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  1. Empfehlung von rehabilitativen Massnahmen bei älteren pflegebedürftigen Menschen durch den Medizinischen Dienst der Krankenversicherung in Berlin und Brandenburg.

    Article - En allemand

    Traduction en anglais : Recommendation of rehabilitative therapies for elderly persons eligible for nursing insurance benefits in Berlin und Brandenburg.

    According to the German Nursing Care insurance law (Pflegeversicherungsgesetz) experts of the Medical Advisory Board of the statutory sickness funds (Medizinischer Dienst der Krankenversicherung, MDK) must consider recommending rehabilitative measures for persons in need of nursing care.

    This study measures the proportion of proposed rehabilitative therapies (physiotherapy, ergotherapy, speech therapy) as well as clinical and non-clinical predictors for these recommendations.

    The study population of the cross-sectional study consisted of all persons aged 60 years and older in Berlin and Brandenburg for whom the MDK experts had diagnosed a need for nursing care (stages I to III) by means of home visits in the second half of 1995.

    Data on recommendations and potential predictors were taken from the expert records.

    Recommendation rates were 6,6% (physiotherapy), 0,7% (ergotherapy) and 0,8% (speech therapy) respectively, for Berlin and Brandenburg taken together.

    While clinical variables (impairments and disabilities) had a considerable impact on the recommendations, also non-clinical variations were noted.

    Physiotherapy recommendation rates differed 3-fold by region (Brandenburg : 10,3% ; Berlin : 3,4%). Variations also existed for age (60-70 years : 10,7% ;>90 years : 2,5%) and the presence of a professional care institution (present : 8,6% ; not present : 5,4%). (...)

    Mots-clés Pascal : Pratique professionnelle, Prescription médicale, Réhabilitation, Rééducation, Ergothérapie, Orthophonie, Vieillard, Homme, Variation géographique, Facteur prédictif, Recommandation, Expert, Assurance maladie, Nursing, Allemagne, Europe

    Mots-clés Pascal anglais : Professional practice, Medical prescription, Rehabilitation, Reeducation, Ergotherapy, Orthophony, Elderly, Human, Geographical variation, Predictive factor, Recommendation, Expert, Health insurance, Nursing, Germany, Europe

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

    Cote : 98-0152136

    Code Inist : 002B30A01B. Création : 21/07/1998.