Mittag O, Raspe H
Institut für Sozialmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Beckergrube 43-47, 23552 Lübeck.
Rehabilitation (Stuttg). 2007 Feb;46(1):50-6. doi: 10.1055/s-2007-958627.
Rehabilitation in Germany is an important sector of the medical system. Rehabilitation need of insurees who claim rehabilitation benefits is assessed by the financially responsible agency (mostly pension funds). Legal regulations allow little time for this decision so insurers aim at making decisions from the records only. Information on the specific case often is however insufficient. Self-administered questionnaires have been employed in the past to remedy that problem. In this article typical problems are illustrated which arise when administering additional questionnaires to assist the assessment, and solutions for these problems are shown. Important questions concern the instruments that should be used, technical problems of computer-aided assessment and processing of the data, and possible legal objections. Also, general problems and limitations of the approach are discussed.
德国的康复是医疗体系中的一个重要领域。申请康复福利的被保险人的康复需求由财务责任机构(大多是养老基金)进行评估。法律法规规定做出该决定的时间很少,因此保险公司旨在仅根据记录做出决定。然而,关于具体病例的信息往往不足。过去曾使用自行填写的问卷来解决该问题。本文阐述了在发放额外问卷以辅助评估时出现的典型问题,并给出了这些问题的解决方案。重要问题涉及应使用的工具、计算机辅助评估和数据处理的技术问题以及可能的法律异议。此外,还讨论了该方法的一般问题和局限性。