[Ambulatory/partial inpatient phase II rehabilitation of heart patients in a Rhine-Main district rehabilitation clinic].
According to the guidelines and standards for a comprehensive phase II rehabilitation a new outpatient/part-time outpatient program was developed and started at an existing rehabilitation center in January 1997. All patients of the new program were included in a follow-up study and compared with patients of the same center, who met the inclusion and exclusion criteria for the outpatient mode, but wanted to perform their rehabilitation in the full-time residential mode. Both groups were examined before, at the end and 6 months after the program. Until December 1998 118 patients after an acute cardiac event such as myocardial infarction, PTCA or heart surgery were rehabilitated in the outpatient/part-time outpatient mode. The short- and medium-term results concerning somatic outcomes, e.g. the risk factor profile or the improvement of the maximum work capacity, were equal in both groups. Comparing the direct costs for a 4-week rehabilitation, the part-time outpatient program was 26%, the outpatient program even 52% cheaper than the standard full-time residential program. The new program is as effective as the residential rehabilitation, but it is cheaper. Because of the in- and exclusion criteria it is suitable for only a subgroup of cardiac patients, because of the demands and standards the new program it can be offered only in special rehabilitation centers.
Wendt
T
T
Reha-Klinik Wetterau der BfA, Bad Nauheim. Tom.Wendt@t-online.de
Bentjen
A
A
Gilbert
K
K
Janssen
T
T
Khatibnia
U
U
Seyfert
H
H
Siegert
C
C
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D015906:Angioplasty, Balloon, Coronary / Q000534:rehabilitation*; D003631:Day Care, Medical; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation*; D009204:Myocardial Revascularization / Q000534:rehabilitation*; D010343:Patient Admission; D017060:Patient Satisfaction; D012047:Rehabilitation Centers; D016896:Treatment Outcome
Ambulant/teilstationäre Phase-II-Rehabilitation Herzkranker in einer im Ballungsraum Rhein-Main gelegenen Rehabilitationsklinik.