[Subjective estimations of the treatment programmes offered in inpatient and outpatient orthopaedic rehabilitation].
The survey of psychosocial, somatic and economic outcomes is regarded as standard in establishing the effectiveness of various rehabilitative forms of medical care. Another important part is the patient's perspective for the subjective valuation of the entire measure or different facets of the rehabilitation measure. During a comparison of the effectiveness of different forms of care of orthopaedic rehabilitation (inpatient, outpatient in the hospital, outpatient) 1176 patients were questioned in writing at 4 different time points. The results concerning the general measurement of the satisfaction with the rehabilitation measure showed a high level and a high acceptance in all forms of medical care at the end of and after the measure. The result relating to the selection of the correct hospital for the specific troubles of the patient was positive as well. This can also be stated for the patients' estimation of the contacts between the doctors and the physiotherapists. At the end of measure, all the patients in every form of care viewed these contacts as being helpful. The outpatient offers were viewed a bit better by the patients concerning the contacts to doctors and physiotherapists. The extent of the care specific to the different occupational groups was estimated by almost all patients of all forms as being just about right. Additionally, the course organization and the work of the administration had a good evaluation - with slight advantages for the inpatient forms.
Morfeld
M
M
Arbeitsgruppe Rehabilitationsforschung, Abteilung für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf. morfeld@uke.uni-hamburg.de
Bürger
W
W
Dietsche
S
S
Koch
U
U
D000553:Ambulatory Care / Q000191:economics / Q000523:psychology*; D003362:Cost-Benefit Analysis; D005858:Germany; D006801:Humans; D008137:Longitudinal Studies; D009313:National Health Programs / Q000191:economics; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000191:economics; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000191:economics / Q000523:psychology; D010817:Physician-Patient Relations; D012047:Rehabilitation Centers / Q000191:economics