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Breuninger K, Golla A, Richter C, Kimmel A, Mau W, Saal S. Pflegefachliche Begutachtungsunsicherheiten beim
Rehabilitationszugang über die Pflegebegutachtung – Ergebnisse
einer Mixed-Methods-Studie. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
| | - A Golla
- Medizinische Fakultät der Martin-Luther-Universität
Halle-Wittenberg, Institut für Rehabilitationsmedizin, Profilzentrum
Gesundheitswissenschaften, Halle (Saale), Deutschland
| | - C Richter
- Medizinische Fakultät der Martin-Luther-Universität
Halle-Wittenberg, Institut für Gesundheits- und Pflegewissenschaft,
Profilzentrum Gesundheitswissenschaften, Halle (Saale),
Deutschland
| | - A Kimmel
- Medizinischer Dienst Bund, Essen, Deutschland
| | - W Mau
- Medizinische Fakultät der Martin-Luther-Universität
Halle-Wittenberg, Institut für Rehabilitationsmedizin, Profilzentrum
Gesundheitswissenschaften, Halle (Saale), Deutschland
| | - S Saal
- Medizinische Fakultät der Martin-Luther-Universität
Halle-Wittenberg, Institut für Gesundheits- und Pflegewissenschaft,
Profilzentrum Gesundheitswissenschaften, Halle (Saale),
Deutschland
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Retznik L, Mau W. Bestandsaufnahme und Bedarfsanalyse von rehabilitationsrelevanten Lehrinhalten gesundheitsbezogener Berufsgruppen der medizinischen Rehabilitation in Mitteldeutschland. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- L Retznik
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
| | - W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
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Golla A, Richter C, Mau W, Saal S. Versichertenseitige Einflussfaktoren auf den Rehabilitationszugang über die Pflegebegutachtung. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- A Golla
- Institut für Rehabilitionsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - C Richter
- Institut für Gesundheits- und Pflegewissenschaft, Profilzentrum Gesundheitswissenschaften, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - W Mau
- Institut für Rehabilitionsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - S Saal
- Institut für Gesundheits- und Pflegewissenschaft, Profilzentrum Gesundheitswissenschaften, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
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Zimmer JM, Fausern D, Golla A, Schmitt N, Bethge M, Mau W. Barrieren der Reha-Antragstellung aus Sicht von Personen mit Rückenschmerzen und subjektivem Reha-Bedürfnis. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- JM Zimmer
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
| | - D Fausern
- Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck
| | - A Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
| | - N Schmitt
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
| | - M Bethge
- Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck
| | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
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Schöpf-Lazzarino AC, Böhm P, Garske U, Schlöffel M, Stoye A, Lamprecht J, Mau W, Farin E. Involving patients as research partners exemplified by the development and evaluation of a communication-skills training programme (KOKOS-Rheuma). Z Rheumatol 2021; 80:132-139. [PMID: 32676754 PMCID: PMC7929963 DOI: 10.1007/s00393-020-00839-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Despite widespread recommendations for involving patient research partners (PRPs), there is little information about how patients have been involved in research. Our aim was to describe and assess the contributions of four PRPs in a project on communication-skills training funded by Deutsche Rheuma-Liga Bundesverband e. V. (German League Against Rheumatism [GLR] is a patient organisation for people with rheumatic and musculoskeletal diseases). The PRPs' participation was beneficial with regards to content and organisation. Thanks to their participation, we could enlarge our sample by over a third, and they contributed their own ideas to the training. Four PRPs added their perspective of various regional organisations. Outside this project, they were also very active within GLR and experienced in managing their rheumatic disease. To achieve more representativeness, future studies might also employ strategies to engage individuals with less experience in dealing with their disease, e.g. newly diagnosed patients. While the collaboration between PRPs and researchers proved very successful, more regular discussions about tasks and responsibilities would be worthwhile.
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Affiliation(s)
- A C Schöpf-Lazzarino
- Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Centre, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
- Division of General Practice/Family Medicine, Faculty of Medicine and Medical Centre, University of Freiburg, Freiburg, Germany
| | - P Böhm
- Deutsche Rheuma-Liga Bundesverband e. V., Bonn, Germany
| | - U Garske
- Deutsche Rheuma-Liga Bundesverband e. V., Bonn, Germany
| | - M Schlöffel
- Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Centre, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
| | - A Stoye
- Institute of Rehabilitation Medicine, Interdisciplinary Centre for Health Sciences, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
| | - J Lamprecht
- Institute of Rehabilitation Medicine, Interdisciplinary Centre for Health Sciences, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
| | - W Mau
- Institute of Rehabilitation Medicine, Interdisciplinary Centre for Health Sciences, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
| | - E Farin
- Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Centre, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
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Kiltz U, Braun J, Becker A, Chenot JF, Dreimann M, Hammel L, Heiligenhaus A, Hermann KG, Klett R, Krause D, Kreitner KF, Lange U, Lauterbach A, Mau W, Mössner R, Oberschelp U, Philipp S, Pleyer U, Rudwaleit M, Schneider E, Schulte TL, Sieper J, Stallmach A, Swoboda B, Winking M. [Long version on the S3 guidelines for axial spondyloarthritis including Bechterew's disease and early forms, Update 2019 : Evidence-based guidelines of the German Society for Rheumatology (DGRh) and participating medical scientific specialist societies and other organizations]. Z Rheumatol 2020; 78:3-64. [PMID: 31784900 DOI: 10.1007/s00393-019-0670-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- U Kiltz
- Rheumazentrum Ruhrgebiet, Ruhr-Universität Bochum, Claudiusstr. 45, 44649, Herne, Deutschland.
