Krauth C, Hessel F, Klingelhöfer H E, Schweikert B, Hansmeier T, Wasem J
Abt. Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.
Rehabilitation (Stuttg). 2005 Oct;44(5):297-306. doi: 10.1055/s-2005-867002.
A main problem of the German rehabilitation sector is to meet the increasing demand for rehabilitation treatment while available resources are scarce. Thus, health economic evaluation is gaining more importance for decision making in the rehab system. In the "Rehabilitation Sciences" research funding programme the relevance of health economic analyses was recognised from the outset. In nearly all regional networks health economic analyses were conducted - though with different scope. In the first funding period the main focus of health economic evaluation was on (1) patient education programmes and (2) the comparison of inpatient versus outpatient rehabilitation. The projects of the research funding programme have initialised health economic evaluation of rehabilitation in Germany. It was shown that health economics can contribute relevant results for designing rehabilitation concepts. The article concludes with an outlook on the main future questions of rehab economic evaluation.
德国康复领域的一个主要问题是,在可用资源稀缺的情况下满足对康复治疗日益增长的需求。因此,卫生经济评估在康复系统的决策中变得越来越重要。在“康复科学”研究资助计划中,卫生经济分析的相关性从一开始就得到了认可。几乎在所有区域网络中都进行了卫生经济分析——尽管范围不同。在第一个资助期,卫生经济评估的主要重点是:(1)患者教育计划;(2)住院康复与门诊康复的比较。该研究资助计划的项目开启了德国康复的卫生经济评估。结果表明,卫生经济学可为设计康复理念提供相关成果。本文最后展望了康复经济评估未来的主要问题。