title: [Non-pharmaceutical therapy of candidates for geriatric rehabilitation: Non-pharmaceutical therapy prescribed by SHI-accredited doctors after application for outpatient geriatric rehabilitative care].
abstract: BACKGROUND
  The rejection of an application for ambulant geriatric rehabilitation (AGRV) is usually justified by the argument that non-pharmaceutical therapy prescribed by doctors accredited by social housing institutions (SHI) would suffice. The reality in healthcare during the 6 months following an application is unknown.
  
  
  METHODS
  In this study 203 patients who had made an application for AGRV in the second half of 2010 in Flensburg, Lübeck or Ratzeburg were interviewed by telephone.
  
  
  RESULTS
  The survey revealed that 25.7% of the applications for AGRV had been rejected. The majority of these patients received no ambulant non-pharmaceutical therapy (e.g. physical therapy, physiotherapy, occupational therapy, speech therapy or psychological therapy), less than 20% received more than 12 therapy sessions and in most cases exclusively physiotherapy. The 141 successful AGRV applicants received additional ambulant therapies of a similar magnitude.
  
  
  CONCLUSIONS
  The difference between the intensified interdisciplinary therapy offered in the AGRV and additionally and the offer to rejected applicants is substantial.
authors.affiliation: Forschungsgruppe Geriatrie Lübeck, Krankenhaus Rotes Kreuz Lübeck - Geriatriezentrum, Rabenhorst 1, 23568, Lübeck, Deutschland, krupp@geriatrie-luebeck.de.
authors.forename: Sonja
authors.initials: S
authors.lastname: Krupp
authors.forename: Maike
authors.initials: M
authors.lastname: Schnoor
authors.forename: Kristina
authors.initials: K
authors.lastname: Lohse
authors.forename: Alexander
authors.initials: A
authors.lastname: Katalinic
authors.forename: Martin
authors.initials: M
authors.lastname: Willkomm
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D002908:Chronic Disease / Q000534:rehabilitation*; D003284:Contract Services; D003299:Cooperative Behavior; D005260:Female; D005858:Germany; D006302:Health Services Research; D006694:Holistic Health; D006801:Humans; D019458:Insurance Coverage; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D008297:Male; D009313:National Health Programs; D010348:Patient Care Team; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D016079:Refusal to Treat; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D016896:Treatment Outcome