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首页> 外文期刊>BMC Public Health >“Psychosomatic consultation in the workplace” – a new model of care at the interface of company-supported mental health care and consultation-liaison psychosomatics: design of a mixed methods implementation study
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“Psychosomatic consultation in the workplace” – a new model of care at the interface of company-supported mental health care and consultation-liaison psychosomatics: design of a mixed methods implementation study

机译：“工作场所的心身咨询” –在公司支持的心理保健和咨询联络心理医学的界面上的新护理模式：混合方法实施研究的设计

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Background Mental health issues are gaining in importance in society and the economic system. At the same time, the accessibility and stigmatisation of the mental health care system in Germany can obstruct help-seeking behavior and delay early psychotherapeutic interventions. Therefore, new models of care are being established at the interface of company-supported health promotion and conventional health insurance sponsored outpatient care for people developing mental illnesses. Two large industrial companies, in cooperation with two psychosomatic clinics, have recently established a model of “psychosomatic consultation in the workplace“. This new model of care offers the opportunity for a first psychotherapeutic door to door consultation with occupational medicine within the industrial workplace. The main empirical goals of this study are: 1) Describing the differences between patients who use this new diagnostic and therapeutic offer within the industrial workplace vs. patients who visit a conventional regional outpatient clinic, especially in regard to symptom duration and severity, work ability, and demographic characteristics, and 2) A first evaluation of how patients may benefit more from this new model of care compared to those first seen by standard outpatient care. In the qualitative part of the study, occupational physicians, psychosomatic therapists, involved personnel and select employees of the involved companies will be asked to comment on their experiences with this new approach. Methods/Design The implementation study will take place in Ulm and in Stuttgart, with each site looking at one regional conventional psychosomatic outpatient clinic and one psychosomatic consultation offer within the workplace. 70 consecutive patients in each setting will be recruited (overall n?=?280). For the cross-sectional study and pre-post comparison we will use established and validated survey instruments (PHQ, SF-12, WAI, MBI, IS) as well as standardized questions about health care use. For data analysis, we will use uni- and multivariate analytical methods. Qualitative data analysis (expert interviews) will be carried out using Mayring’s content analysis method. Discussion The results of this study have the potential to provide evidence-based knowledge about an innovative model of psychotherapeutic outpatient care and to further promote tailored solutions for early psychotherapeutic interventions within the worksite. Trial Registration DRKS00003184
机译：背景技术心理健康问题在社会和经济体系中变得越来越重要。同时，德国精神卫生保健系统的可及性和污名化可能会阻碍寻求帮助的行为并延迟早期的心理治疗干预。因此，在公司支持的健康促进和传统的健康保险赞助的针对患有精神疾病的人的门诊服务的接口上，正在建立新的护理模式。两家大型工业公司与两家心身诊所合作，最近建立了“工作场所心身咨询”的模型。这种新的护理模式为在工厂内进行职业医学首次门到门咨询提供了机会。这项研究的主要经验目标是：1）描述在工业场所使用这种新的诊断和治疗方案的患者与前往常规区域门诊的患者之间的差异，特别是在症状持续时间，严重程度，工作能力方面，以及人口统计学特征，以及2）与标准门诊患者首次看到的相比，该患者如何从这种新的治疗模式中受益更多。在研究的定性部分中，将要求职业医生，心身理疗师，相关人员和相关公司的精选雇员对他们使用这种新方法的经验发表评论。方法/设计实施研究将在乌尔姆（Ulm）和斯图加特（Stuttgart）进行，每个站点研究一个地区性的常规心身门诊诊所，并在工作场所提供一个心身咨询服务。每种情况将招募70位连续患者（总n？=？280）。对于横断面研究和事前比较，我们将使用已建立和验证的调查工具（PHQ，SF-12，WAI，MBI，IS）以及有关卫生保健使用的标准化问题。对于数据分析，我们将使用单变量和多元分析方法。定性数据分析（专家访谈）将使用Mayring的内容分析方法进行。讨论这项研究的结果有可能提供基于证据的有关心理治疗门诊护理创新模型的知识，并进一步促进针对工作场所内早期心理治疗干预的定制解决方案。试用注册DRKS00003184

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