Psychosomatische Sprechstunde in der Hausarztpraxis – ein neues Kooperationsmodell von Psychosomatik und Allgemeinmedizin

Hartmann, Mechthild; Finkenzeller, Caroline; Boehlen, F.; Wagenlechner, Petra; Peters-Klimm, Frank; Herzog, Wolfgang

doi:10.1055/a-0668-1019

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…GPs reported an unexpectedly high willingness to accept and use the offer and 76% of the approached patients were successfully referred to an initial contact. The specialists also considered the model to be practicable and meaningful, and emphasized that it facilitated to see a broad patient spectrum [30]. A qualitative study conducted with German psychotherapeutic health specialists investigated cross-sectoral collaboration between primary and psychosocial care providers through the implementation of video consultations in primary care.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP trial) - a qualitative study of provider perspectives

Poß-Doering

Hegelow

Borchers

et al. 2021

BMC Health Serv Res

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Background Access to outpatient mental healthcare can be challenging for patients. In Germany, a national structural reform was implemented in 2017 to accelerate and enhance access to outpatient psychotherapy and reduce waiting times. During the first phase of the study ‘Evaluation of a structural reform of the outpatient psychotherapy guideline (ES-RiP)’ and embedded into a process evaluation, the implementation was to be evaluated through assessing general practitioners’ (GPs) and psychotherapists’ (PTs) perspectives regarding utilization of provided new measures, and perceived potential for optimization. Particular focus was on patients with a comorbidity of mental disorders and chronic physical conditions (cMPs). Methods This exploratory cross-sectional qualitative study used on-site and online focus group discussions and semi-structured telephone interviews with GPs and outpatient PTs. Generated data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze participant characteristics collected via a socio-demographic questionnaire. Results Perspectives on the structural reform were heterogenous. GPs and PTs considered the component of timely initial psychotherapeutic assessment consultations beneficial. GPs disapproved of their deficits in detailed information about the structural reform and exchange with outpatient PTs. Improvement suggestions included structured short information exchange and joint quality circles. The overall number of available outpatient PTs in rural areas was perceived as insufficient. For patients with cMPs, GPs saw patient barriers for therapy access and continuity in low intrinsic motivation, physical impediments and older age. PTs also saw patient challenges regarding low intrinsic motivation and keeping scheduled appointments. They considered post-reform administrative efforts to be high and reported that the regulations (conformity) lead to planning difficulties and financial losses. Reform elements were tailored to fit in with PTs key therapy areas. Stronger networking and joint lectures were suggested as remedy for the currently still limited exchange with GPs. Unlike the GPs, PTs emphasized that accepting patients into psychotherapeutic treatment was independent of a possibly present chronic physical disease. Conclusions The findings contribute to understanding the integration of the delivered structural reform into daily care processes and provide an indication about reached targets and potential improvements. Further phases of the ES-RiP study can build on the findings and broaden insights. Trial registration Registration-ID DRKS00020344 (DRKS German Register of Clinical Trials.

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Section: Discussionmentioning

confidence: 99%

Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP trial) - a qualitative study of provider perspectives

Poß-Doering

Hegelow

Borchers

et al. 2021

BMC Health Serv Res

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“…Since general practitioners (GPs) are the first point of contact for people with any healthrelated concern, patients visit their GP not only for medical reasons but also for psychosocial problems (PSPs). [1][2][3] This issue was started to be studied decades ago [4][5][6] and a vast body of research has investigated the significance of PSPs in health. People with PSPs are vulnerable to negative health outcomes, comorbidities and show a generally poorer health status.…”

Section: Introductionmentioning

confidence: 99%

“…Studies also show that GPs recognise a fifth to a half of patients with relevant PSPs, 5 which can lead to inadequate diagnostics, non-specific or no intervention or treatment at all and ineffective use of time. 2 4 32 33 35 36 40–48 …”

Section: Introductionmentioning

confidence: 99%

Identifying patients with psychosocial problems in general practice: a scoping review protocol

et al. 2021

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IntroductionPsychosocial problems (PSPs) are common issues associated with negative health outcomes. Since general practitioners are the first point of contact for any health-related concern, understanding their options to recognise patients with PSPs plays an important role as it is essential for early intervention and can prevent serious conditions. The objective of our scoping review is to map published evidence on the usage of instruments to identify patients with PSPs in general practice.Methods and analysisWe will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist and the Joanna Briggs Institute Reviewer’s Manual on scoping reviews. A systematic search of four electronic databases (Medline (Ovid), Web of Science Core Collection, PsycInfo, Cochrane Library) will be conducted for quantitative and qualitative studies published in English, Spanish, French and German. Main study characteristics as well as information on identification instruments will be extracted and visualised in structured tables to map the available evidence. The protocol has been registered with Open Science Framework, https://osfio/c2m6z.Ethics and disseminationThis study does not require ethical approval as we will not collect personal data. Dissemination will consist of publications, presentations and other knowledge translation activities.

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“…rung bei psychosomatischer/somatopsychischer Komorbidität, erschwerter Zugang zu spezialisierter Versorgung durch lange Wartezeiten und/oder altersbedingt eingeschränkte Mobilität) überwunden werden [15]. Häufig beinhalten IHC-Modelle Diagnostik und Therapie psychischer Störungen durch Spezialisten direkt in der Hausarztpraxis.…”

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Videokonsultationen durch Psychotherapeuten in der Hausarztpraxis

Haun

Tönnies

Oeljeklaus

et al. 2019

Psychother Psych Med

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ZusammenfassungPsychische Störungen stellen einen erheblichen Belastungsfaktor für den Einzelnen sowie die gesamte Gesellschaft dar. Erster und in den meisten Fällen einziger Ansprechpartner im Gesundheitssystem ist der Hausarzt. Die Überweisung von Patienten in zeitnahe spezialisierte psychosomatische oder psychotherapeutische Behandlung erweist sich jedoch aufgrund vieler Probleme, insbesondere in ländlichen Gebieten, als schwierig. Zu diesen Problemen zählen etwa lange Wartezeiten, die steigende Prävalenz psychosomatischer und somatopsychischer Komorbidität, altersbedingte Immobilität und patientenseitige Stigmatisierungserwartung. Im Sinne des Integrated Health Care Ansatzes stellt die diagnostische und therapeutische Adressierung psychischer Störungen durch Psychotherapeuten direkt in der Hausarztpraxis ein effektives Versorgungsmodell dar. Hier vorgestellt wird ein telemedizinisches Therapiekonzept für Menschen mit depressiven und ängstlichen Erkrankungen. Im Zentrum steht die Erprobung psychotherapeutischer Videokonsultationen innerhalb der Hausarztpraxis. Es soll ein Überblick über das Therapiekonzept gegeben sowie Ergebnisse zur Umsetzungsbereitschaft des Modells bei niedergelassenen Psychotherapeuten dargestellt werden.

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Psychosomatische Sprechstunde in der Hausarztpraxis – ein neues Kooperationsmodell von Psychosomatik und Allgemeinmedizin

Cited by 5 publications

References 12 publications

Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP trial) - a qualitative study of provider perspectives

Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP trial) - a qualitative study of provider perspectives

Identifying patients with psychosocial problems in general practice: a scoping review protocol

Videokonsultationen durch Psychotherapeuten in der Hausarztpraxis

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