K Freidel1, S Linck-Eleftheriadis2, B Röhrig2, S Schilling3, J Heckmann4. 1. Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Albiger Str. 19d, 55232, Alzey, Deutschland. klaus.freidel@mdk-rlp.de. 2. Medizinischer Dienst der Krankenversicherung (MDK) Rheinland-Pfalz, Albiger Str. 19d, 55232, Alzey, Deutschland. 3. Geriatrische Rehabilitationsklinik St. Irminen, Trier, Deutschland. 4. Geriatrische Fachklinik Rheinhessen-Nahe, Bad Kreuznach, Deutschland.
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). MATERIAL AND 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. CONCLUSION: Systematic evaluation improves the transparency of the rehabilitation process.
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). MATERIAL AND 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. CONCLUSION: Systematic evaluation improves the transparency of the rehabilitation process.
Authors: M G Stineman; C J Tassoni; J J Escarce; J E Goin; C V Granger; R C Fiedler; S V Williams Journal: Health Serv Res Date: 1997-10 Impact factor: 3.402
Authors: Jolanda C M van Haastregt; Irma H J Everink; Jos M G A Schols; Stefan Grund; Adam L Gordon; Else P Poot; Finbarr C Martin; Desmond O'Neill; Mirko Petrovic; Stefan Bachmann; Romke van Balen; Leonoor van Dam van Isselt; Frances Dockery; Marije S Holstege; Francesco Landi; Laura M Pérez; Esther Roquer; Martin Smalbrugge; Wilco P Achterberg Journal: Eur Geriatr Med Date: 2021-11-20 Impact factor: 1.710