Dannenmaier Julia, Tepohl Lena, Immel Desiree, Hartschuh Ulrich, Kaluscha Rainer, Krischak Gert
Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
AOK-Baden Württemberg, Stuttgart.
Rehabilitation (Stuttg). 2020 Feb;59(1):10-16. doi: 10.1055/a-0889-0249. Epub 2019 May 16.
Early retirements make up a large portion of indirect costs of illness caused by chronic back pain.
Claims data from statutory health insurance and German Pension Fund provide the basis for analysis. Cox-Regression was performed for duration to early retirement, whereby beside sociodemographic and treatment characteristics, the effect of rehabilitation was considered.
Early retirement started on average 7.1 month later through rehabilitation. Therefore, rehabilitants made € 8,432.60 higher payments to statutory health insurance and German Pension Fund per rehabilitant. Based on the total number of 21,262 early retirees with orthopedic indications, this can save € 180.7 million. The timing of the early retirement was also affected by age and sickness benefits in the previous month. Savings by avoiding entry into early retirement have not yet been taken into account in this model.
Rehabilitants receive later pensions due to reduced ability, which allow for more contributions to statutory health insurance and German Pension Fund. This indicates that medical rehabilitation is an economic and effective treatment.
提前退休在慢性背痛导致的疾病间接成本中占很大一部分。
法定健康保险和德国养老基金的理赔数据为分析提供了基础。对提前退休的时长进行了Cox回归分析，其中除了社会人口统计学和治疗特征外，还考虑了康复的影响。
通过康复，提前退休平均推迟7.1个月开始。因此，每位康复者向法定健康保险和德国养老基金多支付了8432.60欧元。基于21262名有骨科适应症的提前退休人员总数，这可以节省1.807亿欧元。提前退休的时间也受到年龄和前一个月疾病津贴的影响。该模型尚未考虑避免提前退休所节省的费用。
康复者由于能力下降而延迟领取养老金，这使得他们能够向法定健康保险和德国养老基金缴纳更多费用。这表明医学康复是一种经济有效的治疗方法。
