The somatic care of patients with comorbid mental disorders: protocol of a mixed-methods study aiming to identify barriers to and enablers of utilization of somatic healthcare (SoKo)

BMC Health Services Research

Study Protocol

Oliver Funken¹  Georg Juckel²  Michaela Jänner³  Inna Klee⁴  Careen Ritschel⁴  Sophie E. Groß⁴  Lara Schlomann⁴  Isabell Schellartz⁴  Sandra Engemann⁴  Euphrosyne Gouzoulis-Mayfrank⁵  Jürgen Zielasek⁶  Barbara Steffens⁷ 

[1] General Practitioners Association North Rhine, North Rhine, Germany;LWL University Hospital, Bochum, Germany;Department of Psychiatry, Psychotherapy and Preventive Medicine, Ruhr University, Bochum, Germany;Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany;Rhineland State Council – Institute of Healthcare Research (LVR-IVF), Cologne, Germany;Rhineland State Council – Institute of Healthcare Research (LVR-IVF), Cologne, Germany;LVR-Clinics Cologne, Cologne, Germany;Rhineland State Council – Institute of Healthcare Research (LVR-IVF), Cologne, Germany;Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany;Techniker Krankenkasse North Rhine-Westphalia, German Statutory Health Insurance Company (TK-NRW), Hamburg, Germany;

关键词: Claims data;    Comorbidity;    General practitioners;    Healthcare;    Mental disorders;    Mixed methods;    Patients;    Physicians;    General practitioners;    Specialists;    Claims data;    Somatic disease;   

DOI  :  10.1186/s12913-023-09525-1

 received in 2023-03-25, accepted in 2023-05-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealthcare for people with somatic and comorbid mental diseases can pose a challenge to the healthcare system. The aim of the SoKo study (the Somatic care of patients with mental Comorbidity) is to assess the current state of care and the facilitators and barriers of somatic care of people with somatic disorders and comorbidity of a mental disorder.MethodsThe study is conducted as a mixed-methods approach and will include (a) descriptive and inferential analysis of secondary claims data of persons insured by a German statutory health insurance company in North Rhine-Westphalia (Techniker Krankenkasse, TK-NRW), (b) qualitative individual interviews and group discussions, and (c) based on (a) and (b), quantitative surveys of both patients and physicians. We intend to analyse a sample of claims data of about 2.6 million persons insured by TK-NRW (group comparisons between TK-NRW insured persons with a diagnosis of a prevalent somatic disease [ICD-10-GM E01–E07, E11, E66, I10–I15, I20–I25, I60–I64] with and without comorbidity of a mental disorder [F00–F99]), in order to assess the uptake of somatic care by people with mental and somatic comorbidity. In addition, primary data from patients with the aforementioned somatic illnesses and a mental comorbidity as well as primary data from physicians (general practitioners and medical specialists) will be collected. The focus here will be on support factors and barriers in the somatic care of people with mental comorbidity.DiscussionUp to now, there have been no published results of a systematic collection of both secondary and primary data on the utilisation of different care services of somatically ill patients with mental comorbidity for Germany. The present mixed-methods study aims to address this gap.Trial registrationThe trial is registered with the German Clinical Trials Register DRKS: DRKS00030513. The trial was registered on 3rd February 2023.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2