Traduction en anglais : Medical and social conditions of severely disabled persons in Germany, 1991 - 1993.
Benefits for non-institutionalised severely disabled persons by the German statutory health insurance system were introduced in 1989 and extended in 1991.
They were provided depending upon a standardised medical examination.
We analysed 4185 examinations carried out in the city and the region of Augsburg in Southern Germany during 1991-1993 with regard to social and medical conditions of applicants.
A total of 2706 persons examined (64.7%) were considered to meet the criteria of permanent dependence on nursing.
The majority of applicants were more than 75 years of age (56.9%) even though all age groups were represented.
The leading cause for dependence on nursing were diseases of the circulatory system (29.4%), followed by diseases of the nervous system (20.5%) and musculoskeletal disorders (14.6%). The main burden of nursing care was borne by the relatives ; professional institutions played only a minor role.
The degree of dependence with regard to basic activities of daily living, especially « turning in bed », « dressing » and « using toilet » showed the strongest association with the overall assessment of nursing dependence.
With the introduction of a new nursing care insurance system in Germany ( « Pflegeversicherung ») in January 1995, benefits for disabled persons have been extended further.
To improve prevention of nursing-care dependence and to ensure the best possible care of patients in need of such care, further investigations are required which should ...
Mots-clés Pascal : Handicap, Activité, Vie quotidienne, Dépendance, Qualité vie, Nursing, Epidémiologie, Age, Prévention, Assurance maladie, Allemagne, Homme, Europe
Mots-clés Pascal anglais : Handicap, Activity, Daily living, Dependence, Quality of life, Nursing, Epidemiology, Age, Prevention, Health insurance, Germany, Human, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0220028
Code Inist : 002B30A03B. Création : 199608.