title: [In-patient (early) rehabilitation].
abstract: It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.
authors.affiliation: BDH-Klinik Elzach, Am Tannwald, 79215, Elzach, Deutschland. claus.wallesch@bdh-klinik-elzach.de.
authors.forename: Claus-W
authors.initials: CW
authors.lastname: Wallesch
authors.affiliation: Fakultät Sozialwissenschaften, Hochschule für Technik und Wirtschaft des Saarlandes, Saarbrücken, Deutschland.
authors.forename: Sindy
authors.initials: S
authors.lastname: Lautenschläger
mesh_terms: D003953:Diagnosis-Related Groups / Q000191:economics; D006233:Persons with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D018803:Models, Economic; D012046:Rehabilitation / Q000191:economics* / Q000706:statistics & numerical data; D055502:Secondary Prevention / Q000191:economics* / Q000706:statistics & numerical data
keywords: Acute hospital treatment; Geriatric early rehabilitation; Interdisciplinary and other early rehabilitation; Neurological/neurosurgical early rehabilitation; Therapeutic nursing