Primärversorgung im interprofessionellen Team
摘要
Community-oriented interprofessional primary health care centers aim to more adequately address the complex interplay of health and social problems of patients in primary care. The Poliklinik Veddel, located in one of the poorest districts of Hamburg, provides interprofessional team-based care. Notably Germany has limited experience with such centers. Therefore, this study examines the current provision of interprofessional care at Poliklinik Veddel using routine care data.
ObjectivesHow many users received interprofessional care? How frequently did different professions collaborate? What were common reasons for interprofessional consultations?
Materials and methodsWe conducted a routine data analysis of all cases managed through interprofessional collaboration during the years 2020 and 2021. The analysis included the frequency of topics, the length of interprofessional meetings and the professions involved.
ResultsIn 2020 and 2021, 98 and 181 cases, respectively, received interprofessional team-based care (with approximately 2500–3000 patients quarterly in the general practice). The most frequent type of interprofessional collaboration involved general practitioners with psychological counselling, followed by social counselling. Most common reasons for consultations included psychological crises, legal issues related to residence permits, problems with the housing situation or care coordination of higher complexity.
ConclusionsThe study suggests that interprofessional team-based care can effectively address the interconnected nature of psychosocial and medical care needs. As a novel approach, interprofessional primary health care centers, like the Poliklinik Veddel, could offer a valuable contribution to reshaping primary health care delivery in Germany.