Lummer Carina, Eggers Carsten, Becker Andreas, Demandt Fenja, Warnecke Tobias
OptiMedis AG, Buchardstraße 17, 20095, Hamburg, Germany.
Department of Neurology, Knappschaftskrankenhaus Bottrop GmbH - Academic Teaching Hospital of the University of Duisburg-Essen, Osterfelder Str. 157, 46242, Bottrop, Germany.
Neurol Res Pract. 2024 Jan 11;6(1):5. doi: 10.1186/s42466-023-00300-5.
The strengthening of interdisciplinary care collaboration in Parkinson's disease is taking on increasing importance in daily medical routine. Therefore, care providers worldwide are organizing themselves in disease-specific regional network structures. However, the existing networks are heterogeneous, and the driving key players are yet unidentified.
To systematically identify key factors of the composition of health care professionals, who are initially interested in the development of a Parkinson network for interdisciplinary care collaboration, their motivation, and expectations, we conducted a basic evaluation in three different German regions covering a total number of 23,405 people with Parkinson's.
A specially developed semi-open questionnaire focusing on socio-demographic information, ways of contact, interdisciplinary collaboration, and connectedness was used. Statistical analyses were performed based on a predesigned codebook.
The most crucial professions were outpatient therapists (physio-, occupational-, speech therapists) (36.7%), average case load of 10.1 patients/3 months and inpatient movement disorder specialists (21.1%), average case load of 197.4 patients/3 months. Before implementation of PD networks, 48.9% of outpatient therapists did not have any contact with neurologists. 58.9% of caregivers considered the current frequency of collaboration to be insufficient. The lack of political support as well as a lack of time were identified as main hurdles to increased collaboration.
The identified driving forces in strengthened care collaboration are assigned to different healthcare sectors. This makes networks which provide tools for specialized education and interdisciplinary, cross-sectoral communication indispensable. For an areawide rollout, a rethinking of political frameworks towards network care is strongly necessary.
在日常医疗实践中，加强帕金森病的跨学科护理协作变得越来越重要。因此，全球的护理提供者正在按照特定疾病的区域网络结构进行组织。然而，现有的网络是异质性的，且推动的关键参与者尚未明确。
为了系统地确定最初对帕金森病跨学科护理协作网络发展感兴趣的医疗保健专业人员的构成、动机和期望的关键因素，我们在德国三个不同地区进行了一项基础评估，共涉及23405名帕金森病患者。
使用了一份专门设计的半开放式问卷，重点关注社会人口统计学信息、联系方式、跨学科协作和联系。基于预先设计的编码本进行统计分析。
最关键的职业是门诊治疗师（物理治疗师、职业治疗师、言语治疗师）（36.7%），平均病例量为10.1名患者/3个月，以及住院运动障碍专科医生（21.1%），平均病例量为197.4名患者/3个月。在帕金森病网络实施之前，48.9%的门诊治疗师与神经科医生没有任何联系。58.9%的护理人员认为目前的协作频率不足。缺乏政治支持以及时间不足被确定为加强协作的主要障碍。
在加强护理协作中确定的驱动力被分配到不同的医疗保健部门。这使得提供专业教育工具以及跨学科、跨部门沟通的网络不可或缺。为了在整个地区推广，迫切需要重新思考针对网络护理的政治框架。
