Rothermund Eva, Kilian Reinhold, Balint Elisabeth M, Rottler Edit, von Wietersheim Jörn, Gündel Harald, Hölzer Michael
Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Alberteinstein-Allee 23, 89081, Ulm, Deutschland.
Kompetenzzentrum für Seelische Gesundheit am Arbeitsplatz Ulm (LPCU), Universität Ulm, Ulm, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Feb;62(2):186-194. doi: 10.1007/s00103-018-2869-x.
Within the framework of psychosomatic consultation in the workplace (PSIW), external expert psychotherapists offered consultation sessions for employees at the company premises in order to establish a first contact. In contrast to the first contact usually established in regular care, PSIW explicitly focuses on the workplace and enables in-company actors to get closely involved, if the patient's consent is provided. The new model of care helps to identify mental problems at an early stage and is clinically effective. Reliable data considering the user's point of view is missing.
How satisfied are users of the new model of care compared to users of regular care?
A total of 189 people from in-company (n = 91) or regular medical consultations (n = 98) made statements before first contact (t1) and 12 weeks (t2) after the initial contact. They reported satisfaction with the offer (t2), further treatment (t2), and depressiveness (t1, t2) by means of self-assessment tools. On the basis of an OLS (ordinary least squares) regression analysis, we investigated how treatment quality (clinical improvement, further treatment) and the place of treatment influenced user satisfaction (dependent variable), while controlling for selection bias and the different degrees of depression at baseline.
Higher clinical improvement predicted more satisfaction with the received treatment in both (b = 1.2, CI 0.802-1.548). The mean value (MV) of satisfaction was 1.6 points higher if further treatment took place (CI 0.236-2.909). PSIW users showed a 1.8 points higher MV of satisfaction than people in regular care (CI 0.322-3.302).
PSIW users consider PSIW as positive in terms of treatment success and service quality.
在工作场所身心咨询（PSIW）框架内，外部专家心理治疗师在公司场所为员工提供咨询服务，以便建立首次联系。与常规护理中通常建立的首次联系不同，PSIW明确以工作场所为重点，并在获得患者同意的情况下，使公司内部人员能够密切参与。这种新的护理模式有助于早期识别心理问题，且具有临床效果。但缺少考虑用户观点的可靠数据。
与常规护理的用户相比，新护理模式的用户满意度如何？
共有189名来自公司内部咨询（n = 91）或常规医疗咨询（n = 98）的人员在首次接触前（t1）和首次接触后12周（t2）发表了意见。他们通过自我评估工具报告了对服务提供（t2）、进一步治疗（t2）以及抑郁程度（t1、t2）的满意度。基于普通最小二乘法（OLS）回归分析，我们研究了治疗质量（临床改善、进一步治疗）和治疗地点如何影响用户满意度（因变量），同时控制选择偏倚和基线时不同程度的抑郁。
更高的临床改善程度预示着对所接受治疗的更高满意度（b = 1.2，CI 0.802 - 1.548）。如果接受了进一步治疗，满意度的平均值（MV）高1.6分（CI 0.236 - 2.909）。PSIW用户的满意度MV比常规护理的人员高1.8分（CI 0.322 - 3.302）。
PSIW用户认为PSIW在治疗效果和服务质量方面是积极的。
