门诊实践中的跨学科合作:对职业治疗师、言语和语言治疗师以及物理治疗师的焦点小组访谈结果 / Gestaltung der interdisziplinären Zusammenarbeit in der ambulanten Therapie:结果

Maischa Malmendier, Teresa Klas, Christiane Lücking
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引用次数: 0

摘要

医疗条件的复杂性和多样性,以及资金和人员方面的挑战,要求不同医疗专业人员之间开展有效的跨学科合作(IDC)(Robert-Bosch-Stiftung,2011;Robert Koch Institute,2015)。与住院病人的做法不同,IDC尚未在初级医疗机构中建立起来。目前还缺乏具体的解决方案来说明如何在门诊实践中实施 IDC(Schmitz, Atzeni & Berchtold, 2020)。本研究旨在根据神经康复门诊实践中的案例,介绍职业治疗师、言语和语言治疗师以及物理治疗师实现 IDC 的可能性。应从成功的应用中找出必要的框架条件和支持因素。在一个在线焦点小组中,来自三个门诊治疗中心的五名治疗师接受了采访,介绍了他们在工作场所采取的跨学科措施。这些治疗中心在日常基础护理实践中实施了跨学科团队会议、协作目标设定和治疗规划以及联合疗法。数字通信渠道和数字实践软件的使用代表了支持措施,使沟通不受地点和时间的限制。需要改变教育政策,在职业培训/学习期间向医护人员传授相应的态度、知识和技能。研究结果表明,在适当的条件下,IDC 可以在门诊环境中实施。需要制定法律规定,以便通过适当的薪酬制度和可用的时间段来实施跨学科措施。进一步呼吁解决职业培训/学习的内容问题,为 IDC 的准备和能力奠定基础。
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Interdisciplinary cooperation in the outpatient practice: results from a focus group interview with occupational therapists, speech and language therapists and physiotherapists / Gestaltung der interdisziplinären Zusammenarbeit in der ambulanten Therapie: Resultate eines Fokusgruppeninterviews mit E
The complexity and diversity of healthcare conditions, as well as the financial and personnel challenges requires effective interdisciplinary collaboration (IDC) among various healthcare professionals (Robert-Bosch-Stiftung, 2011; Robert Koch Institute, 2015). In contrast to the inpatient practice, IDC has not established yet in primary care settings. There is a lack of concrete solutions that illustrate how IDC can be implemented in outpatient practice (Schmitz, Atzeni & Berchtold, 2020). The study aims to present realization possibilities of the IDC among occupational therapists, speech and language therapists and physiotherapists based on case examples from outpatient neurorehabilitation practices. Necessary framework conditions and support factors should be identified from successful applications. In an online focus group, five therapists from three outpatient therapy centers were interviewed about the interdisciplinary measures taking place at their workplace. The therapy centers implemented interdisciplinary team meetings, collaborative target setting and therapy planning as well as co-therapies in their everyday primary care practice. Digital communication channels and the use of digital practice software represent support measures that enable communication independent of location and time. Educational policy changes are needed to impart the corresponding attitudes, knowledge and skills to the healthcare professionals during the vocational training/study. The results of the study show that IDC can be implemented in the outpatient setting under appropriate conditions. Legal requirements are needed to enable the application of interdisciplinary measures through adequate remuneration systems and available time slots. Further calls address content in vocational trainings/studies to provide a basis for readiness and competencies for IDC.
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Interdisciplinary cooperation in the outpatient practice: results from a focus group interview with occupational therapists, speech and language therapists and physiotherapists / Gestaltung der interdisziplinären Zusammenarbeit in der ambulanten Therapie: Resultate eines Fokusgruppeninterviews mit E The role of lecturers in interprofessional education – a survey of lecturers in Germany / Die Rolle von Dozierenden in der interprofessionellen Ausbildung – eine Befragung von Lehrverantwortlichen in Deutschland Home-based palliative care services from the perspective of family caregivers: an evaluation of the Integrated Palliative Care model in Tyrol / Häusliche Palliativversorgung aus der Sicht der pflegenden Angehörigen - eine Evaluation des Modells Integrierte Palliativversorgung in Tirol Needs-based educational support for parents in the neonatal intensive care unit - perspectives of parent counsellors / Bedarfsorientierte edukative Unterstützung für Eltern nach einer Frühgeburt aus der Perspektive von Elternberaterinnen Outpatient speech and language therapy via videoconferencing in Germany during the COVID-19 pandemic: Experiences of therapists / Videotherapie in der ambulanten Logopädie/Sprachtherapie in Deutschland während der COVID-19 Pandemie: Erfahrungen von Therapeut/innen
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