Schouten Leonie, Kaiser Ulrike, Petzke Frank
Schmerzmedizin, Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
Schmerz. 2024 Apr;38(2):146-156. doi: 10.1007/s00482-023-00740-7. Epub 2023 Aug 10.
In PAIN2020 (Innovation Fund, 01NVF17049), an outpatient interdisciplinary multimodal assessment (IMA) was introduced early in the course of the disease. The central quality feature is the close interdisciplinary collaboration of pain medicine, physiotherapy and psychology, which requires a complex organizational and coordination process, especially in team meetings and final discussions.
The (different) views of the professional groups involved are brought together in the team process as a common consensus. The process of shaping the interaction of the professional groups among each other in the team meeting and final discussion as well as with the patients is examined (qualitatively) and discussed.
In PAIN2020, a workshop on IMA was held to jointly reflect on the insights and experiences gained in the process so far through monitoring with staff or teams of the PAIN2020 centers. In one of three work phases, interprofessionally composed groups gathered statements from participants on the design of the interaction in team meeting and final discussion in three rotating rounds within the framework of a World Café.
It was possible to identify conducive and obstructive factors for the design of interdisciplinary collaboration in team meetings and final discussions, which were brought together in a superordinate framework model.
The provision of the new care service as an interdisciplinary task in a team goes beyond existing structural and process parameters in the definition of framework conditions in interdisciplinary multimodal pain therapy and should therefore also take personal competencies and professional competencies into account. Therefore, new dimensions arise for the implementation of the IMA, which should be discussed in the future.
在PAIN2020（创新基金，01NVF17049）中，在疾病过程早期引入了门诊跨学科多模式评估（IMA）。核心质量特征是疼痛医学、物理治疗和心理学之间紧密的跨学科协作，这需要一个复杂的组织和协调过程，尤其是在团队会议和最终讨论中。
在团队过程中，将相关专业组的（不同）观点汇聚成一个共同的共识。（定性地）研究并讨论在团队会议和最终讨论中以及与患者之间塑造专业组之间互动的过程。
在PAIN2020中，举办了一次关于IMA的研讨会，以共同反思到目前为止通过对PAIN2020中心的工作人员或团队进行监测而在该过程中获得的见解和经验。在三个工作阶段之一中，跨专业组成的小组在世界咖啡馆的框架内，通过三轮轮流收集参与者关于团队会议和最终讨论中互动设计的陈述。
有可能确定在团队会议和最终讨论中跨学科协作设计的促进因素和阻碍因素，并将其整合到一个上级框架模型中。
作为团队中的一项跨学科任务提供新的护理服务，超出了跨学科多模式疼痛治疗框架条件定义中现有的结构和过程参数，因此也应考虑个人能力和专业能力。因此，IMA的实施出现了新的维度，未来应予以讨论。