| | - J Braun
- Rheumazentrum Ruhrgebiet, Ruhr-Universität Bochum, Claudiusstr. 45, 44649, Herne, Deutschland
| | | | - A Becker
- Allgemeinmedizin, präventive und rehabilitative Medizin, Universität Marburg, Karl-von-Frisch-Str. 4, 35032, Marburg, Deutschland
| | | | - J-F Chenot
- Universitätsmedizin Greifswald, Fleischmann Str. 6, 17485, Greifswald, Deutschland
| | - M Dreimann
- Zentrum für Operative Medizin, Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistraße 52, 20251, Hamburg, Deutschland
| | | | - L Hammel
- Geschäftsstelle des Bundesverbandes der DVMB, Metzgergasse 16, 97421, Schweinfurt, Deutschland
| | | | - A Heiligenhaus
- Augenzentrum und Uveitis-Zentrum, St. Franziskus Hospital, Hohenzollernring 74, 48145, Münster, Deutschland
| | | | - K-G Hermann
- Institut für Radiologie, Charité Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | | | - R Klett
- Praxis Manuelle & Osteopathische Medizin, Fichtenweg 17, 35428, Langgöns, Deutschland
| | | | - D Krause
- , Friedrich-Ebert-Str. 2, 45964, Gladbeck, Deutschland
| | - K-F Kreitner
- Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland
| | - U Lange
- Kerckhoff-Klinik, Rheumazentrum, Osteologie & Physikalische Medizin, Benekestr. 2-8, 61231, Bad Nauheim, Deutschland
| | | | - A Lauterbach
- Schule für Physiotherapie, Orthopädische Universitätsklinik Friedrichsheim, Marienburgstraße 2, 60528, Frankfurt, Deutschland
| | | | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, 06097, Halle (Saale), Deutschland
| | - R Mössner
- Klinik für Dermatologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland
| | | | - U Oberschelp
- , Barlachstr. 6, 59368, Werne a.d. L., Deutschland
| | | | - S Philipp
- Praxis für Dermatologie, Bernauer Str. 66, 16515, Oranienburg, Deutschland
| | - U Pleyer
- Campus Virchow-Klinikum, Charité Centrum 16, Klinik f. Augenheilkunde, Charité, Augustenburger Platz 1, 13353, Berlin, Deutschland
| | - M Rudwaleit
- Klinikum Bielefeld, An der Rosenhöhe 27, 33647, Bielefeld, Deutschland
| | - E Schneider
- Abt. Fachübergreifende Frührehabilitation und Sportmedizin, St. Antonius Hospital, Dechant-Deckersstr. 8, 52249, Eschweiler, Deutschland
| | - T L Schulte
- Klinik für Orthopädie und Unfallchirurgie, Orthopädische Universitätsklinik, Ruhr-Universität Bochum, Gudrunstr. 65, 44791, Bochum, Deutschland
| | - J Sieper
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Deutschland
| | - A Stallmach
- Klinik für Innere Medizin IV, Universitätsklinikum Jena, Am Klinikum 1, 07743, Jena, Deutschland
| | | | - B Swoboda
- Abteilung für Orthopädie und Rheumatologie, Orthopädische Universitätsklinik, Malteser Waldkrankenhaus St. Marien, 91054, Erlangen, Deutschland
| | | | - M Winking
- Zentrum für Wirbelsäulenchirurgie, Klinikum Osnabrück, Am Finkenhügel 3, 49076, Osnabrück, Deutschland
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Golla A, Mattukat K, Mau W. [Promotion of physical activity for older patients with rheumatism : Characteristics of inflammatory rheumatic diseases against the background of physical activity recommendations]. Z Rheumatol 2019; 78:127-135. [PMID: 30694360 DOI: 10.1007/s00393-019-0592-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Due to the wide range of positive effects and the clear evidence of effectiveness, physical activity is one of the most important treatments for inflammatory rheumatic diseases. Because of the frequent overlap of disease and age-related aspects in older patients, the implementation of the German national physical activity recommendations has to be checked and accompanied by physicians. To get the older patients in motion, a patient-centered approach is required that takes the individual health problem(s) and the current context of life into account. This article provides an overview of the activity-related characteristics of older patients with inflammatory rheumatic diseases. Against this background a simple strategy is provided for promoting physical activity during medical consultation, which takes the characteristics of older patients with rheumatism into consideration. In this way, physicians can integrate a targeted, resource and time-saving economic strategy into consultations that is in concordance with the national physical activity recommendations.
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Affiliation(s)
- A Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Deutschland.
| | - K Mattukat
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Deutschland
| | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Deutschland
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Golla A, Schmidt S, Mattukat K, Mau W. Entwicklung eines Screenings zur Sportbiografie – Erste konzeptionelle Prüfung an einer Stichprobe von Rehasport-Teilnehmern. Phys Med Rehab Kuror 2018. [DOI: 10.1055/s-0038-1668265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- A Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - S Schmidt
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - K Mattukat
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
| | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
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Zink A, Braun J, Gromnica-Ihle E, Krause D, Lakomek HJ, Mau W, Müller-Ladner U, Rautenstrauch J, Specker C, Schneider M. [Memorandum of the German Society for Rheumatology on the quality of treatment in rheumatology - Update 2016]. Z Rheumatol 2017; 76:195-207. [PMID: 28364218 DOI: 10.1007/s00393-017-0297-1] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
On behalf of the Steering Committee of the German Society for Rheumatology, in 2016 the Interdisciplinary Commission on Healthcare Quality updated the 2008 memorandum on rheumatological healthcare in Germany. The update considers changes in therapeutic strategies, treatment targets as well as current structures in healthcare and the political framework. It concentrates on examination of the need for rheumatologists with a background in internal medicine and determines the gap between needs and supply. The internist rheumatologist is responsible for the care of patients with inflammatory rheumatic diseases and contributes to the care of patients with severe forms of other musculoskeletal diseases. At least 2 internist rheumatologists are needed for the outpatient care of 100,000 adult inhabitants, equivalent to 1350 rheumatologists in Germany. With currently 776 rheumatologists, we have little more than half of what we need. The German Society for Rheumatology calls for specific requirements planning for rheumatologists in outpatient care in order to decrease the deficit. In acute inpatient care we need specialized hospitals and wards that ensure a high quality of treatment for patients with complex diseases. We need up to 50 beds per 1 million inhabitants. At least 2 full-time internist rheumatologists and 3 further physicians are needed per 30 beds. In inpatient and outpatient rehabilitation we need 40 beds or outpatient places per 1 million inhabitants with at least 1 full-time rheumatologist and 1 further physician. In order to reduce the existing deficits and to cover the increasing future need for rheumatologists, more emphasis has to be laid on primary and secondary education. Chairs for internal rheumatology are needed at each medical university and more positions for postgraduate training in rheumatology should be provided. In all segments of healthcare the treatment aims should be jointly defined between patients and physicians. The patients should be treated in an interdisciplinary network, comprising other medical specialties, health professionals as well as patient organizations.
