Entwicklung einer evidenzbasierten Leitlinie zur kardiologischen Rehabilitation - Phase 2: Vergleichende Analyse des Ist-Zustandes der in der kardiologischen Rehabilitation erbrachten Leistungen auf der Basis der KTL-Statistik

Bitzer, Eva Maria; Klosterhuis, H.; Dörning, Hans; Rose, Steve

doi:10.1055/s-2003-38811

Cited by 7 publications

(10 citation statements)

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“…First and foremost, the risk and existence of inequalities in a comparatively highly standardised area of service provision (cf. Bitzer et al 2003) needs to be acknowledged. Rehabilitation needs to take account of the strikingly higher need for rehabilitation of patients of low SES, particularly when bearing in mind that long-term success can be achieved among these patients when appropriate therapies are adopted (Bjarnason-Wehrens et al 2007).…”

Section: Resultsmentioning

confidence: 99%

“…However, attention should be paid to psychological stress and respective treatment in order to specifically support patients in the development of specific skills (cf. Bitzer et al 2003) to better cope with chronic illness and successfully modify their lifestyles. Graham and Kelly (2004) argue that policies, including those concerned with health care, should not only aim to improve key determinants of health overall, but take account of social inequalities and aim at health equity.…”

Section: Resultsmentioning

confidence: 99%

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Inequalities in therapeutic treatment during cardiac inpatient rehabilitation in Germany

Altenhöner¹,

Baczkiewicz²,

Weishaar

et al. 2011

Int J Public Health

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Inequalities in therapeutic treatment during cardiac inpatient rehabilitation in Germany

Altenhöner¹,

Baczkiewicz²,

Weishaar

et al. 2011

Int J Public Health

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“…Konkrete Hinweise für ein psychologisches Assessment, eine Indikationsstellung sowie psychologische Interventionen fehlen weitgehend. Aus den Analysen von KTL-Daten der Rentenversicherung [ 14 ] sowie einer aktuellen Erhebung bei den psychologischen Abteilungen der Rehaeinrichtungen in Deutschland [ 15 ] wissen wir, dass es in Bezug auf die psychologische Behandlung von koronarer Herzkrankheit eine große Variabilität zwischen den Einrichtungen gibt. Insbesondere die scheinbare Unabhängigkeit des Leistungsgeschehens von wichtigen Patientenmerkmalen, zu denen auch die psychische Belastung gehört [ 16 ] , ist dabei beunruhigend.…”

Section: Hintergrund Und Zielsetzung ▼unclassified

Psychologische Interventionen in der Rehabilitation von Patienten mit koronarer Herzerkrankung: Zusammenfassung der Evidenz und der Empfehlungen aus systematischen Übersichtsarbeiten und Leitlinien

2012

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For several psychological interventions in the treatment of patients with coronary heart disease we found empirical evidence from systematic reviews. For other psychological interventions, no empirical evidence from systematic reviews was found. The summary of guidelines shows that both in Germany and abroad, a number of psychologically grounded interventions are an inherent part of cardiac rehabilitation. However, many recommendations which refer to psychological diagnostics and interventions are not precise enough to guide psychological care of individual patients. In particular, there are no statements in many guidelines on which (psychological) treatments should be considered for which problems. Moreover, hardly any evidence or recommendations were found for specific interventions referring to special groups of patients (e.g., women, patients with low socio-economic status or migration background). Further research is needed in these respects in order to answer questions concerning the indication and effectiveness of such tailored interventions.

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“…Zurzeit werden Projekte zu koro− narer Herzkrankheit [6,7], chronischem Rückenschmerz [8], Dia− betes mellitus [9], Schlaganfall [10], Mammakarzinom und Alko− holabhängigkeit durchgeführt. Wesentlicher Teil der resultieren− den Leitlinien sind Qualitätsindikatoren, anhand derer im Rah− men der Qualitätssicherungsaktivitäten der BfA die Leitlinien− treue der rehabilitativen Prozesse abgeschätzt werden wird [11 ± 13].…”

Section: Zusammenfassungunclassified

Effektivität psychosozialer Behandlungsmethoden zur medizinischen Rehabilitation alkoholabhängiger Patienten

Bottlender¹,

Köhler²,

Soyka³

2006

Fortschr Neurol Psychiatr

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Treatment approaches which are used in the context of inpatient alcoholism treatment are frequently neither theoretically justified nor empirically examined. In view of the enormous method variety the necessity exists for the development of treatment guidelines in order to offer indicators of promising treatment achievement for practitioners and pension funds. In a first step, it must be examined which treatments are effective, which are ineffective and which are possibly even counter-productive. This article aims to give a comprehensive review of randomized-controlled studies/meta-analysis on the efficacy of different treatment approaches. This article reporting the literature review is part of a larger programme to develop clinical practice guidelines for rehabilitation which is supported in form, content and finance by the German Pension Institute for Salaried Employees (Bundesversicherungsanstalt für Angestellte, BfA). Summing up, treatment is effective compared to no treatment. Cognitive behavioural therapy included in a multimodal treatment program is effective. There are a number of treatment protocols for which controlled research has consistently found positive results like social skills training, community reinforcement approaches, behaviour contracting, motivation-enhancing treatment, and family/marital therapy. There is also a number of commonly used treatment approaches that brought neither a positive result or were counter productive like relapse prevention, non-behavioural marital therapy, and insight psychotherapy, confrontational counseling, education, relaxation training, and milieu therapy. Support for matching to a specific treatment is weak, but interventions against alcohol problems should be differentiated according to the severity of the alcohol problem. Since treatment evaluation is mainly accomplished in the US and supplying structures with respect to the US and Germany are substantially different, a generalized transmission of US-American research results on Germany is to be evaluated carefully. Randomized-controlled studies are needed in Germany.

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Entwicklung einer evidenzbasierten Leitlinie zur kardiologischen Rehabilitation - Phase 2: Vergleichende Analyse des Ist-Zustandes der in der kardiologischen Rehabilitation erbrachten Leistungen auf der Basis der KTL-Statistik

Cited by 7 publications

References 0 publications

Inequalities in therapeutic treatment during cardiac inpatient rehabilitation in Germany

Inequalities in therapeutic treatment during cardiac inpatient rehabilitation in Germany

Psychologische Interventionen in der Rehabilitation von Patienten mit koronarer Herzerkrankung: Zusammenfassung der Evidenz und der Empfehlungen aus systematischen Übersichtsarbeiten und Leitlinien

Effektivität psychosozialer Behandlungsmethoden zur medizinischen Rehabilitation alkoholabhängiger Patienten

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