Erfahrung in der Umsetzung von Vorgaben nach dem Pflegeversicherungsgesetz : ambulante Rehabilitation, Hilfsmittel und Pflegeeinsatz.
Traduction en anglais : Experience in translating into reality the standard requirements of the new German Statutory Health Care (Nursing) : Legislation ; auxiliaries, nursing aids, and care checkups.
The Statutory Health Care (Nursing) Insurance in Germany, called « Pflegeversicherung (PVG) », financially supports nursing care at home and in nursing homes.
If suggested by an authorised examining person (MDK), it provides access to ambulatory rehabilitation and to various aids to facilitate nursing care of patients cared for at home.
Also, the PVG mandatorily requires the visit by a nurse every three to six months (nursing care checkup) if the patient is cared for by family members without support of professional nursing services.
Little is known about the realisation of the suggestions given by the examining person from MDK and about the realisation of the nursing care checkup in actual practice.
Our study tried to find answers to these questions.
For this purpose, we visited 150 patients at home and asked them about rehabilitation efforts, whether the recommended additional aids had been supplied, and whether nursing care checkups had been successfully performed.
For 41 patients, rehabilitatory exercises were suggested, but only 7 were actually realised. 89 patients were supposed to receive various aids, but only 31 were actually delivered.
Whenever rehabilitation was performed, it was nearly without exception thanks to the initiative of relatives supported by their private doctor.
Nursing care checkups should have been performed in 80 patients, but had been realised in only 11 cases. (...)
Mots-clés Pascal : Service santé, Assurance maladie, Soin, A domicile, Ambulatoire, Nursing, Réhabilitation, Vieillard, Homme, Evaluation, Bilan santé, Organisation santé, Système santé, Allemagne, Europe, Caisse assurance maladie
Mots-clés Pascal anglais : Health service, Health insurance, Care, At home, Ambulatory, Nursing, Rehabilitation, Elderly, Human, Evaluation, Medical check up, Public health organization, Health system, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0246605
Code Inist : 002B30A01B. Création : 11/06/1997.