Wer sollte über Anträge zur medizinischen Rehabilitation entscheiden? Eine kritische Betrachtung der Vorschläge des Sachverständigenrates
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Wer sollte über Anträge zur medizinischen Rehabilitation entscheiden? Eine kritische Betrachtung der Vorschläge des Sachverständigenrates. / van den Bussche, H; Dunkelberg, S.
In: REHABILITATION, Vol. 42, No. 6, 12.2003, p. 350-3.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Wer sollte über Anträge zur medizinischen Rehabilitation entscheiden? Eine kritische Betrachtung der Vorschläge des Sachverständigenrates
AU - van den Bussche, H
AU - Dunkelberg, S
PY - 2003/12
Y1 - 2003/12
N2 - Summary. In Germany the allocation of rehabilitation services depends on a decision of one of the social insurance funds. This decision is taken on the basis of an assessment of the application file by a physician of the fund. The general practitioner who may be the best informed professional as to the patients' disability, has no decision power in this allocation process. In 2001, however, the prestigious Advisory Board to the Ministry of Health proposed to leave the allocation to the general practitioner or another physician in office practice, thus restricting the role of the fund to verifying the appropriateness of the decision of the GP. This proposal is reviewed on the basis of the results of a survey among all general practitioners in the four Länder of Hamburg, Schleswig-Holstein, Mecklenburg-Vorpommern and Sachsen-Anhalt (n = 2110; response rate of 46%) done between 1999 and 2001. Furthermore, several steps and measures are proposed in view of increasing the involvement of the GP in the allocation process and of improving the communication between the funds and the general practitioners.
AB - Summary. In Germany the allocation of rehabilitation services depends on a decision of one of the social insurance funds. This decision is taken on the basis of an assessment of the application file by a physician of the fund. The general practitioner who may be the best informed professional as to the patients' disability, has no decision power in this allocation process. In 2001, however, the prestigious Advisory Board to the Ministry of Health proposed to leave the allocation to the general practitioner or another physician in office practice, thus restricting the role of the fund to verifying the appropriateness of the decision of the GP. This proposal is reviewed on the basis of the results of a survey among all general practitioners in the four Länder of Hamburg, Schleswig-Holstein, Mecklenburg-Vorpommern and Sachsen-Anhalt (n = 2110; response rate of 46%) done between 1999 and 2001. Furthermore, several steps and measures are proposed in view of increasing the involvement of the GP in the allocation process and of improving the communication between the funds and the general practitioners.
KW - Eligibility Determination
KW - Expert Testimony
KW - Family Practice
KW - Germany
KW - Humans
KW - National Health Programs
KW - Quality Assurance, Health Care
KW - Rehabilitation
KW - Resource Allocation
U2 - 10.1055/s-2003-812544
DO - 10.1055/s-2003-812544
M3 - SCORING: Zeitschriftenaufsatz
C2 - 14677106
VL - 42
SP - 350
EP - 353
JO - REHABILITATION
JF - REHABILITATION
SN - 0034-3536
IS - 6
ER -