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[奥地利对身心障碍患者是否有足够的照料?需求分析及奥地利身心医学质量保证模式的建议]

[Is there adequate care for patients with psychosomatic disorders in Austria? Analysis of the need and a proposal for a model of quality assurance in Austrian psychosomatic medicine].

作者信息

Leitner Anton, Pieh Christoph, Matzer Franziska, Fazekas Christian

机构信息

Univ.-Prof. Dr. Anton Leitner, MSc, Donau-Universität Krems, Department für Psychotherapie und Biopsychosoziale Gesundheit, Dr.-Karl-Dorrek-Straße 30, A-3500 Krems an der Donau, Österreich, E-Mail:

出版信息

Z Psychosom Med Psychother. 2013;59(4):408-21.

PMID:24307340
Abstract

INTRODUCTION

Quality assurance in psychosomatic medicine in Austria is currently based on a voluntary continuing medical education programme in psychosocial, psychosomatic and psychotherapeutic medicine. It is questionable whether psychosomatic care can be sufficiently provided in this manner. In addition, a broadly based proposal to create a subspecialty in psychosomatic medicine in order to facilitate quality assurance, is investigated.

METHODS

The necessity to reorganize psychosomatic care was explored through semi-structured qualitative interviews with experts. Data-based analyses probed the labour market of the proposed subspecialty, and the literature was reviewed to look into the cost-benefit ratio of psychosomatic treatment.

RESULTS

All experts expressed a need to restructure psychosomatic care in Austria. Examples exist for psychosomatic treatment with an efficient cost-benefit relation in diverse medical settings.

CONCLUSION

Establishing a subspecialty in Psychosomatic Medicine seems feasible and could contribute to increased quality assurance and the nationwide provision of psychosomatic care.

摘要

引言

奥地利心身医学的质量保证目前基于一项关于社会心理、心身和心理治疗医学的自愿性继续医学教育计划。以这种方式是否能够充分提供心身护理令人怀疑。此外,还对一项关于设立心身医学亚专业以促进质量保证的广泛提议进行了调查。

方法

通过与专家进行半结构化定性访谈,探讨了重组心身护理的必要性。基于数据的分析探究了拟议亚专业的劳动力市场,并查阅文献以研究心身治疗的成本效益比。

结果

所有专家都表示需要重组奥地利的心身护理。在不同医疗环境中存在具有高效成本效益关系的心身治疗实例。

结论

在心身医学领域设立亚专业似乎是可行的,并且有助于提高质量保证以及在全国范围内提供心身护理。

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