Herrmann Wolfram J, Napierala Hendrik
Charité - Universitätsmedizin Berlin, Institute of General Practice and Family Medicine, Charitéplatz 1, Berlin, 10117, Germany.
BMC Prim Care. 2024 Dec 30;25(1):441. doi: 10.1186/s12875-024-02693-x.
Health-related social problems are common in primary care. Different care models integrating medical and non-medical services in primary care have been tested and established nationally and internationally, such as social prescribing, social work in primary care, health kiosks and integrated primary care centres. The aim of our study was to explore the perspective of general practitioners (GPs) working in Germany on these four care models regarding their meaningfulness and if they would like to use them. Secondary objective was to explore factors influencing this assessment.
We conducted a survey of a representative sample of GPs working in Germany. The questionnaire included questions on the assessment of the care models' meaningfulness and whether the GPs would like to use them. The analysis was carried out descriptively and using linear regression.
One thousand four hundred thirty-nine GPs took part in the survey. Social prescribing and social work in primary care were rated as the most meaningful concepts. Over 65% of the GPs believed that using at least one of the care models would be beneficial. One in four GPs would even welcome the idea of integrating their practice into an integrated primary care center. Older age and male gender were associated with a more negative assessment of the care models.
German GPs consider integrating medical and non-medical services in primary care to be meaningful, yet they are somewhat skeptical about its practical implementation in daily practice. However, younger GPs in Germany are significantly more receptive to these models.
German Register of Clinical Studies (DRKS-ID: DRKS00032585; Registration Date: September 1, 2023).
与健康相关的社会问题在初级保健中很常见。在国内和国际上已经测试并建立了不同的将医疗和非医疗服务整合到初级保健中的护理模式，如社会处方、初级保健中的社会工作、健康信息亭和综合初级保健中心。我们研究的目的是探讨在德国工作的全科医生（GP）对这四种护理模式的意义以及他们是否愿意使用这些模式的看法。次要目标是探讨影响这一评估的因素。
我们对在德国工作的全科医生的代表性样本进行了调查。问卷包括关于对护理模式意义的评估以及全科医生是否愿意使用这些模式的问题。分析采用描述性方法并使用线性回归。
1439名全科医生参与了调查。社会处方和初级保健中的社会工作被评为最有意义的概念。超过65%的全科医生认为使用至少一种护理模式会有益。四分之一的全科医生甚至欢迎将他们的诊所整合到综合初级保健中心的想法。年龄较大和男性与对护理模式的更负面评估相关。
德国全科医生认为在初级保健中整合医疗和非医疗服务是有意义的，但他们对其在日常实践中的实际实施有些怀疑。然而，德国的年轻全科医生对这些模式的接受程度明显更高。
德国临床研究注册库（DRKS-ID：DRKS00032585；注册日期：2023年9月1日）。
