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老年患者初级保健中的跨学科合作——对全科医疗有影响的结果的结果

[Interdisciplinary cooperation in primary care of elderly patients--results of results with consequences for general practice].

作者信息

Schick B, Döhner H

机构信息

Arbeitsschwerpunkt Sozialgerontologie, Universitätskrankenhaus Hamburg-Eppendorf.

出版信息

Gesundheitswesen. 1996 Mar;58(3):126-31.

PMID:8645896
Abstract

In the networking of health care provision for the elderly the inclusion of the general practitioner is considered to be lacking, although the "Gesundheitsreformgesetz" (GRG) demands that the GP should act as a coordinator (Section 73 of German social welfare legislation). The views of GPs on already existing cooperation and on barriers to such cooperation in a selected district of Hamburg were examined by means of guided interviews. With the help of the agents in the region the building blocks for promoting cooperation were then developed in the district. A significant precondition for this was to make sure that the available local services on offer in respect of health promotion and health care provision are utilised by means of a data bank and a directory. On this basis the potential cooperation partners were identified and a local work circle comprising representatives of the most important health and social services was set up. From this a quality circle which was interdisciplinary and also consisted of members from all relevant fields was established, together with a working group on the development of a community based advice centre for the elderly.

摘要

在为老年人提供医疗保健服务的网络中,全科医生的参与被认为有所欠缺,尽管《健康改革法》(GRG)要求全科医生担任协调员(德国社会福利立法第73条)。通过定向访谈,研究了汉堡某特定地区全科医生对现有合作以及此类合作障碍的看法。借助该地区的代理人,随后在该地区制定了促进合作的基本要素。这样做的一个重要前提是,要确保通过数据库和名录利用现有的有关健康促进和医疗保健服务的当地资源。在此基础上,确定了潜在的合作伙伴,并成立了一个由最重要的健康和社会服务领域代表组成的当地工作圈。由此建立了一个跨学科的质量圈,其成员也来自所有相关领域,同时还成立了一个工作组,负责为老年人建立一个社区咨询中心。

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