Sozialrechtliche Ansprüche beim malignen Melanom: Aufklärung von Patienten in deutschen dermatologischen Praxen

TY - JOUR

T1 - Sozialrechtliche Ansprüche beim malignen Melanom: Aufklärung von Patienten in deutschen dermatologischen Praxen

AU - Zander, N

AU - Krensel, M

AU - Schäfer, I

AU - Weyergraf, A

AU - Mohr, P

AU - Strömer, K

AU - Augustin, M

PY - 2019/10

Y1 - 2019/10

N2 - BACKGROUND: Treatment of patients with malignant melanoma includes informing the patients about their rights regarding social/disability benefits. In particular, every patient has the right to rehabilitation treatment according to SGB V and IX (SGB: Sozialgesetzbuch; Social Security Code) and to an examination regarding the classification of the disability.OBJECTIVES: The present study examines the extent to which patients with invasive malignant melanoma are informed after initial diagnosis about their social rights to medical rehabilitation measures and the classification of disability.MATERIALS AND METHODS: In the course of a survey in 2014, n = 1800 German dermatological practices were contacted and provided a standardized questionnaire on several care-relevant questions, including the aforementioned ones.RESULTS: Evaluable questionnaires were submitted by n = 424 practices. In all, 52% of dermatologists stated that they regularly provided information on the right to rehabilitation, 15% sometimes, 41% rarely or never. Furthermore, 44% of dermatologists regularly, 17% sometimes and 38% rarely or never informed their patients about the classification of disability. Relevant differences were found in regional comparisons.CONCLUSIONS: Practicing dermatologists seem to transfer the information requirement to the clinics involved in the treatment. It would be beneficial if the information were also provided again by the dermatologists in private practice. In view of the known limited capacity to receive new information from patients with newly diagnosed melanoma, repeated counselling appears to be more patient-friendly.

AB - BACKGROUND: Treatment of patients with malignant melanoma includes informing the patients about their rights regarding social/disability benefits. In particular, every patient has the right to rehabilitation treatment according to SGB V and IX (SGB: Sozialgesetzbuch; Social Security Code) and to an examination regarding the classification of the disability.OBJECTIVES: The present study examines the extent to which patients with invasive malignant melanoma are informed after initial diagnosis about their social rights to medical rehabilitation measures and the classification of disability.MATERIALS AND METHODS: In the course of a survey in 2014, n = 1800 German dermatological practices were contacted and provided a standardized questionnaire on several care-relevant questions, including the aforementioned ones.RESULTS: Evaluable questionnaires were submitted by n = 424 practices. In all, 52% of dermatologists stated that they regularly provided information on the right to rehabilitation, 15% sometimes, 41% rarely or never. Furthermore, 44% of dermatologists regularly, 17% sometimes and 38% rarely or never informed their patients about the classification of disability. Relevant differences were found in regional comparisons.CONCLUSIONS: Practicing dermatologists seem to transfer the information requirement to the clinics involved in the treatment. It would be beneficial if the information were also provided again by the dermatologists in private practice. In view of the known limited capacity to receive new information from patients with newly diagnosed melanoma, repeated counselling appears to be more patient-friendly.

KW - Aftercare/standards

KW - Disability Evaluation

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Melanoma/pathology

KW - Patient Education as Topic/methods

KW - Patient Rights

KW - Rehabilitation/legislation & jurisprudence

KW - Skin Neoplasms/pathology

KW - Surveys and Questionnaires

U2 - 10.1007/s00105-019-4448-y

DO - 10.1007/s00105-019-4448-y

M3 - SCORING: Zeitschriftenaufsatz

C2 - 31267179

VL - 70

SP - 804

EP - 810

JO - HAUTARZT

JF - HAUTARZT

SN - 0017-8470

IS - 10

ER -