Korsukéwitz C, Irle H
Geschäftsbereich Sozialmedizin und Rehabilitation, Deutsche Rentenversicherung Bund, Berlin, Deutschland.
Internist (Berl). 2010 Oct;51(10):1219-20, 1922-4, 1926-30. doi: 10.1007/s00108-010-2625-2.
Medical rehabilitation is an important part of the German health care system in addition to medical and nursing care. For people with impairments, especially with chronic diseases, rehabilitation aims at emancipated participation in social life. The German pension insurance carries out rehabilitation mainly for gainfully employed people. To be entitled to these benefits legal and personal (medical) requirements must be fulfilled. The rehabilitation concepts of the German pension insurance are interdisciplinary, following the bio-psycho-social model of health and illness. Concepts of rehabilitation are presented exemplarily for musculoskeletal, oncologic, heart/circulation, metabolic/gastrointestinal, and neurological diseases as well as mental disorders. Elements of structure, process, and outcome quality are illustrated. Research topics in rehabilitation are presented.
除医疗和护理外，医学康复是德国医疗保健系统的重要组成部分。对于有损伤的人，尤其是患有慢性病的人，康复旨在使其能够自主地参与社会生活。德国养老保险主要为有工作收入的人提供康复服务。要获得这些福利，必须满足法律和个人（医疗）要求。德国养老保险的康复理念遵循健康和疾病的生物心理社会模型，具有跨学科性质。文中示例性地介绍了针对肌肉骨骼疾病、肿瘤疾病、心脏/循环系统疾病、代谢/胃肠道疾病、神经系统疾病以及精神障碍的康复理念。阐述了结构、过程和结果质量的要素。还介绍了康复领域的研究课题。
