title: [A 10-year evaluation of geriatric rehabilitation in Rhineland-Palatinate].
abstract: BACKGROUND
  An evaluation of geriatric rehabilitation has been carried out in Rhineland-Palatinate for over 10 years by collecting data of patients absolving an inpatient geriatric rehabilitation program. The aim of the project was to improve the transparency of outcome quality. The procedure is equally supported by geriatric rehabilitation clinics, health insurance companies and the Medical Service of Health Insurance (MDK).
  
  
  METHODS
  Consented information about the rehabilitation process has been collected from every geriatric rehabilitation clinic in Rhineland-Palatinate. The data were pseudonymized and sent to the MDK in Rhineland-Palatinate for statistical analysis. The dataset included age, diagnosis, life circumstances before rehabilitation, duration of the rehabilitation, therapy implemented and need for support (with or without personal assistance) in eight activities of daily living at the beginning and at the end of rehabilitation.
  
  
  RESULTS
  The results of 45,751 participants who underwent rehabilitation between 2005 and 2014 are presented. There was a slight tendency towards an increase in the number of very old geriatric patients undergoing rehabilitation. The average duration of rehabilitation decreased slightly during the observation period, while the frequency of therapy increased. The reduction in the need for assistance during rehabilitation remained constant over the observation period.
  
  
  CONCLUSIONS
  Systematic evaluation improves the transparency of the rehabilitation process.
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Albiger Str. 19d, 55232, Alzey, Deutschland. klaus.freidel@mdk-rlp.de.
authors.forename: K
authors.identifier: http://orcid.org/0000-0001-9283-1642
authors.initials: K
authors.lastname: Freidel
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Albiger Str. 19d, 55232, Alzey, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Linck-Eleftheriadis
authors.affiliation: Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Albiger Str. 19d, 55232, Alzey, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Röhrig
authors.affiliation: Geriatrische Rehabilitationsklinik St. Irminen, Trier, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schilling
authors.affiliation: Geriatrische Fachklinik Rheinhessen-Nahe, Bad Kreuznach, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Heckmann
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D019538:Health Care Surveys; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012046:Rehabilitation / Q000523:psychology / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014600:Utilization Review
keywords: Activities of daily living; Functional impairment; Geriatric assessment; Inpatients; Quality assurance