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  1. Beantragung und Gewährung von Leistungen für Schwerpflegebedürftige nach SGBV im Zeitraum 1991 - 1993.

    Article - En allemand

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0220028

    Code Inist : 002B30A03B. Création : 199608.