Umsetzbarkeit des interdisziplinären multimodalen Assessments – die Teamperspektive

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2024年4月9日

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Leonie Schouten,
Frank Petzke,
Anne Gärtner,
Bernd Nagel,
Thomas Isenberg,
Gabriele Lindena,
Carolin Martin,
André Möller,
Katharina Augustin,
Ulrike Kaiser,
Anne Gärtner,
Anke Preißler,
Greta Hoffmann,
Julia Pritzke Michael,
Frank Petzke,
Michael Pfingsten,
Leonie Schouten,
Karin Deppe,
Hans-Raimund Casser,
Bernd Nagel,
Katja Schwenk,
Beatrice Metz-Oster,
Lena Milch,
Jana Rensland,
Thomas Kohlmann,
Daniel Szczotkowski,
Ursula Marschall,
Catharina Schumacher,
Ulrike Kaiser

摘要

Background

Secondary preventive outpatient diagnostic services for patients with pain and risk factors for chronification have not yet been sufficiently established. In the PAIN2020 project (Innovation Fund, 01NVF17049) an outpatient interdisciplinary multimodal assessment (IMA) was introduced for the first time early in the course of the disease.

Objective

For the implementation of the IMA procedures for team cooperation and decision criteria were developed, which were implemented by a team of medical, physiotherapeutic and psychological therapists. These procedures and decision criteria are to be discussed against the background of clinical experience and examined with respect to their feasibility (qualitative).

Methods

In PAIN2020 a workshop on IMA was held in September 2021 to jointly reflect on the findings and experiences gained in the process so far through monitoring and structuring documentation in the implementation with staff or teams of PAIN2020 centers on the feasibility of implementing a structured interdisciplinary multimodal assessment. In three work phases, occupational group-specific and cross-occupational group topics were addressed.

Results

In the decision-making processes of the occupational groups, in addition to profession-specific focal points within the framework of the assessment of findings (somatic, functional or psychosocial core criteria), overarching core criteria within the professions as well as complementary patient-related aspects are evident, which are included in the integrative team process. With respect to team collaboration, the implementation of the team meeting and the final discussion can be used to identify structural and process parameters that promote or inhibit implementation, which are also accompanied by interactional factors.

Discussion

For the implementation of the IMA, there were (1) adaptations of the IMA, which is currently implemented as A‑IMA in the selective agreement with BARMER and (2) new dimensions or task fields and ideas for evidence-based concepts for the content design of integrative diagnostics as well as for the feedback of the results to the patients, which should be discussed in the future.