Strukturen der neurologischen Frührehabilitation (Phase B) in Deutschland

Stier-Jarmer, Marita; Koenig, E.; Stucki, G.

doi:10.1055/s-2002-35154

Cited by 28 publications

(13 citation statements)

References 9 publications

(12 reference statements)

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“…Inclusion criteria were: stroke (ICD-10), age 18-80, enough cognitive skills (reading, concentrating and speaking) to participate in the education after clinical evaluation by health professionals, good command of the German language, signed consent and Barthel-Index > 35 [19][20][21]. Exclusion criteria were: impairments hindering the participation (severe neglect, severe aphasia and blindness), marked memory deficits and psychiatric disorders prior to stroke.…”

Section: Pilot Testmentioning

confidence: 99%

Development of an ICF-based patient education program

Neubert

Sabariego

Stier-Jarmer

et al. 2011

Patient Education and Counseling

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Section: Pilot Testmentioning

confidence: 99%

Development of an ICF-based patient education program

Neubert

Sabariego

Stier-Jarmer

et al. 2011

Patient Education and Counseling

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“…1 ) [ 3 ] . In den Bundesländern, in denen sich Kliniken des BDH Bundesverband Rehabilitation befi nden, nämlich in Baden-Würt-temberg (Elzach), Hessen (Braunfels), Mecklenburg-Vorpommern (Greifswald), Niedersachsen (Hessisch Oldendorf) und Rheinland-Pfalz (Vallendar), ist wie in den meisten Bundesländern die Frührehabilitation Phase B leistungsrechtlich dem Krankenhausbereich ( § 39 SGB V) zugeordnet (Übersicht in [ 2 ] ). In der Regel beteiligen sich die Bundesländer an der Finanzierung dieser Einrichtungen, leistungsrechtlich erfolgt überwie-gend eine Vergütung über das DRG-System (bzw.…”

Section: Reasons To Regard Early Neurological Rehabilitation As Hospiunclassified

Argumente für eine Zuordnung der neurologisch-neurochirurgischen Frührehabilitation (Phase B) zum Krankenhausbereich (§ 39 SGB V)

Rollnik

Platz

Böhm³

et al. 2011

Akt Neurol

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Zusammenfassung Die neurologisch-neurochirurgische Fr?hrehabilitation der Phase B wird in Deutschland ?berwiegend im Krankenhausbereich nach ??39 SGB V erbracht. Die Autoren dieser Arbeit, die gemeinn?tzige Fr?hrehabilitationseinrichtungen in 5 Bundesl?ndern leiten, legen vorwiegend medizinische Argumente f?r eine Zuordnung der Fr?hrehabilitation zum Krankenhausbereich vor. Neurologisch-neurochirurgische Fr?hrehabilitationspatienten sind oft noch mit einer Trachealkan?le versorgt und m?ssen beatmet oder intensivmedizinisch ?berwacht werden. Zudem sind zur Erkennung und Behandlung schwerwiegender Komplikationen wie z.?B. Aspirationspneumonien die besonderen Mittel des Krankenhauses erforderlich.

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“…1 SGB V wurden darüber hinaus im Juli 2001 die Rahmenbedingungen der Frührehabilitation in Deutschland grundlegend geändert, da der genannte Gesetzestext "die im Einzelfall erforderlichen und zum frühestmög-lichen Zeitpunkt einsetzenden Leistungen zur Frührehabilitation" nun unmissverständlich zum Bestandteil der akutstationären Behandlung erklärt [50]. Strukturen der Frührehabilitation wurden bisher vor allem im Bereich der Geriatrie, der Neurologie (Phase B) und der indikations-oder fachübergreifenden Frühreha-bilitation etabliert [48,49,51].…”

Section: > Etwa 40% Der Deutschen Leiden Unter Rheumatischen Erkrankuunclassified

Strukturen der akutstationären rheumatologischen Versorgung

Stier-Jarmer

Liman²,

Stucki

et al. 2006

Z. Rheumatol.

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Severe rheumatological systemic diseases demand high levels of diagnostic and therapeutic measures and differentiated and complex methods of care. In Germany, specialised rheumatologists and, if hospitalisation is indicated, specialised rheumatology hospitals or departments are responsible for the treatment of these patients. Early rehabilitation procedures, provided by a multidisciplinary therapeutic team, are an important component of the treatment concept in these facilities. Early rehabilitation is integrated into the patients acute medical treatment plan, with careful consideration of the patients current health problems and functional capabilities (body functions and structures, activities and participation as outlined in the ICF), thereby providing a comprehensive, integrated therapy strategy which has long been acknowledged as necessary for the successful treatment of rheumatoid patients. This article presents an analysis concerning the development, organisation, facilities and processes of the acute medical in-patient care for patients with rheumatological disorders in Germany. In total there are 4188 beds in 88 acute hospitals exclusively available for rheumatological in-patients in Germany at present. There is at least one facility specialised in rheumatology in every German federal state. The density of care in the German federal states varies between 131.8 beds per 1 million inhabitants in Bremen and 9 beds per 1 million inhabitants in Saxony. In most regions of Germany the acute in-patient care for patients with rheumatological disorders is provided by hospitals specialised in rheumatology. Rheumatological patients are treated in a variety of hospital departments. In the year 2000 only 47% of the inpatients with rheumatoid arthritis, 56% of those with ankylosing spondylitis and 28% of those with systemic lupus erythematosus were treated in a ward specialising in rheumatology. Rheumatoid arthritis, with a total share of nearly 30%, was the most frequently treated rheumatic disease in wards specialising in rheumatology, followed by soft tissue disorders (e.g. fibromyalgia), diseases with systemic involvement of connective tissue and inflammatory spinal disorders such as ankylosing spondylitis.

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Strukturen der neurologischen Frührehabilitation (Phase B) in Deutschland

Cited by 28 publications

References 9 publications

Development of an ICF-based patient education program

Development of an ICF-based patient education program

Argumente für eine Zuordnung der neurologisch-neurochirurgischen Frührehabilitation (Phase B) zum Krankenhausbereich (§ 39 SGB V)

Strukturen der akutstationären rheumatologischen Versorgung

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