[Geriatric rehabilitation from the perspective of Book 9 of the German social code, SGB IX].
The legal foundations for provision and realization of geriatric rehabilitation benefits are contained in particular in Book 9 of the German social code, SGB IX (covering rehabilitation and participation of people with disabilities). This paper discusses claims foundations and benefit prerequisites of geriatric rehabilitation taking into consideration the relations between Book 5 (on health insurance) and Book 9 of the social code. The article includes a definition of "geriatric rehabilitation" in light of the SGB IX, describes the benefit carriers' obligations as well as the procedure in place for determining geriatric rehab need, in this context appraising the designation as "geriatric patient" in terms of its appropriateness as an identifying criterion in determining need. Provision of geriatric rehab benefits is contingent on a potential for attaining rehab goals as specified by SGB IX as well as on fulfillment of the benefit prerequisites. Responsibility for the content, extent and quality of geriatric rehabilitation lies with the benefit carriers, as is the case for the obligation to secure availability of the required numbers and quality of rehabilitation facilities and services. The article specifies the legal foundations of the various benefit types (ambulatory, mobile rehab, under a Personal Budget, integrated benefit provision, or early rehab), and discusses geriatric rehabilitation in the framework of an insurance-based medical care system as well as of activating care.
Fuchs
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QUALITY-Klinikentwicklungs-, -betriebs- und -beratungs-GmbH, Düsseldorf. quality@germany.tops.de
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D002908:Chronic Disease / Q000534:rehabilitation*; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D015577:Geriatric Assessment; D005858:Germany; D018166:Health Care Reform / Q000331:legislation & jurisprudence; D006801:Humans; D007342:Insurance Benefits / Q000331:legislation & jurisprudence; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence; D007355:Insurance, Nursing Services / Q000331:legislation & jurisprudence; D007902:Length of Stay / Q000331:legislation & jurisprudence; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D020380:Needs Assessment / Q000331:legislation & jurisprudence; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence; D012047:Rehabilitation Centers / Q000331:legislation & jurisprudence; D012648:Self Care; D012943:Social Security / Q000331:legislation & jurisprudence*