title: [Subjective health, need for rehabilitation and utilization in a West-East comparison--results of a survey of insured clients of the federal insurance office for employees and the Saxony federal insurance office].
abstract: There were substantial changes within the rehabilitation framework due to new laws as well as internal need for more flexibility. In connection with this process, the BfA and the LVA Sachsen initiated a survey among their insured persons, the main points being the need for and use of rehabilitative care. The results of a West/East comparison are presented. A questionnaire was send to approximately 29,000 insured persons, the overall response rate was 43%. White collar workers in the East reported a better state of health compared with those in the West, with the most profound differences found in females. Subjective health status and subjective working capability were highly associated. The proportion of persons who reported a need for rehabilitation amounts to 24% among the insured with the LVA Sachsen (blue collar workers, East) and 12% among the white collar workers in the East. Independent of the state of health there was also an association between work stress and the need for rehabilitation. Persons from the East were less informed about rehabilitative care than persons from the West. Financial and workplace problems were among the major reasons not to apply for a rehabilitation measure even if there is a need. These reasons were mentioned more often in the East. In conclusion, there are substantial differences between West and East concerning the rehabilitative health sector. A prominent role is played by the employment situation.
authors.affiliation: Abteilung Rehabilitation, Bundesversicherungsanstalt für Angestellte, Berlin.
authors.forename: H
authors.initials: H
authors.lastname: Klosterhuis
authors.forename: M
authors.initials: M
authors.lastname: Stallmann
authors.forename: H E
authors.initials: HE
authors.lastname: Löffler
authors.forename: K
authors.initials: K
authors.lastname: Wegscheider
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany; D006264:Health Benefit Plans, Employee / Q000706:statistics & numerical data; D006302:Health Services Research / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D020380:Needs Assessment / Q000706:statistics & numerical data*; D012040:Regional Health Planning / Q000706:statistics & numerical data*; D012046:Rehabilitation / Q000706:statistics & numerical data*