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Affiliation(s)
- A Zink
- Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie und Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
| | - J Braun
- Rheumazentrum Ruhrgebiet, Herne, Deutschland
| | | | - D Krause
- Internistische und rheumatologische Gemeinschaftspraxis, Gladbeck, Deutschland
| | - H J Lakomek
- Klinik für Rheumatologie und Interdisziplinäre Geriatrie, Universitätszentrum Innere Medizin, Johannes Wesling Klinikum Minden, Minden, Deutschland
| | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle, Deutschland
| | - U Müller-Ladner
- Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland
- Abteilung Rheumatologie und klinische Immunologie, Kerckhoff-Klinik GmbH, Bad Nauheim, Deutschland
| | - J Rautenstrauch
- Deutsche Gesellschaft für Rheumatologie, Berlin, Deutschland
| | - C Specker
- Klinik für Rheumatologie & Klinische Immunologie, Rheumazentrum Rhein-Ruhr e.V., St. Josef Krankenhaus (Universitätsklinikum Essen), Essen, Deutschland
| | - M Schneider
- Poliklinik und Funktionsbereich für Rheumatologie, Hiller Forschungszentrum Rheumatologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland
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Oedingen C, Krauth C, Girndt M, Mau W, Neumann D. The Choice of Renal Replacement Therapy (CORETH) Project: Patient Participation, Quality of Life and Economic Consequences. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- C Oedingen
- Medizinische Hochschule Hannover, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Hannover
| | - C Krauth
- Medizinische Hochschule Hannover, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Hannover
| | - M Girndt
- Martin-Luther-Universität Halle-Wittenberg, Klinik für Innere Medizin II, Halle (Saale)
| | - W Mau
- Martin-Luther-Universität Halle-Wittenberg, Institut für Rehabilitationsmedizin, Halle (Saale)
| | - D Neumann
- Martin-Luther-Universität Halle-Wittenberg, Institut für Rehabilitationsmedizin, Halle (Saale)
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Lamprecht J, Thyrolf A, Mattukat K, Schöpf AC, Schlöffel M, Farin E, Mau W. Disease-related everyday communication of persons with rheumatic and musculoskeletal diseases-Results of a participatory research project. Patient Educ Couns 2017; 100:667-672. [PMID: 27839889 DOI: 10.1016/j.pec.2016.10.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 10/05/2016] [Accepted: 10/30/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The aim of the present study is to describe and analyse significant factors of disease-related everyday communication of persons with RMDs in a nationwide project in Germany funded by the Deutsche Rheumaliga Bundesverband e.V. (German League against Rheumatism). METHODS In this participatory research project four persons with RMDs are involved. An online questionnaire addressing context, difficulties, and burden of disease-related everyday communication was answered by 1.015 persons with RMDs. Social and communication skills were recorded by questionnaires to capture social insecurity and patient communication competence. RESULTS More than half of the participants reported difficulties in disease-related conversations across various situations. The majority of these persons suffer from this experience particularly in conversations at the work environment or with staff members of authorities. They feel unconfident especially in situations which require saying "no". Furthermore, compared to the general population persons with RMDs have more anxiety about contact with others. CONCLUSION Strengthening the social skills of persons with RMDs in conversations related to everyday situations can promote a self-determined life and contribute to the maintenance of social participation. PRATICE IMPLICATIONS Based on the results, a communication skills training for persons with RMDs will be developed.
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Affiliation(s)
- J Lamprecht
- Institute for Rehabilitation Medicine, Martin-Luther-University Halle-Wittenberg, Germany.
| | - A Thyrolf
- Institute for Rehabilitation Medicine, Martin-Luther-University Halle-Wittenberg, Germany
| | - K Mattukat
- Institute for Rehabilitation Medicine, Martin-Luther-University Halle-Wittenberg, Germany
| | - A C Schöpf
- Section of Health Care Research and Rehabilitation Research, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany
| | - M Schlöffel
- Section of Health Care Research and Rehabilitation Research, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany
| | - E Farin
- Section of Health Care Research and Rehabilitation Research, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany
| | - W Mau
- Institute for Rehabilitation Medicine, Martin-Luther-University Halle-Wittenberg, Germany
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Schmidt S, Bergelt C, Deck R, Krischak G, Morfeld M, Michel M, Schwarzkopf SR, Spyra K, Walter S, Mau W. [Current Developments of the Interdisciplinary Subject Rehabilitation, Physical Medicine, Naturopathic Treatment in the German Medical Faculties: Results of the DGRW Faculty Survey in 2015]. REHABILITATION 2017; 56:47-54. [PMID: 28219100 DOI: 10.1055/s-0042-116765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
To ascertain the current development of the rehabilitation-related medical teaching in the interdisciplinary subject Rehabilitation, Physical Medicine, Naturopathic Treatment (Q12) regarding its execution, content, exams and evaluation of teaching at the Medical Faculties the German Society of Rehabilitation Science conducted another faculty survey in 2015. Representatives of all degree courses of human medicine in German Universities (n=41) received a pseudonymised standardised questionnaire in summer 2015. The response rate was 76% (n=31). Half of the faculties (48%) stated that they had a teaching and research unit for at least 1 of the 3 subjects of the interdisciplinary Q12. The Q12-teaching of faculties including these units partially differed from the other faculties. Model medical education programmes provide on average 2 semesters more for Q12-teaching in comparison to the traditional programmes. More than 3 quarters of the traditional programmes and all other courses include other medical professionals besides physicians as lecturers. Multiple choice questions still constitute the most common examination type (94%). Nearly all Medical Faculties evaluate the rehabilitation-related teaching but only half of all them have implemented a financial gratification based on the evaluation results. Even 10 years after the implementation of Q12, major variations were demonstrated regarding the execution, content and methods of medical education in rehabilitation. In the future the influence of the National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education on the Q12-development and the Q12-teaching in medical university education in Germany with foreign qualification will be of particular interest.
