Christiane Patzelt

„Dass man also frei bleibt, aber immer das Gefühl hat: Da ist diese Haltestange, die ich brauch“

OBJECTIVE Models of integrated care (IC) have a high potential to improve psychiatric care in a sectored health care system. The present study aims to delineate differences in the perception of psychiatric care after introduction of a regional IC-model in schizophrenic patients and family caregivers. METHODS Six focus group interviews with n = 32 schizophrenic patients and three with n = 17 family caregivers either from the region with IC-model or a nearby control region were conducted. Categories of the contents of transcribed interviews were developed and subsequently compared between persons with and without experience of IC. RESULTS Most participants of the IC-group were not aware to participate in an IC-model. Differences between IC- vs. non-IC groups were primarily related to feelings of security and experiences of flexibility of care which was ensured by the outpatient nursing service in the IC-model. This was noticeable both in daily living and in coping with crisis. No substantial differences were found with regard to the experience of cooperation of professionals, information and psychoeducation of patients as well as support for family caregivers, amongst others. CONCLUSIONS IC will play an important part in the psychiatric care of schizophrenic patients. It has the potential to integrate sustainable relations, general availability and needs-related care provision.

Altersbilder im Gesundheitssystem

Die standigen Veranderungen im Gesundheitssystem haben erhebliche Auswirkungen auf alle Versorgungsbereiche, sie tangieren insbesondere die Gesundheitserhaltung und gesundheitsbezogene Versorgung der alteren Bevolkerungsgruppe.

Der präventive Hausbesuch als zugehende Präventionsmaßnahme im Alter – Effektivität und Kosteneffektivität von Zugangswegen

The aim of the study was a systematical further development of targeted approaches. Research questions were how elderly women and men could be motivated to participate in a preventive intervention and by which approaches elderly with different health risks could be reached. In several stages a specific motivational material was developed. Afterwards two different approaches to the elderly (general practice, health insurance) were tested and evaluated considering its (cost) effectiveness.