Raspe H
Institut für Sozialmedizin der MUL, Lübeck.
Z Rheumatol. 1995 Jul-Aug;54(4):192-7.
The lecture presents foundations and results of the work of a commission of the German Rheumatological Association. Based on epidemiological data on the occurrence of selected rheumatic disorders, reference figures for both, in- and outpatient services are developed. There is need of at least one full-time rheumatologist for every 150,000 residents. The commission identifies various actual deficits in the care of rheumatic patients. The most important seems to be the insufficient number and unequal spatial distribution of practicing rheumatologists. Other deficits concern the imperfect integration of preventive, curative and rehabilitative services, of in- and outpatient care and of the work of primary and secondary physicians with various allied health professionals at the community level.
本次讲座介绍了德国风湿病协会一个委员会的工作基础和成果。基于特定风湿性疾病发生情况的流行病学数据，制定了门诊和住院服务的参考数据。每15万居民至少需要一名全职风湿病医生。该委员会指出了风湿性疾病患者护理方面目前存在的各种不足。最重要的似乎是执业风湿病医生数量不足且空间分布不均。其他不足涉及预防、治疗和康复服务、门诊和住院护理以及社区层面初级和二级医生与各类专职医疗人员工作的整合不完善。