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Affiliation(s)
- S Schmidt
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
| | - C Bergelt
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf
| | - R Deck
- Institut für Sozialmedizin und Epidemiologie, Universitätsklinikum Schleswig-Holstein
| | - G Krischak
- Institut für Rehabilitationsmedizinische Forschung, Universität Ulm
| | - M Morfeld
- Fachbereich Angewandte Humanwissenschaften, Hochschule Magdeburg-Stendal
| | - M Michel
- Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universitätsmedizin Leipzig
| | - S R Schwarzkopf
- Klinik und Institut für Physikalische und Rehabilitative Medizin und Naturheilverfahren, Fachübergreifende Frührehabilitation, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität (PMU)
| | - K Spyra
- Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité-Universitätsmedizin Berlin
| | - S Walter
- Sektion für Versorgungsforschung und Rehabilitationsforschung, Universitätsklinikum Freiburg, Medizinische Fakultät der Albert-Ludwigs-Universität Freiburg
| | - W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg
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Lamprecht J, Robinski M, Mau W. [Assessing Social Resources in the Chronically Ill: Development and Initial Psychometric Testing of an Ego-centered Network Generator]. REHABILITATION 2016; 55:319-325. [PMID: 27728939 DOI: 10.1055/s-0042-111580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Background: The social network is one of the most significant resources during the course of the rehabilitation. However, there is a lack of short instruments in questionnaire format for the assessment of social relations in the chronically ill. We therefore developed a network generator (NWG), and tested its performance in patients with different diseases during medical rehabilitation. Methods: We tested its reliability, validity and acceptance in 882 inpatients participating in medical rehabilitation programs (cancer N=290, musculoskeletal diseases N=292, and psychosomatic diseases N=300). Findings: The NWG provides clear information about different aspects of the social network of these subgroups with satisfying psychometric characteristics. Conclusions: The NWG can be applied as short assessment of positive social relationships that, in practice, are important resources during the whole rehabilitation process of the chronically ill.
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Affiliation(s)
- J Lamprecht
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
| | - M Robinski
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
| | - W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
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Lamprecht J, Thyrolf A, Mau W. Health-related quality of life in rehabilitants with different cancer entities. Eur J Cancer Care (Engl) 2016; 26. [PMID: 27482937 DOI: 10.1111/ecc.12554] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2016] [Indexed: 01/16/2023]
Abstract
The focus of the study is the analysis of changes in health-related quality of life in various cancer entities during and after an inpatient rehabilitation programme. In a multicentre longitudinal study, a total of 211 cancer patients (breast cancer: N = 84; prostate cancer: N = 90; colon cancer: N = 37) were asked about their quality of life (EORTC QLQ-C30; HADS) at the beginning, the end and 3 months after the end of the rehabilitation programme. In different domains of quality of life significant and mostly clinically relevant improvements were found during rehabilitation. The breast and prostate cancer patients improved most in emotional functioning, colon cancer patients in global quality of life. With regard to the severity of symptoms, the fatigue burden improved in breast and colon cancer patients, nausea in the prostate cancer patients. However, they are increases 3 months after rehabilitation. Functional burdens improved 3 months after the end of rehabilitation in the physical domain for all cancer patients. For breast cancer patients, emotional functioning decreased significantly 3 months after rehabilitation. An inpatient oncological rehabilitation programme can lead to an improvement in quality of life.
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Affiliation(s)
- J Lamprecht
- Institute of Rehabilitation Medicine, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
| | - A Thyrolf
- Institute of Rehabilitation Medicine, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
| | - W Mau
- Institute of Rehabilitation Medicine, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
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Mau W. SP0147 A Self-Determined Life with A Rheumatic Disease? How Can Social Participation Be Preserved or Obtained and How Can Barriers Be Overcome? Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.6260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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16
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Mau W, Lamprecht J, Schöpf A, Schlöffel M, Farin-Glattacker E, Thyrolf A. SAT0625 Challenges of Disease-Related Communication in The Daily Lives of Persons with Rheumatic and Musculoskeletal Diseases. Results of A Participatory Research Project. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Mau W, Beyer W, Ehlebracht-König I, Engel JM, Genth E, Lange U. [Treat to participation : Position paper of the German Society for Rheumatology on sustained improvement of functional health of patients with rheumatic and musculoskeletal diseases]. Z Rheumatol 2016; 74:553-7. [PMID: 26238709 DOI: 10.1007/s00393-015-1640-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
From the perspective of patients with rheumatic diseases, the reduction of inflammatory disease activity alone is not a sufficient treatment goal. In addition the functional health and participation also have to be improved. Starting with the first symptoms the empowerment for the self-management of the disease is important for the patients; therefore, the established treat to target-strategy has to be expanded by the functional dimension to treat to participation. The position paper of the German Society for Rheumatology (GSR) summarizes the relevant fields of the multiprofessional action that is frequently necessary. This includes the acquirement of function-related competencies during training, further education and advanced training as well as implementation in the everyday practice of patient care. Furthermore, the GSR acknowledges the need for research related to functional and sociomedical consequences of rheumatic diseases and to individual and combined function-related programs in outpatient and inpatient care in rheumatology.
