title: [The future of medical rehabilitation in accordance with SGB V and SGB XI in the context of changes in the German Medical Care System].
abstract: During recent years the German federal social welfare system has been subject to several changes due to structural reforms. The hospital sector--as an element of this system--has also been affected. Based on various legislation the financial framework has been reduced which has led to tendencies of economic limitation and rationalization. From this background considerable risk selection and changes in emphasis might result. Cost intensive patients with a high need for treatment are referred as quickly as possible and discharged to outpatient services despite unknown domestic follow-up care. Mostly the elderly are affected. Medical rehabilitation can be found in this system at the cut between SGB V and SGB XI. However, this division raises problems and discussions concerning benefit payment (rehabilitation before nursing, priority of home, etc.). Right in rehabilitation the most important thing is an overlap of sectors. Various medical, nursing and other social supplies have to be put into a network to achieve an integral treatment of patients that focuses on the individual situation.
authors.affiliation: Universität Köln.
authors.forename: F
authors.initials: F
authors.lastname: Schulz-Nieswandt
mesh_terms: D000368:Aged; D003363:Cost Control / Q000331:legislation & jurisprudence; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000331:legislation & jurisprudence*; D005858:Germany; D006299:Health Services for the Aged / Q000191:economics / Q000331:legislation & jurisprudence*; D006801:Humans; D008134:Long-Term Care / Q000191:economics / Q000331:legislation & jurisprudence; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence*; D012046:Rehabilitation / Q000191:economics / Q000331:legislation & jurisprudence*