[Evidence-based rehabilitation and health care in view of social law].
The explicit requirement for rehabilitation to be based on sound scientific evidence is only sporadically encountered among statutory provisions. Nevertheless, such requirement may be implicitly concluded from regulations for effective and high-quality service provision. Evidence-based rehabilitation medicine differs from evidence-based clinical medicine in that rehabilitation is obliged to aim at more therapeutic goals than just maintenance, recovery, or improvement of health. Furthermore, among statutory pension funds the granting of rehabilitation measures depends on an individual's probability to improve his or her earning capacity by rehabilitation. This point particularly denotes the need for a sound scientific evidence base. Care, as defined by Social Code Book XI (SGB XI), is mainly directed towards the support of daily living activities--therefore a scientific evidence base does not play a specific role. In sick-nursing, the role of evidence-based practice has not yet achieved a clear significance. Aside from service provision, evidence-based decisions may play a role in planning of facilities and services for rehabilitation. In rehabilitation medicine, the responsibilities for the production and financing of scientific evidence, aside from educational and research purposes, may be seen in compatibility with the responsibilities after and 19, Para. 1 Social Code Book IX for the provision of adequate services: The federation, the states, and providers/payers of rehabilitation.
Igl
Gerhard
G
Institut für Sozialrecht und Sozialpolitik in Europa, Christian-Albrechts-Universität Kiel. gigl@instsociallaw.uni-kiel.de
D019317:Evidence-Based Medicine / Q000331:legislation & jurisprudence / Q000592:standards*; D005858:Germany; D006801:Humans; D012046:Rehabilitation / Q000331:legislation & jurisprudence* / Q000592:standards*