Längle G, Welte W, Renner G, Roesger U, Waschulewski H
Tübinger Forschungsgruppe Sozialpsychiatrie, Universitätsklinik für Psychiatrie und Psychotherapie.
Gesundheitswesen. 1998 Mar;60(3):148-53.
Cooperation in the provision of care to individuals with chronic psychiatric illnesses represents a significant criterion for quality. In the Tuebingen administrative district, guidelines for cooperation in the handover of patients to facilities providing follow-up care and in parallel care of patients have been developed. Elements of the guidelines include handover standards, case conferences and case management. The results of accompanying research are encouraging, while indicating the necessity of continued discussion in the individual facilities and in the relevant authorities: The acceptance of the guidelines is high and they are considered useful in concrete practice, but implementation is sometimes hesitant and the instrument provided for documentation is barely used due to time limitations. Only by means of compulsory basic documentation will it be possible to evaluate the guidelines and secure the criteria for quality on a long-term basis. As with other models, integration of neurologists and psychiatrists in private practice into the cooperation with inpatient and outpatient facilities is a problem that must yet be resolved.
为患有慢性精神疾病的个体提供护理方面的合作是衡量质量的一项重要标准。在图宾根行政区，已经制定了关于将患者交接至提供后续护理的机构以及对患者进行并行护理时的合作指南。该指南的要素包括交接标准、病例讨论会和病例管理。伴随研究的结果令人鼓舞，但也表明在各个机构和相关部门持续进行讨论的必要性：指南的接受度很高，且被认为在具体实践中有用，但实施有时较为迟疑，并且由于时间限制，所提供的用于记录的工具几乎未被使用。只有通过强制性的基本记录，才有可能对指南进行评估并长期确保质量标准。与其他模式一样，将私人执业的神经科医生和精神科医生纳入与住院和门诊机构的合作中是一个尚待解决的问题。