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Affiliation(s)
- W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, 06097, Halle (Saale), Deutschland,
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18
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Golla A, Saal S, Mau W. Systematische Bestandsaufnahme beruflich orientierter Leistungen in medizinischen Rehabilitationseinrichtungen Mitteldeutschlands. Phys Med Rehab Kuror 2016. [DOI: 10.1055/s-0041-110596] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- A. Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - S. Saal
- Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - W. Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
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19
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Boese S, Golla A, Beutner K, Mau W, Jahn P, Bauer A, Schlitt A, Lau A. Exergames als bewegungstherapeutisches Angebot – Nutzerakzeptanz und Beanspruchung im Rahmen der stationären onkologischen Rehabilitation. Phys Med Rehab Kuror 2016. [DOI: 10.1055/s-0041-110399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- S. Boese
- Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - A. Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - K. Beutner
- Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - W. Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - P. Jahn
- Stabsstelle Pflegeforschung und Entwicklung, Universitätsklinikum Halle (Saale)
| | - A. Bauer
- Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - A. Schlitt
- Paracelsus-Harz-Klinik Bad Suderode, Quedlinburg
| | - A. Lau
- Department Sportwissenschaft, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
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20
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Amler N, Felder S, Mau W, Merkesdal S, Schöffski O. [Instruments for Measuring the Effects of Early Intervention on Maintaining and Restoring Ability to Work in Germany: Opinion of an Interdisciplinary Working Group]. Gesundheitswesen 2015; 80:79-86. [PMID: 26695541 DOI: 10.1055/s-0041-110678] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE In projects on early intervention, a wide variety of instruments is used for the measurement of intervention effects on preservation or restoration of ability to work. The aim of the present work was to propose an appropriate instrument or a range of appropriate instruments that enable diverse interventional approaches to be compared, and data quality to be improved. METHODS A systematic literature search was conducted to map the currently existing measuring instruments. In addition, based on structured interviews with leaders of existing early intervention projects or representatives of other interventional approaches, knowledge and application of the measuring instruments in Germany were determined. In the context of a working meeting, a recommendation was formulated based on the results of the literature search and interviews. RESULTS AND COMMENTS There is currently no instrument that could be recommended without reservation for the stated purpose. Based on the results of the literature search and the interviews, the working group recommends using, as a first step, the Work Ability Index (WAI, focus on work ability) and the Work Productivity and Activity Impairment Questionnaire (WPAI, focus on absenteeism and presenteeism). German-language versions of both questionnaires are freely available and offer a good compromise in terms of psychometric quality criteria, as well as of practicality and applicability. The measuring instruments should be developed further, with the goal of establishing an optimized instrument that combines the strengths of the two instruments. CONCLUSION In Germany, use of WAI and the WPAI in as many early intervention approaches as possible will help improve the database, allowing better comparability. However, the focus of further research must be to develop an optimized instrument from elements of WAI and WPAI, in order to be able to measure ability to work as well as the effects of an intervention on preservation or restoration of the ability to work, regardless of the setting.
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Affiliation(s)
- N Amler
- Lehrstuhl für Gesundheitsmanagement, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg
| | - S Felder
- Wirtschaftswissenschaftliche Fakultät, Universität Basel, Basel
| | - W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle
| | - S Merkesdal
- Klinik für Immunologie und Rheumatologie, Medizinische Hochschule Hannover, Hannover
| | - O Schöffski
- Lehrstuhl für Gesundheitsmanagement, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg
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Golla A, Saal S, Mau W. Besondere berufliche Problemlagen bei Rehabilitanden in den neuen Bundesländern: Analyse von Routinedaten der Deutschen Rentenversicherung Mitteldeutschland. Phys Rehab Kur Med 2015. [DOI: 10.1055/s-0035-1565046] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- A. Golla
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - S. Saal
- Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - W. Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
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22
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Mau W. [Aftercare in Psychosomatic Rehabilitation]. REHABILITATION 2015; 54:289. [PMID: 26505178 DOI: 10.1055/s-0035-1564260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mattukat K, Golla A, Mau W. Sport und Bewegung bei rheumatischen Erkrankungen – Empfehlungen, Umsetzung und praxisnahe Fördermöglichkeiten. AKTUEL RHEUMATOL 2015. [DOI: 10.1055/s-0035-1550051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- K. Mattukat
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - A. Golla
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - W. Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
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Gutt S, Bergelt C, Faller H, Krischak G, Spyra K, Uhlmann A, Mau W. [Development of a Set of Rehabilitation Related Multiple-choice-questions in Medical Education]. REHABILITATION 2015; 54:259-65. [PMID: 26080058 DOI: 10.1055/s-0035-1545362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In the rehabilitation related teaching as in other subjects of the medical training multiple choice (MC) examinations are the most frequent type of examinations. Compared to other subjects only a few MC questions are available for the interdisciplinary subject Rehabilitation. Therefore an internet-based online platform "Pool of rehabilitation related MC questions" was developed to assist teachers regarding the provision, design and organization of high-quality rehabilitation related MC questions. A total of 502 existing MC questions were collected from 12 German Medical Faculties. After removal of 59 questions not suitable for formal and content reasons a total of 443 questions were presented to 6 reviewers for triple reviews (a total of 1 329 expert reviews received). Of the 502 questions 335 (67%) were included in the final pool including short cases with 46 case studies. The questions refer to the following learning objectives: principles of rehabilitation (40%), rehabilitative interventions (20%), diagnosis and assessment (18%), initiation and control of the rehabilitation process (12%) and methods/quality of rehabilitative interventions (10%). The use of the online platform modules resp. the questions are for free for lecturers. This includes the compilation and output of complete examinations, the statistical evaluation, and other audit-related materials. This examination pool counteracts the current lack of quality-assured rehabilitation-related MC questions and contributes to set common standards for the Medical Faculties to rehabilitation related examinations.
