[Primary psychosomatic management in general practice. Results of a German nationwide demonstration project of quality assurance].
In the frame of a national demonstration program, psychosocial care of patients with psychological and psychosomatic problems were assessed. General practitioners (n = 191) from six regions participated in the study. 1341 treatment episodes of patients with predominately psychosocial symptoms were documented. Anxiety (62%), depression (51%) and marital/family conflicts (44%) were the most frequent symptoms. Somatic treatment and psychosocial intervention were offered equally. Patients with psychosocial treatment achieved better results. Partners and family members were rarely integrated into therapy. The procedures employed to improve outcome were quality circles, family-orientated case conferences, consultation services and collaborative groups.
Fritzsche
K
K
Abteilung für Psychosomatik und Psychotherapeutische Medizin, Universitätsklinikum Freiburg. Kunz@pss1.ukl.uni-freiburg.de
Sandholzer
H
H
Brucks
U
U
Campagnolo
I
I
Cierpka
M
M
Deter
H C
HC
Härter
M
M
Höger
C
C
Richter
R
R
Schmidt
B
B
Wirsching
M
M
D003131:Combined Modality Therapy; D005194:Family Practice; D005858:Germany; D006801:Humans; D010348:Patient Care Team; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011785:Quality Assurance, Health Care; D012017:Referral and Consultation; D016896:Treatment Outcome