandra, Frieling Marietta, Golks Dietmar, Kerstan Andrea, König Hans-Helmut, Nika Lia, Ruppelt Friederike, Schödlbauer Michael, Schöttle Daniel, Sauerbier Anne-Lena, Rietschel Liz, Wegscheider Karl, Wiedemann Klaus, Schimmelmann Benno G, Naber Dieter, Karow Anne
机构信息
Arbeitsbereich Psychosen, Klinik für Psychiatrie und Psychotherapie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf.
Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinik Hamburg Eppendorf.
出版信息
Psychiatr Prax. 2014 Jul;41(5):257-65. doi: 10.1055/s-0033-1349497. Epub 2013 Sep 23.
OBJECTIVE
The "Hamburg model" designates an integrated care model for severely ill patients with psychotic disorders financed by the health insurance system in accordance with § 140 SGB V.
METHODS
It comprises comprehensive and long-term treatment within a regional network of the psychosis center of the University Medical Center Hamburg-Eppendorf (UKE) and private psychiatrists. The treatment model consists of therapeutic assertive community treatment (ACT) provided by a highly specialized treatment team and need-adapted in- and outpatient care.
RESULTS AND CONCLUSIONS
The present article summarizes the disease- and treatment-specific rationales for the model development as well as the model structure and treatment contents. The article further summarizes the effectiveness and efficiency results of a study comparing the Hamburg model and treatment as usual (without ACT) within a 12-month follow-up study (ACCESS trial).
目的
“汉堡模式”指的是一种由医疗保险系统根据《社会法典》第五编第140条资助的针对患有精神障碍的重症患者的综合护理模式。
方法
它包括在汉堡-埃彭多夫大学医学中心（UKE）精神病中心和私人精神科医生组成的区域网络内进行全面和长期的治疗。该治疗模式由一个高度专业化的治疗团队提供的治疗性主动社区治疗（ACT）以及根据需求调整的住院和门诊护理组成。
结果与结论
本文总结了该模式发展的疾病和治疗特定原理以及模式结构和治疗内容。文章还总结了一项在12个月随访研究（ACCESS试验）中比较汉堡模式与常规治疗（无ACT）的研究的有效性和效率结果。
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