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Affiliation(s)
- S Gutt
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität, Halle-Wittenberg
| | - C Bergelt
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf
| | - H Faller
- Abteilung für Medizinische Psychologie und Psychotherapie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg
| | - G Krischak
- Institut für Rehabilitationsmedizinische Forschung, Universität Ulm
| | - K Spyra
- Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité Universitätsmedizin Berlin
| | - A Uhlmann
- Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg
| | - W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität, Halle-Wittenberg
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Mau W, Beyer W, Ehlebracht-König I, Engel JM, Genth E, Jäckel WH, Lange U, Thiele K. [Trends in rehabilitation of patients with rheumatic diseases in Germany]. Z Rheumatol 2014; 73:139-48. [PMID: 24659150 DOI: 10.1007/s00393-013-1259-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Recent Deutsche Gesellschaft für Rheumatologie (DGRh, German Society of Rheumatology) guidelines emphasized the significance of coordinated multidisciplinary care and rehabilitation of patients with inflammatory rheumatic diseases. Nationwide data from the German pension insurance funds showed that inpatient rehabilitation due to rheumatoid arthritis (RA) varied by a factor of 2.6 between the different German states. From 2000 to 2012 rehabilitation measures were reduced by one third, most significantly in men with ankylosing spondylitis (AS). Rehabilitation measures because of RA or AS were provided up to 14 times more frequently by the German statutory pension insurance scheme compared with a large compulsory health insurance which is responsible for rehabilitation measures after retirement. In rehabilitation centers with high numbers of patients with inflammatory rheumatic diseases, higher structural and process quality were demonstrated. In 2011 a total of 40 % of RA patients in the national database of the collaborative arthritis centers showed medium or severe functional limitations. Among these disabled RA patients inpatient rehabilitation was reduced by about 50 % between 1995 and 2011. Out of all RA patients from outpatient rheumatology care with severe functional limitations 38 % had no functional restoration therapy within the previous 12 months with a high variation between rheumatologists. Experiences from other European countries may inspire German rheumatologists and other involved health professionals to initiate a wider range of rehabilitative interventions in the future.
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Affiliation(s)
- W Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, 06097, Halle (Saale), Deutschland,
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Affiliation(s)
- E Edelmann
- Rheumatologische Gemeinschaftspraxis, Lindenstr. 2, 83043, Bad Aibling, Deutschland,
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Kiltz U, Mau W, Repschläger U, Böhle E, Braun J. [German Society for Rheumatology S3 guidelines on axial spondyloarthritis including Bechterew's disease and early forms: 9 International classification of functioning, disability and health (ICF)]. Z Rheumatol 2014; 73 Suppl 2:104-8. [PMID: 25181981 DOI: 10.1007/s00393-014-1434-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- U Kiltz
- Deutsche Gesellschaft für Rheumatologie (DGRh), -, -,
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Kiltz U, Sieper J, Rudwaleit M, Kellner H, Krause D, Böhle E, Böhm H, Böhncke WH, Chenot JF, Heiligenhaus A, Jaresch S, Mau W, Oberschelp U, Pleyer U, Repschläger U, Schneider E, Smolenski U, Stallmach A, Stemmer M, Swoboda B, Ulrich C, Winking M, Braun J. [German Society for Rheumatology S3 guidelines on axial spondyloarthritis including Bechterew's disease and early forms: 8 Therapy, 8.1 Treatment concept, 8.2 Therapy targets and strategy]. Z Rheumatol 2014; 73 Suppl 2:69-70. [PMID: 25181976 DOI: 10.1007/s00393-014-1433-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- U Kiltz
- Deutsche Gesellschaft für Rheumatologie (DGRh), -, -,
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Kiltz U, Sieper J, Rudwaleit M, Kellner H, Krause D, Böhle E, Böhm H, Böhncke WH, Chenot JF, Heiligenhaus A, Hermann KG, Jaresch S, Mau W, Oberschelp U, Pleyer U, Repschläger U, Schneider E, Smolenski U, Stallmach A, Stemmer M, Swoboda B, Ulrich C, Winking M, Braun J. [German Society for Rheumatology S3 guidelines on axial spondyloarthritis including Bechterew's disease and early forms: 1 Introduction/preliminary comments]. Z Rheumatol 2014; 73 Suppl 2:23-5. [PMID: 25181969 DOI: 10.1007/s00393-014-1426-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- U Kiltz
- Deutsche Gesellschaft für Rheumatologie (DGRh), -, -,
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Kiltz U, Sieper J, Rudwaleit M, Kellner H, Krause D, Böhle E, Böhm H, Böhncke WH, Chenot JF, Heiligenhaus A, Hermann KG, Jaresch S, Mau W, Oberschelp U, Pleyer U, Repschläger U, Schneider E, Smolenski U, Stallmach A, Stemmer M, Swoboda B, Ulrich C, Winking M, Braun J. DGRh-S3-Leitlinie Axiale Spondyloarthritis inklusive Morbus Bechterew und Frühformen. Z Rheumatol 2014; 73 Suppl 2:26-7. [DOI: 10.1007/s00393-014-1427-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Mattukat K, Rennert D, Brandes I, Ehlebracht-König I, Kluge K, Mau W. Short- and long-term effects of intensive training and motivational programme for continued physical activity in patients with inflammatory rheumatic diseases. Eur J Phys Rehabil Med 2014; 50:395-409. [PMID: 24651150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Despite the positive health effects of (intensive) exercise in patients with inflammatory rheumatic diseases, they are very often inactive. Motivational exercise interventions in other patient samples have shown good effects in promoting exercise behaviours. AIM To evaluate the short- and long-term effects of an intensive exercise training programme in rheumatic patients with additional motivation for continued physical activity. DESIGN Controlled prospective intervention study with repeated measures over 12 months. SETTING Rheumatologic inpatient rehabilitation in two centres in Germany. POPULATION Three-hundred-and-seven patients with chronic polyarthritis or spondyloarthritis. METHOD The patients were assigned to a control group (CG, standard therapy, N.=156) or an intervention group (IG, motivation and intensive training, N.=151). Socio-demographic (age, gender, social background, employment) and health parameters (SF-36, HFAQ, HADS, pain, disease activity), exercise motivation, physical activity and costs of illness were assessed by questionnaires at baseline (t1), discharge (t2), and 12-months-follow-up (t5). Participants evaluated the rehabilitation programme at t2. RESULTS At t2, IG-patients rated their rehabilitation better than CG-patients and reported higher exercise motivation. All patients had a better health status at t2 compared to t1. At t5, IG-patients reported more physical activity in everyday life. An unexpected lower physical component score (SF-36) of the IG compared to the CG lacked clinical relevance. No other variable showed significant group differences. Both CG- and IG-patients showed improvements in their health-related quality of life, pain, psychological well-being, sports activities, and exercise self-efficacy. CONCLUSION The rehabilitation programme that included intensive training was perceived to be better than the conventional programme and the patients benefited more from the motivation intervention. Long-term improvements in all participants may be indicators of the positive effects of conventional rheumatic rehabilitation in Germany. Intensive training with motivation also improves physical activity and may have positive socio-economic effects. Future research needs to identify the most effective factors of the intervention and the patient groups that benefit most. CLINICAL REHABILITATION IMPACT Intensive training with motivation is appropriate for patients with inflammatory rheumatic diseases aged up to at least 60 years and without severe health impairments. It enhances patients' exercise motivation and increases physical activity over at least 1 year.
