Medizinische Rehabilitation Korsukéwitz, C.; Irle, H.
Der Internist (Berlin),
10/2010, Letnik:
51, Številka:
10
Journal Article
Zusammenfassung
Die Rehabilitation ist neben der akutmedizinischen Versorgung und Pflege ein weiterer wichtiger Bestandteil des Gesundheitssystems in Deutschland. Für Menschen mit gesundheitlichen ...Einschränkungen, insbesondere für chronisch Kranke wird die gleichberechtigte Teilhabe am Leben in der Gesellschaft angestrebt. Die Rentenversicherung erbringt vorrangig Rehabilitationsleistungen für erwerbstätige Menschen. Für die Inanspruchnahme der Leistungen müssen versicherungsrechtliche und persönliche (medizinische) Voraussetzungen erfüllt sein. Die Rehabilitationskonzepte der Rentenversicherung sind interdisziplinär ausgerichtet und orientieren sich am biopsychosozialen Modell von Gesundheit und Krankheit. Exemplarisch wird die Rehabilitation bei muskuloskelettalen, onkologischen, Herz-Kreislauf-, Stoffwechsel- bzw. gastrointestinalen und neurologischen Krankheiten sowie psychischen Störungen vorgestellt. Elemente von Struktur-, Prozess- und Ergebnisqualität werden erläutert; auf rehabilitationsspezifische Forschungsprojekte wird eingegangen.
A confident statement in Social Inclusion by Mannon and MacLacLan that disability is not a health problem places doubt on the rationale of their otherwise well-written research agenda for disability ...studies. Both by definition and in practice disability is in part about the impact of health on a person's functioning. The consequence of this misperception among social policy makers is a decreased emphasis on the resources and research needed to build medical rehabilitation programs. This is especially true in lower resource countries where naive inclusion of medical rehabillitation within community based rehabilitation strategies has resulted in fewer resources and less expertise to deliver the distinctly different, and well validated services of a medical rehabilitation team. Any rational research agenda on disability must focus on disease and medical rehabilitation as well as the psychological, social, and environmental factors discussed in this article.
Talks to Onehunga gas main blast victim Ian Winson about his continued recovery from his injuries. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of ...Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.
This study is the first to estimate the price elasticities of demand for both medical rehabilitation programs and treatment at health spas. In Germany, the Statutory Health Insurance (SHI) covers ...both forms of therapy if administered in authorized medical facilities on referral from a physician. While health resort stays are prescribed to recover from general symptoms of poor health and are preventive in character, medical rehabilitation implies recovering from a specific illness or accident. From 1997 onwards, the German government more than doubled the copayments for both types of health care services from DM 12 (e6.14) to DM 25 (e12.78) per day for those insured under the SHI. Using longitudinal microdata from the German Socio-Economic Panel Study (SOEP), this exogenous price variation allows us to study the causal effects on demand, since we have a sound control group available. The data suggest that pull-forward effects in 1996 accounted for up to one-fifth of the subsequent decrease in demand. Taking this anticipation effect into account, we show that the reform induced a decrease in total demand of about 20 percent. We estimate the price elasticity for rehabilitation programs that aim at preventing work incapacity to be about -0.15, whereas the elasticity for rehabilitation programs for recovery from work accidents lies around -0.30. In contrast, the price elasticity for treatment at health spas is elastic and lies between -1 and -2.5.
This study is the first to estimate the price elasticities of demand for both medical rehabilitation programs and treatment at health spas. In Germany, the Statutory Health Insurance (SHI) covers ...both forms of therapy if administered in authorized medical facilities on referral from a physician. While health resort stays are prescribed to recover from general symptoms of poor health and are preventive in character, medical rehabilitation implies recovering from a specific illness or accident. From 1997 onwards, the German government more than doubled the copayments for both types of health care services from DM 12 (e6.14) to DM 25 (e12.78) per day for those insured under the SHI. Using longitudinal microdata from the German Socio-Economic Panel Study (SOEP), this exogenous price variation allows us to study the causal effects on demand, since we have a sound control group available. The data suggest that pull-forward effects in 1996 accounted for up to one-fifth of the subsequent decrease in demand. Taking this anticipation effect into account, we show that the reform induced a decrease in total demand of about 20 percent. We estimate the price elasticity for rehabilitation programs that aim at preventing work incapacity to be about -0.15, whereas the elasticity for rehabilitation programs for recovery from work accidents lies around -0.30. In contrast, the price elasticity for treatment at health spas is elastic and lies between -1 and -2.5.
This study is the first to estimate the price elasticities of demand for both medical rehabilitation programs and treatment at health spas. In Germany, the Statutory Health Insurance (SHI) covers ...both forms of therapy if administered in authorized medical facilities on referral from a physician. While health resort stays are prescribed to recover from general symptoms of poor health and are preventive in character, medical rehabilitation implies recovering from a specific illness or accident. From 1997 onwards, the German government more than doubled the copayments for both types of health care services from DM 12 (e6.14) to DM 25 (e12.78) per day for those insured under the SHI. Using longitudinal microdata from the German Socio-Economic Panel Study (SOEP), this exogenous price variation allows us to study the causal effects on demand, since we have a sound control group available. The data suggest that pull-forward effects in 1996 accounted for up to one-fifth of the subsequent decrease in demand. Taking this anticipation effect into account, we show that the reform induced a decrease in total demand of about 20 percent. We estimate the price elasticity for rehabilitation programs that aim at preventing work incapacity to be about -0.15, whereas the elasticity for rehabilitation programs for recovery from work accidents lies around -0.30. In contrast, the price elasticity for treatment at health spas is elastic and lies between -1 and -2.5.
This article reports the findings of a study analyzing the impact of managed care on medical rehabilitation providers in three leading markets: San Oiego, California; Minneapolis/St. Paul, Minnesota; ...and Worcester, Massachusetts. Changes in utilization patterns and the increasing pressure to reduce costs have compelled providers to make numerous strategic adjustments.
