Nürnberg W, Breuer K
Zentrum für Allergologie, Dermatologie, Pädiatrie und Pneumologie, Ostseeklinik Kühlungsborn, Ostseebad Kühlungsborn, Deutschland.
Hautarzt. 2010 Jan;61(1):47-54. doi: 10.1007/s00105-009-1854-6.
New rehabilitation guidelines and laws have been introduced to promote competition. As a result, the application procedures for rehabilitation measures have been reformed. Since 2007, the application procedure depends on the type of benefit (e.g. secondary or tertiary prevention) and the insurance provider (statutory health or pension insurance company). Thus in order to prescribe rehabilitation as a form of tertiary prevention payable by a statutory health insurance company, accredited doctors have to demonstrate that they have the necessary qualifications as stipulated by the rehabilitation guidelines. As before 2007, any accredited doctor may however apply for rehabilitation in the sense of tertiary prevention payable by a statutory pension insurance company, and for benefits associated with primary and secondary prevention payable by a statutory health insurance company, without providing corresponding proof of qualification. In addition, dermatologists should report occupational skin diseases to the statutory accident insurance using the "optimized dermatologist's report" which also allows them to recommend secondary and tertiary preventative measures. Every insurance-accredited dermatologist should understand the application process and the contents of preventative and rehabilitation measures to ensure their patients' right to participate.
新的康复指南和法律已出台以促进竞争。因此，康复措施的申请程序已得到改革。自2007年以来，申请程序取决于福利类型（如二级或三级预防）以及保险提供商（法定健康保险或养老保险公司）。因此，为了将康复作为法定健康保险公司应支付的三级预防形式进行规定，经认可的医生必须证明他们具备康复指南规定的必要资格。然而，与2007年之前一样，任何经认可的医生都可以申请法定养老保险应支付的三级预防意义上的康复，以及法定健康保险公司应支付的与一级和二级预防相关的福利，而无需提供相应的资格证明。此外，皮肤科医生应使用“优化的皮肤科医生报告”向法定事故保险报告职业性皮肤病，该报告还允许他们推荐二级和三级预防措施。每位经保险认可的皮肤科医生都应了解申请流程以及预防和康复措施的内容，以确保其患者的参与权。
