title: [Structures and Practice of Psychological Services in Oncological and Diabetological Rehabilitation: Results of a Nationwide Survey].
abstract: OBJECTIVE
  To study the structural frame conditions and the contents of psychological activity in oncological rehabilitation as well as in rehabilitation of patients with type 2 diabetes.
  
  
  METHODS
  We conducted a nationwide survey of psychological services in rehabilitation facilities treating oncological patients and patients with type 2 diabetes.
  
  
  RESULTS
  71 (of 145) oncological and 21 (of 63) diabetological rehabilitation facilities participated in the survey. In both indication areas an average of 1.1 psychologists is in charge of 100 patients. Between some rehabilitation facilities, however, there are considerable differences concerning the psychologist/patient ratio (in oncological rehabilitation facilities: standard deviation (SD)=0.52; in diabetological rehabilitation facilities: SD=0.35). Moreover, there is large heterogeneity among rehabilitation facilities as to the percentages of patients obtaining psychological interventions and the way in which psychological services allocate their working time.
  
  
  CONCLUSIONS
  The general set-up of psychological services in oncological and diabetological rehabilitation facilities (especially the low psychologist/patient ratio in many facilities) can partly be considered insufficient. The heterogeneity with respect to the structural frame conditions and practice of psychological services reveals the low degree of standardization of psychological activity in both indication areas.
authors.affiliation: Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
authors.forename: C
authors.initials: C
authors.lastname: Reese
authors.affiliation: Klinik Niederrhein, Bad Neuenahr-Ahrweiler.
authors.forename: P
authors.initials: P
authors.lastname: Hübner
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum Bochum der Ruhr-Universität Bochum.
authors.forename: F
authors.initials: F
authors.lastname: Petrak
authors.affiliation: Städtische Rehakliniken, Rehazentrum Bad Waldsee.
authors.forename: D
authors.initials: D
authors.lastname: Schmucker
authors.affiliation: Klinik für Tumorbiologie, Universitätsklinikum Freiburg.
authors.forename: J
authors.initials: J
authors.lastname: Weis
authors.affiliation: Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
authors.forename: O
authors.initials: O
authors.lastname: Mittag
mesh_terms: D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011584:Psychology / Q000706:statistics & numerical data*; D012046:Rehabilitation / Q000706:statistics & numerical data*; D014600:Utilization Review; D016526:Workload / Q000706:statistics & numerical data