{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:08Z","timestamp":1790586008821,"version":"4.1.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"Zusammenfassung<\/jats:title>\n Trotz positiver Evaluationsergebnisse erreichen neue Versorgungsangebote\n ambulante Fachkr\u00e4fte als potenzielle Zuweiser h\u00e4ufig unzureichend. Fr\u00fchere\n Analysen zur familienorientierten Versorgungsform CHIMPS-NET zeigten f\u00fcr\n zentral gesteuerte Informationskampagnen keinen messbaren Effekt auf den\n Bekanntheitsgrad in dieser Gruppe. Gepr\u00fcft wird, ob dezentral organisierte,\n klinikinitiierte \u00d6ffentlichkeitsarbeit mit einer h\u00f6heren Bekanntheit des\n Modells zusammenh\u00e4ngt.<\/jats:p>\n Datengrundlage ist eine postalische und elektronische Vollerhebung ambulanter\n Fachkr\u00e4fte an 18 psychiatrischen Klinikstandorten in Deutschland. Das\n Implementation Outcome Reach\/Penetration wurde gem\u00e4\u00df der Taxonomie von\n Proctor et al. \u00fcber die bin\u00e4r erfasste Bekanntheit des Versorgungsangebots\n operationalisiert. Klinikinitiierte \u00d6ffentlichkeitsma\u00dfnahmen wurden anhand\n projektinterner Dokumentation durch zwei verblindete Rater:innen in drei\n Intensit\u00e4tsstufen kategorisiert und der Zusammenhang mittels\n bin\u00e4r-logistischer Regression gepr\u00fcft.<\/jats:p>\n Von 2.828 kontaktierten Fachkr\u00e4ften nahmen 203 teil (R\u00fccklaufquote 7,2%).\n Lediglich 9,4% der Teilnehmenden (19\/203) gaben an, die neue Versorgungsform\n zu kennen. Die Regression zeigte keinen signifikanten Zusammenhang zwischen\n Intensit\u00e4t der \u00d6ffentlichkeitsarbeit und Bekanntheitsgrad\n (\u03c72(2)=0,411; p=0,814; Nagelkerke R2=0,003).<\/jats:p>\n Weder zentral noch dezentral organisierte \u00d6ffentlichkeitsma\u00dfnahmen konnten\n die Bekanntheit des Versorgungsangebots bei ambulanten Fachkr\u00e4ften messbar\n steigern. Die Befunde legen nahe, dass eine nachhaltige Implementierung\n neuer Versorgungsformen strukturelle Ans\u00e4tze erfordert, etwa die Verankerung\n relevanter Kriterien in Behandlungsleitlinien oder abrechnungsrelevante\n Anreize im kassen\u00e4rztlichen System.<\/jats:p>","DOI":"10.1055\/a-2935-5938","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:41:16Z","timestamp":1790584876000},"source":"Crossref","is-referenced-by-count":0,"title":["Strukturelle Barrieren der Implementierung: Klinikinitiierte\n \u00d6ffentlichkeitsarbeit und die Bekanntheit familienorientierter\n Versorgungsangebote bei ambulanten Fachkr\u00e4ften"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6837-5661","authenticated-orcid":false,"given":"Philip Martin","family":"Kaczmarek","sequence":"additional","affiliation":[{"name":"Medizinische Hochschule Hannover, Germany","place":["Hanover"],"department":["Institut f\u00fcr Epidemiologie Sozialmedizin und\n Gesundheitssystemforschung"]},{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf, Germany","place":["Hamburg"],"department":["Institut und Poliklinik f\u00fcr Medizinische Psychologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Wiegand-Grefe","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Hamburg Eppendorf Zentrum f\u00fcr\n Psychosoziale Medizin, Hamburg, Germany","place":["Hamburg"],"department":["Klinik f\u00fcr Kinder- und Jugendpsychiatrie, -psychotherapie und\n -psychosomatik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4174-7675","authenticated-orcid":false,"given":"Silke","family":"Pawils","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf, Germany","place":["Hamburg"],"department":["Institut und Poliklinik f\u00fcr Medizinische Psychologie"]},{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf und Medizinische\n Fakult\u00e4t, Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf, Germany","place":["D\u00fcsseldorf"],"department":["Klinik f\u00fcr Allgemeine P\u00e4diatrie, Neonatologie und Kinderkardiologie,\n Bereich Versorgungs- und Kinderschutzforschung"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1001\/jama.2023.4387","article-title":"It Takes an Average of 17 Years for Evidence to Change Practice \u2014 The Burgeoning\n Field of Implementation Science Seeks to Speed Things Up","volume":"329","author":"R Rubin","year":"2023","journal-title":"JAMA"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: conceptual distinctions, measurement\n challenges, and research agenda","volume":"38","author":"E K Proctor","year":"2011","journal-title":"Adm Policy Ment Health"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.2105\/AJPH.89.9.1322","article-title":"Evaluating the public health impact of health promotion interventions: the\n RE-AIM framework","volume":"89","author":"R E Glasgow","year":"1999","journal-title":"Am J Public Health"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1186\/s12913-025-13031-x","article-title":"Outpatient referrers as a pathway to care for a new family-centered health\n intervention in psychiatric clinics and how to reach them: Evaluation of an\n implementation strategy","volume":"25","author":"P M Kaczmarek","year":"2025","journal-title":"BMC Health Serv Res"},{"key":"ref5","first-page":"34","article-title":"Unterst\u00fctzung f\u00fcr Kinder und Jugendliche mit psychisch erkrankten Eltern im\n \u201eChildren of mentally ill parents\u2013network\u201c","volume":"67","author":"S 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Rev"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13012-015-0209-1","article-title":"A refined compilation of implementation strategies: results from the Expert\n Recommendations for Implementing Change (ERIC) project","volume":"10","author":"B J Powell","year":"2015","journal-title":"Implement Sci"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"823186","DOI":"10.3389\/fpsyt.2022.823186","article-title":"Cli,nical implementation and evaluation of three implementation interventions\n for a family-oriented care for children of mentally ill parents (ci-chimps):\n study protocol for a randomized controlled multicenter trial","volume":"13","author":"C Laser","year":"2022","journal-title":"Front Psychiatry"}],"container-title":["Das 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