Schliehe F
Verband Deutscher Rentenversicherungsträger Eysseneckstr. 55, Frankfurt.
Z Gerontol Geriatr. 1997 Dec;30(6):456-68.
Rehabilitation increasingly focuses on patients' chronic diseases and a restricted efficiency in job and everyday life. In Germany, the specialized rehabilitation system has been adapted to this development and produced particular successful, holistic, and interdisciplinary concepts which involve medical, occupational, and social benefits. Medical rehabilitation as a field discipline and treatment method has been advanced continuously and can not be compared with acute or curative care. During recent years rehabilitation expenses increased constantly; however, the cost increase corresponds to the rise of the actual need. The share of all rehabilitation expenses (rehabilitation providers, types of benefit) in health care benefits is between 6% and 7% and consequently considerably lower than hospital charges, for example. Economy in rehabilitation, as it now is especially intended through a restrictive rehabilitation benefit budgeting for the statutory pension insurance, will not reduce health care expenses in all. On the one hand, it is to be expected that benefits for pensions and care will rise in the medium term. On the other hand, economy in rehabilitation will produce additional expenses in other health care sectors without being more effective. Since the need for rehabilitation benefits will further increase due to demographic development, new priorities should be set in favor of patients with chronic diseases.
康复越来越关注患者的慢性病以及工作和日常生活中的效率受限问题。在德国，专业康复系统已适应这一发展趋势，并产生了特别成功、全面且跨学科的理念，这些理念涵盖医疗、职业以及社会福利等方面。作为一个领域学科和治疗方法的医学康复一直在不断发展，而且无法与急症或治愈性护理相提并论。近年来，康复费用持续增加；然而，费用的增加与实际需求的增长相对应。例如，所有康复费用（康复提供者、福利类型）在医疗保健福利中的占比在6%至7%之间，因此远低于医院收费。如今，特别是通过法定养老保险的限制性康复福利预算所期望实现的康复经济化，并不会全面降低医疗保健费用。一方面，预计养老金和护理福利在中期将会增加。另一方面，康复经济化将在其他医疗保健领域产生额外费用，而不会提高效率。由于人口发展，对康复福利的需求将进一步增加，因此应该为慢性病患者设定新的优先事项。
