Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden

N Pohontsch; H Raspe; F Welti; T Meyer

doi:10.1055/s-0031-1275689

Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden

Standard

Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden. / Pohontsch, N; Raspe, H; Welti, F; Meyer, T.

in: REHABILITATION, Jahrgang 50, Nr. 4, 01.08.2011, S. 244-50.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Pohontsch, N, Raspe, H, Welti, F & Meyer, T 2011, 'Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden', REHABILITATION, Jg. 50, Nr. 4, S. 244-50. https://doi.org/10.1055/s-0031-1275689

APA

Pohontsch, N., Raspe, H., Welti, F., & Meyer, T. (2011). Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden. REHABILITATION, 50(4), 244-50. https://doi.org/10.1055/s-0031-1275689

Vancouver

Pohontsch N, Raspe H, Welti F, Meyer T. Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden. REHABILITATION. 2011 Aug 1;50(4):244-50. https://doi.org/10.1055/s-0031-1275689

Bibtex

@article{54160ce57af7402f9b2862aeaa24bebe,

title = "Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX f{\"u}r die medizinische Rehabilitation aus Sicht der Rehabilitanden",

abstract = "OBJECTIVES: Everyone applying for medical rehabilitation (and other benefits to support participation) has a {"}Wunsch- und Wahlrecht{"} (meaning the right to individual wishes and choice relative to assessments, services and institutions as well as to the various benefits) according to § 9 of Book 9 of the German Social Code (SGB 9) concerning every aspect of the implementation of these services. This study was aimed at exploring the wishes of rehabilitants, their attitudes towards and experiences with the various aspects of the {"}Wunsch- und Wahlrecht{"} as well as their criteria in choosing a rehabilitation centre.METHODS: A total of 10 open guided focus groups were conducted with 71 male and female participants from 5 different indications and aged between 26 and 80 years. Transcripts were analyzed by means of a summary content analysis.RESULTS: Persons applying for medical rehabilitation benefits did not as a rule get information about their {"}Wunsch- und Wahlrecht{"} during the application process. Applying for post-hospital rehabilitation often meant to be faced with an only allegedly existing choice ({"}pseudo Wunsch- und Wahlrecht{"}). The participants objected only rarely to this missing share in decision-making. Most of them did not care about their rights to choose a rehab centre if only the application for rehabilitation was allowed. Various arguments were brought forward against the {"}Wunsch- und Wahlrecht{"}, especially insufficient information about and time for enforcement and implementation of the {"}Wunsch- und Wahlrecht{"}. Despite an explicit stipulation in § 9 SGB 9, notices of approval rarely stated reasons for ignoring the wishes expressed by the applicants. Many participants had reflected only little about choosing a specific rehab centre when applying for rehabilitation. Accordingly, most of the participants had difficulties to mention possible selection criteria.DISCUSSION: On the whole, applicants have Only little knowledge about the {"}Wunsch- und Wahlrecht{"}. This complicates its implementation considerably. The preconditions for making informed and valid choices between different clinics are not given under these circumstances. Most interviewees do not attach much value to the {"}Wunsch- und Wahlrecht{"}.CONCLUSIONS: From a social law perspective, it should be demanded that rehab applicants have to get better information about their {"}Wunsch- und Wahlrecht{"} and that they must be empowered to decide on their choice based on objective and valid information. The active role in the rehabilitation process that should generally be demanded from rehabilitants, should also be encouraged and fostered in choosing a rehabilitation centre.",

keywords = "Adult, Aged, Attitude to Health, Awareness, Choice Behavior, Chronic Disease, Female, Focus Groups, Germany, Health Plan Implementation, Health Services Accessibility, Humans, Male, Middle Aged, National Health Programs, Patient Advocacy, Patient Participation, Rehabilitation Centers, Social Security",

author = "N Pohontsch and H Raspe and F Welti and T Meyer",

note = "{\textcopyright} Georg Thieme Verlag KG Stuttgart · New York.",

year = "2011",

month = aug,

day = "1",

doi = "10.1055/s-0031-1275689",

language = "Deutsch",

volume = "50",

pages = "244--50",

journal = "REHABILITATION",

issn = "0034-3536",

publisher = "Georg Thieme Verlag KG",

number = "4",

}

RIS

TY - JOUR

T1 - Die Bedeutung des Wunsch- und Wahlrechts des § 9 SGB IX für die medizinische Rehabilitation aus Sicht der Rehabilitanden

