Plassmann R, Schepank H
Burg-Klinik, Stadtlengsfeld.
Rehabilitation (Stuttg). 1998 Feb;37(1):14-20.
Appropriate evaluation of a patient's handicapping or disabling conditions, of his or her capacity for work and gainful activity rank among the recurring tasks in inpatient rehabilitation. Published recently, the Beeinträchtigungsschwere-Score (BSS; a score for determining the severity of a condition) constitutes a highly practicable instrument for these purposes, well suited to the clinical setting. Particular difficulties are encountered in the assessment of patients already in the pension award process, a population where the original disease picture has been superimposed by numerous chronification factors of a psychological, social and economic nature so that a so-called invalidity pensioning career has set in. The article gives an overview of this phenomenon of invalidity pensioning career and the sequence of its various phases, setting out the use of the BSS for social-medical evaluation in an inpatient rehabilitation setting.
对患者的致残或失能状况、工作能力和从事有收益活动的能力进行恰当评估，是住院康复中反复出现的任务之一。最近发布的致残严重程度评分（BSS）是用于这些目的的一种非常实用的工具，非常适合临床环境。在评估已经进入养老金授予程序的患者时会遇到特别困难，这类人群中，原始疾病状况已被众多心理、社会和经济性质的慢性化因素叠加，从而进入了所谓的病残养老金领取历程。本文概述了病残养老金领取历程这一现象及其各个阶段的顺序，阐述了BSS在住院康复环境中用于社会医学评估的情况。
