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Community Care Points-Awareness Levels and Utilization
... Zu den Aufgaben der PSP gehören die Koordinierung der wohnortnahen Versorgung, die Beratung bei pflegerischen und sozialen Anliegen sowie weiteren Unterstützungsangeboten [19]. PSP und deren Angebot sind jedoch bislang begrenzt in der Bevölkerung und Hausärzteschaft bekannt [20,21]. ...
... Bislang sind die PSP sowohl in der Bevölkerung als auch unter den Hausärzt*innen zu wenig bekannt: In qualitativen Interviews mit multimorbiden Patient*innen, die im Rahmen von COMPASS II eine Beratung in einem PSP erhalten hatten, gaben die meisten an, vor der Studie die PSP nicht gekannt zu haben [21]. Eine Versichertenbefragung der Kassenärztlichen Bundesvereinigung ergab, dass nur 17% der über 65-Jährigen bereits einen PSP in Anspruch genommen hatten [20]. In einer Befragung mit Berliner Hausärzt*innen gaben 43% an, dass sie noch nie Kontakt zu einem Pflegestützpunkt hatten [21]. ...
Introduction:
Primary care for multimorbid patients does not only include medical but also social counseling. In Germany, community care points represent an institutionalised support offer for counseling for social and care-related issues at district level.
Methods:
Within the framework of an intervention study on the cooperation between general practices and community care points in Berlin, 14 telephone interviews were conducted with multimorbid patients with social counseling needs who received advice by a community care point. The aim was to investigate satisfaction with the cooperation process as a whole and with the counseling provided by the community care points. The transcribed interviews were analysed using the framework analysis.
Results:
Overall, the patients were satisfied with the counseling they received from the community care points. In many cases, even after counseling, patients were not aware of the range of services offered by the community care points, and there was confusion about community care points and locally known mobile care services. Patients felt that it was particularly important to have a friendly, reliable contact person, to be close to their own place of residence and to have a long-term connection to the service. From the point of view of those affected, the general practitioner remains an important contact person who initiates the counseling, if necessary, and coordinates the interventions to be derived from the counseling result.
Discussion:
The confusion about community care points and mobile care services due to a lack of knowledge about the range of services offered by community care points are central topics in the interviews. This could be due to the heterogeneous supply of the community care points as well as the lack of networking with GP practices. A standardisation of the offer and increased information and networking activities of the community care points at district level could contribute to an increased level of awareness and improve transparency of their services.
Conclusion:
In the long term, cooperation between community care points and general practitioners could help relieve the burden on general practitioners and improve social care for multimorbid patients at district level.
Introduction
General practitioners (GP) increasingly face the challenge of meeting the complex care needs of multi-morbid patients. Previous studies show that GP practices would like support from other institutions in advising on social aspects of care for multi-morbid patients. Already existing counselling services, like community care points, are not sufficiently known by both GPs and patients. The aim of COMPASS II is to investigate the feasibility of cooperation between GP practices and community care points.
Methods and analysis
During the intervention, GPs send eligible multi-morbid patients with social care needs to a community care point. The community care points report the consultation results back to the GPs. In preparation for the intervention, in a moderated process, GP practices meet with the community care points to agree on information exchange. The primary outcome is the feasibility of the cooperation: Questionnaires will be sent to GPs, medical practice assistances and community care point personnel (focus: practicality, acceptability). Data will be collected on frequency and reasons for GP-initiated consultations at community care points (focus: demand). Qualitative interviews will be conducted with all participating groups (focus: acceptability, satisfaction). The secondary outcome is the assessment of changes in health-related quality of life, social support and satisfaction with care: participating patients complete a questionnaire before and three to six months after their counselling. The results of the study will be incorporated into a manual in which the experiences of the cooperation will be made available to other GP practices and community care points.
Discussion
In COMPASS II, GP practices establish cooperation with community care points. The latter are already existing institutions that provide independent and free advice on social matters. By using an existing institution, the established cooperation and experiences from the study can be used beyond the end of the study.
Trial registration
The trial is registered with DRKS-ID: DRKS00023798, Coordination of Medical Professions Aiming at Sustainable Support II.
Background and question: People with a migration background are exposed to greater health risks and burdens due to their often less favorable social situation. At the same time, conventional health services and programs do not sufficiently reach them. Migrant organizations (MOs) are said to have the potential to reach this otherwise difficult target group. This review examines whether there are any indications in the scientific literature that MOs could improve target group attainment. Methods: A broad-based systematic literature search was carried out in German and English databases with predefined search terms for the period from 2005 to 2015 (inclusive). Results: Out of 3,236 hits, 8 studies fulfilled the inclusion and exclusion criteria. These studies provide indications that MOs are effectively reaching and addressing the target group. Due to a lack of comparability of the MOs involved and different study populations, the interpretation of the results is difficult, though. Conclusion: MOs, as protected social spaces in everyday life, provide an opportunity to offer healthcare services to organizationally affine people with a migration background. However, the research process (e.g., selection of MOs, field access, recruitment of participants) does not seem to be methodologically stringent. Above all, it is still unclear which principles are effective when MOs are integrated into health services. This is where future projects should be started.
Studie zur Wirkung des Pflege-Neuausrichtungs Gesetzes (PNG) und des ersten Pflegestärkungsgesetzes (PSG I)
- Sozialforschung Tns Infratest
TNS Infratest Sozialforschung: Studie zur Wirkung des Pflege-Neuausrichtungs Gesetzes (PNG) und des ersten Pflegestärkungsgesetzes (PSG I). www.bundesge
sundheitsministerium.de/fileadmin/Dateien/5_Publikationen/Pflege/Berichte/Ab
schlussbericht_Evaluation_PNG_PSG_I.pdf (last accessed on 5 September 2022).