[Documentation and treatment of mental impairment in somato-medical rehabilitation].
Using routine data collected in 2000 for the quality assurance programme of the German Pension Insurance subjective mental impairment and disorders documented in discharge letters of patients undergoing rehabilitation funded by the Federal Insurance Institute for Salaried Employees (BfA) (n = 19,272) were correlated with psychological treatment and inpatient somato-medical rehabilitation provided. The results show discrepancies between self-evaluation, original diagnosis and treatment received. The frequency of treatments varies between hospitals. The differences in treatment are attributed rather to a varying quality of implementation of the bio-psycho-social concept than to a lack of human resources.
Irle
H
H
Bundesversicherungsanstalt für Angestellte, Fachbereich Medizin, Berlin. dr.hanno.irle@bfa.de
Worringen
U
U
Korsukéwitz
C
C
Klosterhuis
H
H
Grünbeck
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D004282:Documentation; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D008875:Middle Aged; D010348:Patient Care Team; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D011785:Quality Assurance, Health Care; D012047:Rehabilitation Centers; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*