title: [Acute inpatient multimodal pain therapy and rehabilitation: Framework conditions, tasks and differentiated patient allocation].
abstract: Multimodal pain treatment programs are widely accepted as the medical treatment standard in the management of patients with chronic pain syndromes. The concepts and treatment strategies are based on the biopsychosocial model of pain and programs for early restoration of function. Although this concept is primarily implemented in the curative field, i.e. in hospitals for the treatment of patients with chronic pain diseases, modified programs based on the International Classification of Functioning (ICF) can now also be found in rehabilitation clinics. Despite the assumed similarities, significant differences in, for example the aims of the therapy and relevant structural and process variables have to be kept in mind when allocating patients to a program as provided by a hospital or a rehabilitation clinic. The aim of this article is to present the framework structures of both treatment levels with respect to the implementation of multimodal pain therapy programs and to elucidate the differential diagnostic approach to the indications.
authors.affiliation: Abteilung für Schmerztherapie, Helios Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland. bernhard.arnold@helios-kliniken.de.
authors.forename: B
authors.initials: B
authors.lastname: Arnold
authors.affiliation: DRK Schmerz-Zentrum, Mainz, Deutschland.
authors.forename: H-R
authors.initials: HR
authors.lastname: Casser
authors.affiliation: Interdisziplinäres Schmerzzentrum, m&i-Fachklinik Enzensberg, Hopfen am See, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Klimczyk
authors.affiliation: Interdisziplinäre Schmerztherapie, Zentralklinik Bad Berka, Bad Berka, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Lutz
authors.affiliation: Algesiologikum, München, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Brinkschmidt
authors.affiliation: Schmerzambulanz und Schmerz-Tagesklinik, Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Münster, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Gralow
authors.affiliation: Interdisziplinäre Schmerzambulanz, Klinik für Anaesthesiologie, Klinikum der Universität München, München, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Irnich
authors.affiliation: Universitäts SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Kaiser
authors.affiliation: DRK Schmerz-Zentrum, Mainz, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Nagel
authors.affiliation: Orthopädische Universitätsklinik, Heidelberg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schiltenwolf
authors.affiliation: Schmerztagesklinik und -ambulanz, Zentrum für Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsmedizin Göttingen, Göttingen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Pfingsten
authors.affiliation: Universitäts SchmerzCentrum, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Sabatowski
authors.affiliation: Klinik für Psychosomatische Medizin & Psychotherapie und Interdisziplinäre Schmerztagesklinik, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg, Nürnberg, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Söllner
mesh_terms: D059350:Chronic Pain / Q000145:classification / Q000209:etiology / Q000534:rehabilitation*; D003131:Combined Modality Therapy / Q000379:methods*; D004185:Disability Evaluation; D019317:Evidence-Based Medicine; D005858:Germany; D019983:Guideline Adherence; D006302:Health Services Research / Q000331:legislation & jurisprudence; D006760:Hospitalization / Q000331:legislation & jurisprudence; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D009313:National Health Programs / Q000331:legislation & jurisprudence; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010343:Patient Admission / Q000331:legislation & jurisprudence; D012047:Rehabilitation Centers / Q000331:legislation & jurisprudence
keywords: Biopsychosocial model; Chronic pain; Germany; Legal aspects; Tertiary care