title: [Ways to psychosomatic rehabilitation--differential treatment selection between psychosomatic acute care and rehabilitation].
abstract: Consecutive admissions to the psychosomatic departments of 5 hospital units in southwest Germany registered between October 2012 and October 2013 were asked to participate in a study investigating the treatment selection process for psychosomatic rehabilitation. 527 patients were included in the study, 269 outpatients and 258 inpatients at the end of their inpatient treatment. 52 patients (10.1%) received the recommendation for rehabilitation. 47 (90.4%) could be followed up 3 months later. 22 patients had applied for a rehabilitation treatment, 11 (50%) had obtained an approval for their rehabilitation, 5 had still no answer and for 6 patients the request was refused. 4 of the latter had objected their refusal and were still waiting for an answer. Only one patient was already admitted to a rehabilitation center. Possible reasons for the low permeability at the interface between hospital care and rehabilitation are discussed.
authors.affiliation: Zentrum für psychische Erkrankungen, Universitätsklinikum Freiburg und Thure von Uexkuell-Klinik, Freiburg.
authors.forename: C E
authors.initials: CE
authors.lastname: Scheidt
authors.affiliation: Zentrum für psychische Erkrankungen, Universitätsklinikum Freiburg und Thure von Uexkuell-Klinik, Freiburg.
authors.forename: M
authors.initials: M
authors.lastname: Hofmeier
authors.affiliation: Zentrum für psychische Erkrankungen, Universitätsklinikum Freiburg.
authors.forename: J
authors.initials: J
authors.lastname: Kraft
authors.affiliation: Rehabilitationsklinik Glotterbad, Glottertal.
authors.forename: W
authors.initials: W
authors.lastname: Geigges
authors.affiliation: Zentrum für psychische Erkrankungen, Universitätsklinikum Freiburg.
authors.forename: A
authors.initials: A
authors.lastname: Joos
authors.affiliation: Ortenau Klinikum Offenburg-Gengenbach und Lahr-Ettenheim.
authors.forename: R
authors.initials: R
authors.lastname: Niemann
authors.affiliation: Rehabilitationsklinik Kandertal, Malsburg-Marzell.
authors.forename: H
authors.initials: H
authors.lastname: Stegner
authors.affiliation: Kreiskrankenhaus Lörrach.
authors.forename: T
authors.initials: T
authors.lastname: Unterbrink
authors.affiliation: Kur+Reha GmbH des Paritätischen BW, Freiburg.
authors.forename: M
authors.initials: M
authors.lastname: Franck
mesh_terms: D000208:Acute Disease; D000328:Adult; D003422:Critical Care / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D015995:Prevalence; D011602:Psychophysiologic Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D014600:Utilization Review