Ruppert Daniel, Stegbauer Constanze, Bramesfeld Anke, Bestmann Beate, Szecsenyi Joachim, Götz Katja
Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg.
AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen, Göttingen.
Psychiatr Prax. 2017 Apr;44(3):134-140. doi: 10.1055/s-0041-109470. Epub 2016 Feb 9.
Multiple models of Integrated Care (IC) have been implemented in German mental health services in the last decade in order to improve cross-sectoral, interdisciplinary cooperation. This study investigates an IC network model providing home treatment, case management and a 24/7 hotline. The aim of the study was to explore how health professionals working in this service model perceive both cooperation within their facilities and with external stakeholders. 5 focus groups with 39 health professionals working in an IC mental health network were conducted and analyzed with qualitative content analysis. Focus groups participants reported on excellent cooperation within their facilities. The cooperation with external stakeholders, i. e. physicians, psychotherapists and psychiatric clinics, leaves room for improvement. Until now little consideration has been given to the perspectives of health professionals. Cooperation within IC mental health networks seems to be effective. Cooperation with stakeholders outside the networks needs to be enhanced.
在过去十年中，德国精神卫生服务机构实施了多种综合护理（IC）模式，以改善跨部门、跨学科合作。本研究调查了一种提供居家治疗、病例管理和全天候热线服务的IC网络模式。该研究的目的是探讨在这种服务模式下工作的卫生专业人员如何看待其所在机构内部以及与外部利益相关者之间的合作。对在IC精神卫生网络中工作的39名卫生专业人员进行了5次焦点小组访谈，并采用定性内容分析法进行了分析。焦点小组参与者报告称其所在机构内部合作良好。与外部利益相关者，即医生、心理治疗师和精神病诊所的合作仍有改进空间。到目前为止，很少有人考虑卫生专业人员的观点。IC精神卫生网络内部的合作似乎是有效的。与网络外部利益相关者的合作需要加强。
