Forstner Johanna, Mangold Jasmin, Litke Nicola, Weis Aline, Szecsenyi Joachim, Wensing Michel, Ullrich Charlotte
Abteilung für Allgemeinmedizin und Versorgungsforschung, UniversitätsKlinikum Heidelberg, Heidelberg, Germany.
Institut für Gesundheitswissenschaften, Abteilung Pflegewissenschaft, Universitätsklinikum Tübingen, Tübingen, Germany.
Gesundheitswesen. 2023 Dec;85(12):1124-1130. doi: 10.1055/a-2144-5767. Epub 2023 Oct 18.
The concept of Care Assistant in General Practice (VERAH) was developed in order to integrate non-medical staff more strongly into primary care and thus to meet the increasing demand for care and the simultaneous shortage of medical staff. VERAHs are increasingly responsible for software-supported case management and are thus confronted with new tasks. The aim of this study was therefore to explore the role of the VERAH in primary care practices.
The present study is a qualitative secondary data analysis; the data collection took place within the projects VESPEERA and TelePraCMan. Twenty individual interviews and two focus group meetings were conducted with a total of 30 physicians, VERAHs and medical assistants from primary care. The data were analysed qualitatively according to Emerson. Contextual and socio-demographic data were collected with an accompanying questionnaire.
The VERAHs of all primary care practices from which interview partners participated performed tasks within software-supported case management. Concerning the role of the VERAH, three themes were identified in the interviews: a) concrete tasks of the VERAH in software-supported case management within the practice team, b) relevance of software-supported case management within the activities of the VERAHS and c) relationship between VERAHs and patients.
Taking over tasks in software-supported case management can contribute to strengthening and expanding the role of the VERAH. In the future, more attention should be paid to a clear description of the new role, and the conditions of the VERAHs' task fulfilment should be considered.
为了使非医务人员更有力地融入初级医疗保健，从而满足日益增长的护理需求以及应对医务人员同时短缺的问题，开发了全科护理助理（VERAH）这一概念。VERAH越来越多地负责软件支持的病例管理，因此面临新的任务。因此，本研究的目的是探讨VERAH在初级医疗实践中的作用。
本研究是一项定性二次数据分析；数据收集在VESPEERA和TelePraCMan项目中进行。对来自初级医疗保健的30名医生、VERAH和医疗助理进行了20次个人访谈和2次焦点小组会议。根据艾默生的方法对数据进行定性分析。通过随附的问卷收集背景和社会人口数据。
参与访谈的所有初级医疗实践中的VERAH在软件支持的病例管理中执行任务。关于VERAH的角色，在访谈中确定了三个主题：a）VERAH在实践团队中软件支持的病例管理中的具体任务，b）软件支持的病例管理在VERAH活动中的相关性，以及c）VERAH与患者之间的关系。
承担软件支持的病例管理任务有助于加强和扩大VERAH的作用。未来，应更加关注对新角色的清晰描述，并考虑VERAH完成任务的条件。