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Affiliation(s)
- K Mattukat
- Institute for Rehabilitation Medicine Martin‑Luther‑University Halle‑Wittenberg, Halle, Germany -
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Mau W. SP0175 Services Provided by Patient Associations for People with RMDS Who Are Growing Old in Europe. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.6201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Rennert D, Mau W, Lamprecht J. Die nahestehende Person als Koproduzent des Rehabilitationserfolgs am Beispiel der Sportaktivität. Phys Rehab Kur Med 2013. [DOI: 10.1055/s-0033-1355346] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- D. Rennert
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
| | - W. Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
| | - J. Lamprecht
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
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Mattukat K, Matthes C, Mau W. Indikatoren sowie Gründe für und gegen eine Mitgliedschaft in Selbsthilfegruppen bei Patienten mit chronischer Polyarthritis. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1354025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Mattukat K, Mau W. Was beeinflusst körperliche Aktivität von Patienten mit rheumatoider Arthritis oder ankylosierender Spondylitis? Phys Rehab Kur Med 2013. [DOI: 10.1055/s-0032-1331163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- K. Mattukat
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
| | - W. Mau
- Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale)
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Affiliation(s)
- W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Straße 8, 06097 Halle, Saale.
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Schliehe F, Mau W. CME: Zertifizierte Fortbildung in der Rehabilitation. REHABILITATION 2013; 52:1. [DOI: 10.1055/s-0033-1333700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lamprecht J, Behrens J, Mau W, Schubert M. Das Intensivierte Rehabilitationsnachsorgeprogramm (IRENA) der Deutschen Rentenversicherung Bund: Therapiegeschehen und Ein-Jahres-Verlauf gesundheitsbezogener Parameter bei Rehabilitanden mit muskuloskelettalen Erkrankungen. Phys Rehab Kur Med 2012. [DOI: 10.1055/s-0032-1314860] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- J. Lamprecht
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
| | - J. Behrens
- Institut für Gesundheits- und Pflegewissenschaften, Martin-Luther-Universität Halle-Wittenberg
| | - W. Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg
| | - M. Schubert
- Institut für Gesundheits- und Pflegewissenschaften, Martin-Luther-Universität Halle-Wittenberg
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Mau W, Reuter S. [Health promotion, prevention, and rehabilitation in the elderly]. Dtsch Med Wochenschr 2011; 136:2199-204. [PMID: 22009174 DOI: 10.1055/s-0031-1292033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Considering the increasing disability with higher age and the demographic changes health promotion, prevention and rehabilitation are of high relevance for the maintenance and restoration of activity and participation of the elderly. Among the most important goals of prevention are mobility including physical activity and prevention of falls, adequate nutrition, maintenance of mental health, social integration and function. Different conditions of geriatric rehabilitation in Germany focussing either on acute care hospitals with early rehabilitation (inpatient or outpatient) or on rehabilitation in specialized centres lead to regional disparities. The application for rehabilitation measures has to consider the need, ability to participate, specified goals and prognosis after the interventions. Disease specific rehabilitation has to be differentiated from general geriatric rehabilitation addressing typical multimorbidity and geriatric syndromes. Significant characteristics of geriatric rehabilitation are regular patient oriented discussions within the multi-professional and interdisciplinary team coordinated by geriatricians. This includes prioritizing the patient's problems according to their significance and availability of effective therapy, evaluation of the results and adjustment of treatment goals if necessary. Standardised geriatric assessments should be applied. Geriatric rehabilitation including the interdisciplinary team increases function and reduces the risks of nursing home admissions and mortality. Therefore, the access to and the capacities of geriatric rehabilitation should be further improved.
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Affiliation(s)
- W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg.
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Mattukat K, Rennert D, Ehlebracht-König I, Kluge K, Mau W. Ein-Jahres-Verlauf nach stationärer Rehabilitation mit intensivem Kraft-, Ausdauer- und Koordinationstraining (KAKo) bei Patienten mit entzündlich-rheumatischen Erkrankungen. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1283542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Nicklas S, Lamprecht J, Mau W. Prävalenz und Assoziationen von psychischer Komorbidität bei Rehabilitanden im onkologischen Indikationsbereich anhand von Routinedaten der Deutschen Rentenversicherung. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1283573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Lamprecht J, Behrens J, Mau W, Schubert M. [Intensified rehabilitation aftercare (IRENA): utilization alongside work and changes in work-related parameters]. REHABILITATION 2011; 50:186-94. [PMID: 21626466 DOI: 10.1055/s-0031-1275688] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND An aftercare programme following medical rehabilitation may be beneficial in order to reinforce and stabilize the positive effects of rehabilitation and to encourage individual health-related modifications of behaviour and lifestyle. Medical rehabilitation and the aftercare programme of the German Pension Insurance Fund primarily are intended to sustain earning capacity. As part of an evaluation of the Intensified Rehabilitation Aftercare Programme (IRENA) established by the German Pension Insurance Fund, work-related aspects in orthopaedic patients were analyzed based on various data sources. Firstly, the significance of institutional and individual conditions for utilization of IRENA alongside work was of interest. Secondly, the IRENA participants' judgements of the changes of work-related parameters due to the programme were examined, differentiating specifically by extent of earning capacity impairments as well as by particular work problems. METHODS The data set used for the analysis is composed of person-related routine data of the German Pension Insurance Fund relative to IRENA records of the year 2007 (n=30 663), interview data from orthopaedic rehabilitation centres providing IRENA (n=225), and questionnaires of IRENA participants (n=750) that were either collected during a broad evaluation of the IRENA programme or provided by the German Pension Insurance Fund. RESULTS The results show that the compatibility of IRENA and work is facilitated by the institutional conditions. However, differences between inpatient and outpatient settings have to be recognized. The possibilities to participate in IRENA throughout the day frequently are more diverse in an outpatient setting. In contrast to inpatient centres, outpatient rehabilitation centres see clearly better chances for patients to return to work and to participate in IRENA alongside. With respect to the work-related parameters (work ability, periods of sick leave), clear improvements were reported by participants from the start of rehabilitation to the survey time after the end of IRENA. Particular work problems were reported by 33% of the IRENA participants. The work ability at the end of rehabilitation was found to have been the essential factor for improvement of work ability following IRENA. Particular work problems, however, had no influence, these individuals profited from IRENA to an equal extent. CONCLUSIONS Institutional and individual view show that IRENA is compatible with utilization alongside work. Also, IRENA combined with prior medical rehabilitation will bring about subjective improvements in health and work-related parameters.
