title: [Comprehensive implementation of interprofessional quality circles regarding early prevention of childhood disadvantage in Baden Württemberg (Germany)].
abstract: BACKGROUND
  The integration of available early interventions and healthcare for families with children by practicing pediatricians has yet to be systematically established. For this reason, the Association of Statutory Health Insurance Physicians of Baden-Wuerttemberg established overarching, accredited, cross-system quality circles that serve to integrate all representatives of the healthcare system as well as child and youth welfare services. These quality circles are led by specially trained moderator tandems consisting of pediatricians and staff members from youth welfare services.
  
  
  OBJECTIVE
  The goal was to evaluate the endpoints of the regional implementation of cross-system quality circles for early interventions in the state of Baden-Wuerttemberg as well as the feasibility of establishing long-term training programs for cross-system moderator tandems.
  
  
  METHODS
  This was a noncontrolled, longitudinal study to prepare a yearly evaluation of the quality-circle assessments as well as to gather statistics on the training of the moderator tandems within the Association of Statutory Health Insurance Physicians of Baden-Wuerttemberg.
  
  
  RESULTS
  A total of 59 moderator tandems were trained in nine separate training sessions within the project period from 2011 to 2015. Overall, 33 quality circles were founded. In 2015, 566 persons were participating in the respective circles. Over the course of the study between 26 and 33 of the 44 urban and rural districts in the state of Baden-Wuerttemberg had at least one quality circle dedicated to early interventions. Ten further circles are presently in the process of being founded; 29 moderators have yet to commence their activity or have withdrawn from the program.
  
  
  CONCLUSIONS
  Between 59 and 81 % of the urban and rural districts implemented cross-system quality circles. The training of the moderator tandems proceeded without complications. Because of the dropout quota of the trained moderator tandems, systematic and continual training of new tandems proves to be necessary.
authors: Sysco GmbH Köln, Sielsdorferstraße 7, 50935, Köln, Deutschland. sysco-koeln@t-online.de.
authors: Marcus
authors: M
authors: Siebolds
authors: Praxis für Supervision und Coaching Köln, Köln, Deutschland.
authors: Brigitte
authors: B
authors: Münzel
authors: Kassenärztliche Vereinigung Baden Württemberg, Stuttgart, Deutschland.
authors: Roland
authors: R
authors: Müller
authors: Kassenärztliche Vereinigung Baden Württemberg, Stuttgart, Deutschland.
authors: Sigrun
authors: S
authors: Häußermann
authors: Nationales Zentrum Frühe Hilfen, Köln, Deutschland.
authors: Mechthild
authors: M
authors: Paul
authors: Abt. Köln, FB Gesundheitswesen, Katholische Hochschule NRW, Köln, Deutschland.
authors: Cornelia
authors: C
authors: Kahl
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data*; D002658:Developmental Disabilities / Q000453:epidemiology* / Q000517:prevention & control*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007400:Interprofessional Relations; D008297:Male; D008332:Management Quality Circles / Q000706:statistics & numerical data*; D017146:Models, Organizational; D010358:Patient Participation / Q000706:statistics & numerical data; D015995:Prevalence; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D012307:Risk Factors; D014600:Utilization Review; D055815:Young Adult
keywords: Early prevention of disadvantage in childhood development; Interprofessional network; Physicians and social workers; Quality circle