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Dr. Mirjam Körner

Albert-Ludwigs-Universität Freiburg

Abteilung Medizinische Psychologie

Hebelstr. 29

79104 Freiburg      

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Development and evaluation of a concept for patient-oriented team development in rehabilitation clinics (PATENT)

Project leader: Dr. Mirjam Körner, Universität Freiburg


Status of the project May 2012-08-04


Background and aim:

In medical rehabilitation, as with other areas of medical care, there is a necessity to develop a patient-oriented system from the hitherto physician-oriented system. The council for the appraisal of the development of the healthcare system called in 2007 for new cooperation forms and a better integration of treatment components through an orientation to the process of treating patients. In the memorandum cooperation of health professions (Robert Bosch Foundation, 2010), a realignment of the care processes to the patients' perspective is called for. In order to a achieve a patient-oriented care arrangement in medical rehabilitation, an intervention program for patient-oriented team development for treatment providers of the interdisciplinary rehabilitation team needs to be developed and evaluated. The primary goal is to increase patient orientation in clinics through team development.



The development of the interventions takes place in a pilot study through an expert survey (experts are the managers and employees of the rehabilitation clinics) and a survey of patients in focus groups in the rehabilitation clinics with different indication areas (e.g. orthopaedics, oncology, cardiology, neurology) on various aspects of teamwork and patient orientation. The results of these surveys serve as the basis for the development of the patient-oriented team development program, which will be offered in the participating clinics in 2013. Possible themes for presentations, workshops and where applicable coaching include, for example, the success factors of patient-oriented teamwork, barriers and obstacles of patient-oriented teamwork, team-building (goals, strategies, values), team interaction (leadership, roles, rules), team structure/system (task areas, responsibilities), team culture and patient-oriented communication. In the main study, 12 clinics are included. A parallel allocation to the intervention or control group then ensues according to the indication areas. The intervention program will be implemented in six rehabilitation clinics and evaluated in a controlled, cluster-randomised intervention study with a repeated measures design by means of written patient and employee surveys. Accompanying this summative evaluation, a process evaluation of the individual intervention components will take place.


Expected outcome:

As an outcome of the implementation of the team development-intervention program, it is expected that the teamwork will improve through a targeted team analysis and development, which in turn will have a positive effect on the patient orientation and the treatment quality and treatment success.



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