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Affiliation(s)
- J Lamprecht
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg.
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Mattukat K, Beck L, Schmidt H, Rennert D, Ehlebracht-König I, Kluge K, Mau W. Gesundheitliche und motivationale Effekte eines intensiven Kraft-, Ausdauer- und Koordinationstrainings (KAKo-Training) bei Patienten mit entzündlich-rheumatischen Erkrankungen. Gesundheitswesen 2010. [DOI: 10.1055/s-0030-1266295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mau W, Kawski S, Lay W, Morfeld M, Schwarzkopf SR, Uhlmann A. Erfordernisse der Ausbildung zur Rehabilitation in der humanmedizinischen Lehre. REHABILITATION 2010; 49:114-9. [DOI: 10.1055/s-0029-1246167] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mattukat K, Beck L, Ehlebracht-König I, Kluge K, Mau W. Indikatoren des Bewegungsverhaltens bei Patienten mit entzündlich-rheumatischen Erkrankungen zu Beginn einer stationären Rehabilitation. Gesundheitswesen 2009. [DOI: 10.1055/s-0029-1239056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Boonen A, Mau W. The economic burden of disease: comparison between rheumatoid arthritis and ankylosing spondylitis. Clin Exp Rheumatol 2009; 27:S112-S117. [PMID: 19822056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
During the last decade the economic burden of rheumatic diseases has been increasingly recognised. Even though more studies have been published on rheumatoid arthritis (RA) than ankylosing spondylitis (AS) sufficient data is available for comparison of some economic consequences. This overview addresses mainly the societal impact of RA and AS on (1) labour force participation, on (2) the costs of healthcare consumption and reduced productivity and on (3) health in terms of QALY.In order to examine labour force participation comparison with the general population is preferable. These studies demonstrate increased withdrawal from work in both diseases but more frequently in RA. Risk factors for reduced labour force participation in RA and AS are longer disease duration, lower education and unfavourable labour market conditions. The influence of the sex on employment depends on several factors such as the type of disease and the labour force participation of the general population.In RA overall mean direct costs of healthcare consumption and indirect costs of reduced productivity are above that of AS, particularly after long disease duration. Out-of-pocket expenditures costs were higher in females RA patients than in males while this was less clear in AS. The main cost driver in both diseases for all type of costs was reduced physical function.The societal valuation of health (utility) showed similar reductions of quality adjusted life years (QALYs) in RA and AS when compared with the general population.In conclusion, while the societal valuation of the impact of both diseases on health is similar, the decrease in worker participation is more pronounced in RA and direct as well as productivity costs are higher. However, since AS starts at an earlier age, the lifetime economic burden might be higher. There is a strong relation between physical function and each aspect of economic impact.
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Affiliation(s)
- A Boonen
- Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center and Caphri Research Institute, Maastricht, The Netherlands.
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Kopp G, Hinkel I, Mau W. Veränderungen der Zuweisungen und der Komplikationen bei Patienten in der Anschlussrehabilitation nach Hüft- und Kniegelenksendoprothesen-Operationen mit Einführung des DRG-Systems. Phys Rehab Kur Med 2009. [DOI: 10.1055/s-0029-1202861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mau W, Müller A. [Rehabilitation and outpatient physiotherapy in rheumatic disease patients. Results of cross-sectional studies of patients with rheumatoid arthritis or ankylosing spondylitis and rheumatologists]. Z Rheumatol 2008; 67:542-53. [PMID: 18825393 DOI: 10.1007/s00393-008-0318-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Rehabilitation and outpatient physiotherapy were investigated from the perspectives of patients suffering from rheumatoid arthritis (RA) or ankylosing spondylitis (AS) and of rheumatologists. In 2007, 204 outpatients with RA and 47 with AS at the Arthritis Center in Halle, Germany, and 117 rheumatologists from all over the country participated in two questionnaire surveys. Patients and rheumatologists gave predominantly positive judgements of physiotherapy, psychological interventions, and patient education programs. However, outpatient care including these interventions was judged to be mainly limited by fixed budgets and other formal restrictions. Even though these therapeutic options are part of (primarily inpatient) rehabilitation programs, the estimate of the need for multidisciplinary rehabilitation programs varied widely among the rheumatologists. Significant objections against rehabilitation include reluctance of the patients, administrative burden for the physicians, payers' rejections, and limited choice of rehabilitation clinic. Despite major functional limitations, a substantial portion of the patients received no multidisciplinary medical rehabilitation, outpatient physiotherapy, psychological interventions, or patient education. Recommendations for the improvement of care are derived from these data.
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Affiliation(s)
- W Mau
- Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg, 06097, Halle/Saale.
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