title: [Individualized backache. Insurance system plus over-treatment support epidemics in the 90's].
abstract: Chronic back pain leading to invalidity has become a social medical problem of enormous proportions. After several months off work, efforts at rehabilitation often fail because secondary effects prevent the return to normal daily activities. For this reason, early detection and prevention of chronicity is of considerable importance. The background to the development of chronicity is complex. In addition to the wide range of somatic and psychosocial factors, the roles played by the physicians and social insurances are also examined.
authors.affiliation: Psychiatrische Universitätspoliklinik, Basel/Schweiz.
authors.forename: P
authors.initials: P
authors.lastname: Keel
mesh_terms: D001294:Attitude to Health; D001416:Back Pain / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D002908:Chronic Disease; D005858:Germany; D006801:Humans; D007348:Insurance, Health; D017116:Low Back Pain / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D011187:Posture; D012307:Risk Factors