Traduction en anglais : Demand for payment in case of necessity of nursing seriously handicapped persons according to para.53 of german social law - analysis of social court judgements.
Sickness insurance bodies pay in case of necessity of nursing the seriously handicapped without having legally defined this term.
The medical advisor of the sickness insurance (MDK) examines the necessity of nursing seriously handicapped persons.
The article analyses existing social court judgements particularly concerning their consequences on the method of the medical adviser's assessment.
The medical expert has to investigate those medical and social facts that are relevant for the administrative and judicial decisions and can appey the regulations of the major associations of the sickness insurances in case of necessity of nursing seriously handicapped persons.
The adoption of not properly defined legal concepts from other sections of social legislation is discussed.
Mots-clés Pascal : Assurance maladie, Homme, Expertise médicale, Handicap, Economie santé, Législation, Jurisprudence, Allemagne, Europe, Médecine sociale
Mots-clés Pascal anglais : Health insurance, Human, Medical expertise, Handicap, Health economy, Legislation, Jurisprudence, Germany, Europe, Social medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0409362
Code Inist : 002B30A09. Création : 199406.