Preiser C, Wittich A, Rieger M A
Institut für Arbeitsmedizin, Sozialmedizin und Versorgungsforschung, Universitätsklinikum Tübingen, Tübingen.
Supervisionsdienst am Klinikum, Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Freiburg, Freiburg.
Gesundheitswesen. 2015 Nov;77(11):e166-71. doi: 10.1055/s-0034-1384611. Epub 2014 Oct 15.
In Germany, mental disorders have increasing importance for disability and early retirement. However, patients may have to wait several months before becoming an appointment with a psycho(somatic) therapist. Accordingly, several companies initiated a "psychosomatic consultation in the workplace" (PCIW). This concept has been explored.
Qualitative data analysis (expert interviews with stakeholders, focus group interviews with occupational health physicians; Mayring's content analysis) focussed on the question of how the concept of a PCIW can be tailored to meet the employees' needs.
Concepts and implementation of PCIW differed with regard to the aspects dissemination of information about the consultation, gatekeeping, place of the consultation, and number of appointments with the psycho(somatic) therapist. The concepts of PCIW may be described as more or less "restrictive" or "liberal". The interviewees emphasised the need for PCIW and discussed the involvement of the occupational health physician within this approach. PCIW proved of value. Yet, the interviewees were ambivalent regarding the fact that companies offer and pay for treatment which should be provided within standard health care.
Shaping company-based elements of standard health care should respect setting-specific needs and involve in-company stakeholders into the process.
在德国，精神障碍对残疾和提前退休的影响日益显著。然而，患者可能需要等待数月才能预约到身心治疗师。因此，几家公司发起了“职场身心咨询”（PCIW）。对此概念进行了探索。
定性数据分析（对利益相关者进行专家访谈、对职业健康医生进行焦点小组访谈；采用迈林的内容分析法）聚焦于如何调整PCIW概念以满足员工需求这一问题。
PCIW的概念和实施在咨询信息传播、把关、咨询地点以及与身心治疗师预约次数等方面存在差异。PCIW的概念可被描述为或多或少“严格”或“宽松”。受访者强调了PCIW的必要性，并讨论了职业健康医生在这种方式中的参与情况。PCIW被证明是有价值的。然而，对于公司提供并支付本应在标准医疗保健范围内提供的治疗这一事实，受访者态度矛盾。
塑造基于公司的标准医疗保健要素应尊重特定环境的需求，并让公司内部利益相关者参与到这一过程中。