AU - Pohontsch, N

AU - Raspe, H

AU - Welti, F

AU - Meyer, T

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2011/8/1

Y1 - 2011/8/1

N2 - OBJECTIVES: Everyone applying for medical rehabilitation (and other benefits to support participation) has a "Wunsch- und Wahlrecht" (meaning the right to individual wishes and choice relative to assessments, services and institutions as well as to the various benefits) according to § 9 of Book 9 of the German Social Code (SGB 9) concerning every aspect of the implementation of these services. This study was aimed at exploring the wishes of rehabilitants, their attitudes towards and experiences with the various aspects of the "Wunsch- und Wahlrecht" as well as their criteria in choosing a rehabilitation centre.METHODS: A total of 10 open guided focus groups were conducted with 71 male and female participants from 5 different indications and aged between 26 and 80 years. Transcripts were analyzed by means of a summary content analysis.RESULTS: Persons applying for medical rehabilitation benefits did not as a rule get information about their "Wunsch- und Wahlrecht" during the application process. Applying for post-hospital rehabilitation often meant to be faced with an only allegedly existing choice ("pseudo Wunsch- und Wahlrecht"). The participants objected only rarely to this missing share in decision-making. Most of them did not care about their rights to choose a rehab centre if only the application for rehabilitation was allowed. Various arguments were brought forward against the "Wunsch- und Wahlrecht", especially insufficient information about and time for enforcement and implementation of the "Wunsch- und Wahlrecht". Despite an explicit stipulation in § 9 SGB 9, notices of approval rarely stated reasons for ignoring the wishes expressed by the applicants. Many participants had reflected only little about choosing a specific rehab centre when applying for rehabilitation. Accordingly, most of the participants had difficulties to mention possible selection criteria.DISCUSSION: On the whole, applicants have Only little knowledge about the "Wunsch- und Wahlrecht". This complicates its implementation considerably. The preconditions for making informed and valid choices between different clinics are not given under these circumstances. Most interviewees do not attach much value to the "Wunsch- und Wahlrecht".CONCLUSIONS: From a social law perspective, it should be demanded that rehab applicants have to get better information about their "Wunsch- und Wahlrecht" and that they must be empowered to decide on their choice based on objective and valid information. The active role in the rehabilitation process that should generally be demanded from rehabilitants, should also be encouraged and fostered in choosing a rehabilitation centre.

AB - OBJECTIVES: Everyone applying for medical rehabilitation (and other benefits to support participation) has a "Wunsch- und Wahlrecht" (meaning the right to individual wishes and choice relative to assessments, services and institutions as well as to the various benefits) according to § 9 of Book 9 of the German Social Code (SGB 9) concerning every aspect of the implementation of these services. This study was aimed at exploring the wishes of rehabilitants, their attitudes towards and experiences with the various aspects of the "Wunsch- und Wahlrecht" as well as their criteria in choosing a rehabilitation centre.METHODS: A total of 10 open guided focus groups were conducted with 71 male and female participants from 5 different indications and aged between 26 and 80 years. Transcripts were analyzed by means of a summary content analysis.RESULTS: Persons applying for medical rehabilitation benefits did not as a rule get information about their "Wunsch- und Wahlrecht" during the application process. Applying for post-hospital rehabilitation often meant to be faced with an only allegedly existing choice ("pseudo Wunsch- und Wahlrecht"). The participants objected only rarely to this missing share in decision-making. Most of them did not care about their rights to choose a rehab centre if only the application for rehabilitation was allowed. Various arguments were brought forward against the "Wunsch- und Wahlrecht", especially insufficient information about and time for enforcement and implementation of the "Wunsch- und Wahlrecht". Despite an explicit stipulation in § 9 SGB 9, notices of approval rarely stated reasons for ignoring the wishes expressed by the applicants. Many participants had reflected only little about choosing a specific rehab centre when applying for rehabilitation. Accordingly, most of the participants had difficulties to mention possible selection criteria.DISCUSSION: On the whole, applicants have Only little knowledge about the "Wunsch- und Wahlrecht". This complicates its implementation considerably. The preconditions for making informed and valid choices between different clinics are not given under these circumstances. Most interviewees do not attach much value to the "Wunsch- und Wahlrecht".CONCLUSIONS: From a social law perspective, it should be demanded that rehab applicants have to get better information about their "Wunsch- und Wahlrecht" and that they must be empowered to decide on their choice based on objective and valid information. The active role in the rehabilitation process that should generally be demanded from rehabilitants, should also be encouraged and fostered in choosing a rehabilitation centre.

KW - Adult

KW - Aged

KW - Attitude to Health

KW - Awareness

KW - Choice Behavior

KW - Chronic Disease

KW - Female

KW - Focus Groups

KW - Germany

KW - Health Plan Implementation

KW - Health Services Accessibility

KW - Humans

KW - Male

KW - Middle Aged

KW - National Health Programs

KW - Patient Advocacy

KW - Patient Participation

KW - Rehabilitation Centers

KW - Social Security

U2 - 10.1055/s-0031-1275689

DO - 10.1055/s-0031-1275689

M3 - SCORING: Zeitschriftenaufsatz

C2 - 21800268

VL - 50

SP - 244

EP - 250

JO - REHABILITATION

JF - REHABILITATION

SN - 0034-3536

IS - 4

ER -