I Semsch

Publications (5)1.36 Total impact

• Article: [Interviews with physicians in private practice as a starting point for quality improvement in hospitals].

  H Spiessl, I Semsch, C Cording, H E Klein
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  ABSTRACT: Subjective criteria gain importance in care research and quality management. Therefore, psychiatrists in private practice and general practitioners working in the catchment area of a psychiatric hospital were surveyed by questionnaire evaluating expectations and satisfaction concerning their collaboration with the hospital. Psychiatrists and general practitioners rated legible interim discharge letters, good in-patient treatment, adequate diagnostics, and direct referral to the hospital as most important. Psychiatrists express dissatisfaction regarding prescription of expensive drugs, lack of involvement in planning new psychiatric institutions, delivery of discharge summaries, referring back the patient after in-patient care, and delay of hospital admission. As conclusion, quality management should pay more attention to ambulatory care physicians' points of view to reduce problems of interaction between clinicians and their colleagues in private practice and to improve the treatment continuity of psychiatric patients.
  Zeitschrift für ärztliche Fortbildung und Qualitätssicherung. 08/2001; 95(6):419-23.
• Article: [Expectations of established neurologists and general practitioners regarding the psychiatric clinic].

  H Spiessl, I Semsch, C Cording, H E Klein
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  ABSTRACT: Psychiatrists' and general practitioners' expectations regarding psychiatric hospitals were evaluated using qualitative methodology. A content analysis was carried out of interviews with 27 psychiatrists and 24 general practitioners. The statements were analysed quantitatively to assess their relative importance. Immediate delivery of discharge summaries and continuous patient-related communication were mentioned most frequently. In addition, psychiatrists assigned much importance to therapy referral after completion of inpatient care and to the prescription of less expensive drugs. Nearly half of all statements related to the communication process between local and clinic physicians, a quarter to aspects of referral, and a quarter to quality of inpatient care. Differences between psychiatrists and general practitioners mainly concerned aspects of medical education. Taking into account these findings, more attention should be paid to psychiatrists' and general practitioners' expectations to reduce problems of interaction between clinicians and their colleagues in private practice; this might be helpful to improve the continuity of psychiatric care.
  Der Nervenarzt 04/2001; 72(3):190-5. · 0.68 Impact Factor
• Article: Erwartungen niedergelassener Nervenärzte und Allgemeinärzte an die psychiatrische Klinik

  H. Spießl, I. Semsch, C. Cording, H.E. Klein
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  ABSTRACT: Fragestellung. Mit einem qualitativen Forschungsansatz sollten Erwartungen von niedergelassenen Nervenärzten/Psychiatern und Allgemeinärzten an eine optimale Zusammenarbeit mit der psychiatrischen Klinik erfasst werden. Methode. Es wurde eine qualitative Inhaltsanalyse von Interviews mit 27 Nervenärzten/Psychiatern und 24 Allgemeinärzten durchgeführt. Die gefundenen Statements wurden quantifiziert, um erste Hinweise auf deren Wichtigkeit zu erhalten. Ergebnisse. Am häufigsten wurden eine rasche Übermittlung der Arztbriefe und ein regelmäßiger patientenbezogener Informationsaustausch mit Klinikärzten angesprochen. Für niedergelassene Nervenärzte/Psychiater ist darüber hinaus die Rücküberweisung des Patienten nach der Klinikbehandlung und die Verordnung kostengünstiger Medikamente von besonderer Bedeutung. Fast die Hälfte aller Aussagen betraf den Bereich der Kommunikation zwischen den niedergelassenen Ärzten und den Klinikärzten, je ein Viertel der Aussagen war auf die Kategorien Patientenaustausch bzw. Qualität der Behandlung bezogen. Aspekte der Fortbildung wurden von Allgemeinärzten signifikant häufiger angesprochen als von Nervenärzten/Psychiatern. Schlussfolgerung. Die Erwartungen der niedergelassenen Nervenärzte/Psychater und Allgemeinärtze sollten vermehrt berücksichtigt werden, um Interaktionsprobleme zwischen Klinikärzten und Niedergelassenen zu verringern und die Kontinuität der Behandlung psychisch Kranker zu verbessern. Objective. Psychiatrists' and general practitioners' expectations regarding psychiatric hospitals were evaluated using qualitative methodology. Design. A content analysis was carried out of interviews with 27 psychiatrists and 24 general practitioners. The statements were analysed quantitatively to assess their relative importance. Results. Immediate delivery of discharge summaries and continuous patient-related communication were mentioned most frequently. In addition, psychiatrists assigned much importance to therapy referral after completion of inpatient care and to the prescription of less expensive drugs. Nearly half of all statements related to the communication process between local and clinic physicians, a quarter to aspects of referral, and a quarter to quality of inpatient care. Differences between psychiatrists and general practitioners mainly concerned aspects of medical education. Conclusion. Taking into account these findings, more attention should be paid to psychiatrists' and general practitioners' expectations to reduce problems of interaction between clinicians and their colleagues in private practice; this might be helpful to improve the continuity of psychatric care.
  Der Nervenarzt 01/2001; 72(3):190-195. · 0.68 Impact Factor
• Article: [What do general practitioners expect from a psychiatric clinic? Wish for closer cooperation].

  H Spiessl, I Semsch, C Cording, H E Klein
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  ABSTRACT: In the present study the views of family doctors on what constitutes "ideal" cooperation with a psychiatric hospital were investigated. The views expressed by 24 family doctors and recorded in interviews were analyzed qualitatively with the aim of assessing their importance. Regular exchange of information between family doctor and psychiatrist, prompt receipt of the discharge report, a named contact person on admission and during hospitalization, competent psychiatric inpatient care, and the possibility of being able to directly refer patients were felt to be the most important points. Almost a half of all the views expressed related to intercommunication. Psychiatric hospitals should give more consideration to the views and wishes of family doctors as a means to resolving possible problems of interaction and to improving the care afforded mentally sick patients.
  MMW Fortschritte der Medizin 02/2000; 142(3 Suppl):183-6.
• Article: [What do general practitioners expect from a psychiatric clinic? Closer cooperation is requested].

  H Spiessl, I Semsch, C Cording, H E Klein
  MMW Fortschritte der Medizin 12/1999; 141(46):48-50.