Wie gelingt Home Treatment in der Praxis? Eine qualitative Studie unter Einbezug von Patienten, Angehörigen und Mitarbeitenden

Zusammenfassung

Ziel der Studie Identifikation von Wirkmechanismen und von Faktoren für eine erfolgreiche Umsetzung von Home Treatment (HT) aus Stakeholder-Sicht.

Methoden Thematische Analyse halbstrukturierter Interviews mit Patienten, Angehörigen und Mitarbeitenden, Online-Umfrage mit Mitarbeitenden.

Ergebnisse 25 Interviews und 70 Fragebögen wurden analysiert.

Schlussfolgerung Zentrale Themen sind: Individualisierung und Alltagsnähe der Behandlung, Behandlungskonzept sowie Anforderungen. Herausforderungen für die Umsetzung betreffen Indikationsstellung, Zuweisungszeitpunkt und Verantwortungsübernahme.

Abstract

Objective To identify effective components of home treatment (HT) and to evaluate the implementation of a new HT team from a service user perspective.

Methods Experiences of patients, relatives and staff were assessed using semi-structured interviews and an online questionnaire. Thematic analysis was applied to determine key themes.

Results 25 interviews and 70 questionnaires were analysed. Four key themes emerged: individualisation, proximity to daily life, conceptual aspects, and requirements (for patients and for the service model). Major challenges for the implementation of HT were the suitability for HT, time of referral to HT, and handing over of responsibility from hospital staff to the HT team.

Conclusion Essential requirements for HT are no-harm agreements, patients’ ability to maintain daily routines, and shared responsibility between patients and staff. Implementing HT within an existing care system should be accompanied by sufficient information on the new service model for other service providers involved. This may be achieved through HT team members visiting hospital wards and outpatient facilities, illustrating functioning and limitations of HT using case reports.

Schlüsselwörter

Home Treatment - Nutzerperspektive - thematische Analyse

Keywords

home treatment - user perspective - thematic analysis

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