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[作为确定转入住院康复治疗辅助依据的诊断报告]

[The diagnostic report as an aid for determination of referral to inpatient rehabilitation].

作者信息

Petermann F, Schmidt S, Krischke N, Seger W, Vogel H, Lampe L

机构信息

Zentrum für Rehabilitationsforschung, Universität Bremen.

出版信息

Rehabilitation (Stuttg). 1999 Feb;38(1):1-6.

Abstract

The investigation analyzes some 206 standardized diagnostic reports submitted by office-practice physicians, demonstrating the role of diagnostic reports in determining access to medical rehabilitation. It is found that the practitioners added no further information about their patients' health status in half of the diagnostic reports given, and no further medical documents in one third. On the other hand, diagnostic reports that included details about the patients' ability to work as well as information about previous treatments resulted to a greater degree in direct award of a medical rehabilitation measure.

摘要

该调查分析了门诊医生提交的约206份标准化诊断报告,展示了诊断报告在确定获得医疗康复机会方面的作用。研究发现,在给出的诊断报告中,有一半医生没有添加关于患者健康状况的进一步信息,三分之一的医生没有提供更多医疗文件。另一方面,包含患者工作能力细节以及既往治疗信息的诊断报告,在更大程度上导致直接批准医疗康复措施。

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