Indikationsleitlinien zur rehabilitation im kontext von disease-management-programmen

Translated title of the contribution: Indication guidelines for medical rehabilitation in the context of disease management programmes

Heiner Raspe*

*Corresponding author for this work
8 Citations (Scopus)

Abstract

In current and upcoming disease management programmes in Germany, the provision of medical services is strongly oriented on ICD diagnoses and on services traditionally provided by the statutory health insurance. Multidisciplinary services, such as medical rehabilitation, mostly covered by other payers (e.g. pension funds) are not taken into account. On the other hand, many chronically-ill patients have complex and multifocal health complaints that are best addressed by multidisciplinary interventions. Considering this inherent deficit, in 2002 the German Society of Rehabilitation Sciences has initiated the research project "Indication Guidelines" aimed at developing indication criteria for rehabilitation in the context of disease management programmes. The concept presented in this paper relies on three basic requirements: 1. Impaired participation (according to ICF) caused by multifocal deficits leads to the definition of goals for rehabilitation, taking into account clinical and legal aspects as well as the patients preferences. 2. Multifocal health problems are best addressed by a multidisciplinary rehabilitation programme as it is currently provided by the German pension funds. 3. Scientific evidence has to demonstrate that these programmes are very likely to be effective (positive rehabilitation prognosis, evidence-based rehabilitation). Further requirements include adequate instruction of patients, as well as intensive and prolonged after-care. Both could be very well integrated into comprehensive disease management programmes.

Translated title of the contributionIndication guidelines for medical rehabilitation in the context of disease management programmes
Original languageGerman
JournalZeitschrift fur Arztliche Fortbildung und Qualitatssicherung
Volume99
Issue number1
Pages (from-to)35-40
Number of pages6
ISSN1431-7621
Publication statusPublished - 02.2005

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