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[精神障碍的社会医学层面:德国医疗保健系统中的精神障碍及社会医学治疗干预措施]

[Socio-medical aspects of mental disorders: mental disorders in the German medical health care system and socio-medical therapeutic interventions].

作者信息

Muschalla B, Linden M

机构信息

Abteilung Verhaltenstherapie und Psychosomatik, Rehabilitationsklinik Seehof der Deutschen Rentenversicherung Bund, Lichterfelder Allee 55, 14513 Berlin, Deutschland.

出版信息

Nervenarzt. 2011 Sep;82(9):1187-200. doi: 10.1007/s00115-011-3306-7.

Abstract

In the first article social medicine was defined. In this second article the health care system and special socio-medical treatments for the individual are described. The role of social medicine is to describe and optimize the health care system. The legal basis for the structure of the health care system is the Social Law. The individual encounter between therapists and patients is also regulated by law. This includes a contract of personal service. Liability of therapists is therefore restricted to correct treatment, which must be documented, and not depending on outcome. Therapists must cooperate with each other. There are special socio-medical treatments for individuals. This includes sickness certificates, enforced treatment, guardianship, support by counselling services, socio-medical support by physicians and psychotherapists in private practice, care and assessment in rehabilitation centres, and measures for reintegration into working life.

摘要

在第一篇文章中对社会医学进行了定义。在这第二篇文章中,将描述医疗保健系统以及针对个人的特殊社会医疗治疗。社会医学的作用是描述并优化医疗保健系统。医疗保健系统结构的法律依据是《社会法》。治疗师与患者之间的个体接触也受法律规范。这包括个人服务合同。因此,治疗师的责任仅限于正确治疗,且必须有记录,而不取决于治疗结果。治疗师之间必须相互合作。针对个人有特殊的社会医疗治疗。这包括病假证明、强制治疗、监护、咨询服务支持、私人执业医生和心理治疗师提供的社会医疗支持、康复中心的护理和评估以及重新融入工作生活的措施。

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