[从法律上改善老年康复服务--前提条件和薄弱环节]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI:10.1055/a-2115-0439
Petra Benzinger, Michael Jamour, Stefan Grund, Jürgen M Bauer
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引用次数: 0

摘要

老年康复是德国医疗保健系统的基石,目的是保持老年患者的功能能力,防止他们需要长期护理。直到最近,老年康复治疗在很大程度上还仅限于急性期后的护理。随着新法律的出台,70 岁及以上的病人可以由医生转介到老年康复中心。不过,要开具老年康复处方,医生必须记录相关诊断,并辅以一系列功能或认知评估结果。除了这些信息外,还引入了 SINGER 资料。虽然目前还没有手册来指导如何使用这一工具进行评估,但它是强制性的。在记录老年康复需求时,诊断和测试结果必须保持一致。不过,考虑到现有格式的结构,个人对资源和动机的评估是处方医生在开处方前需要评估的先决条件。初步分析表明,老年康复服务的提供有所改善,但可用性有限。
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[Legally improved access to geriatric rehabilitation - prerequisites and weaknesses].

Geriatric rehabilitation is a cornerstone of the German healthcare system to maintain the functional capacity of older patients and prevent the need for long-term care. Until recently, access to geriatric rehabilitation was largely limited to post-acute care. With the introduction of new legislation, patients aged 70 and over can be referred to geriatric rehabilitation by practitioners. However, in order to prescribe geriatric rehabilitation, physicians must document relevant diagnoses supported by the results of a series of functional or cognitive assessments. Alongside this information, the SINGER profile has been introduced. It is mandatory, although there is currently no manual to guide assessment with this tool. Diagnoses and test results must be consistent in documenting the need for geriatric rehabilitation. However, individual assessment of resources and motivation are prerequisites that need to be assessed by prescribing practitioners prior to prescription, considering the structure of the available formats. First analyses document improvement in access to geriatric rehabilitation but point to limited availability.

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