Nutzung der ICF in der medizinischen Rehabilitation in Deutschland: Anspruch und Wirklichkeit

Wenzel, Tobias-Raphael; Morfeld, Matthias

doi:10.1007/s00103-017-2517-x

Cited by 7 publications

(2 citation statements)

References 42 publications

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“…In the future, the operationalization should definitely be standardized and so we are calling for a harmonization of the assessment procedure for the need of rehabilitation as other rehabilitation researchers [ 7 , 8 ]. As rehabilitation is oriented towards the biopsychosocial model of illness and health, which is the basis of the International Classification of Functioning, Disability and Health (ICF) [ 50 , 51 ], this could be another approach for a standardized need assessment. It is already stated in the social code IX in Germany that the determination of the need for rehabilitation should be carried out by an instrument that is based on the ICF, while also considering different life aspects e.g.…”

Section: Discussionmentioning

confidence: 99%

Medical rehabilitation of older employees with migrant background in Germany: Does the utilization meet the needs?

2022

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Due to demographic change with an ageing workforce, the proportion of employees with poor health and a need for medical rehabilitation is increasing. The aim was to investigate if older employees with migrant background have a different need for and utilization of medical rehabilitation than employees without migrant background. To investigate this, self-reported data from older German employees born in 1959 or 1965 of the first and second study wave of the lidA cohort study were exploratory analyzed (n = 3897). Subgroups of employees with migrant background were separated as first-generation, which had either German or foreign nationality, and second-generation vs. the rest as non-migrants. All subgroups were examined for their need for and utilization of medical rehabilitation with descriptive and bivariate statistics (chi-square, F- and post-hoc tests). Furthermore, multiple logistic regressions and average marginal effects were calculated for each migrant group separately to assess the effect of need for utilization of rehabilitation. According to our operationalizations, the foreign and German first-generation migrants had the highest need for medical rehabilitation while the German first- and second-generation migrants had the highest utilization in the bivariate analysis. However, the multiple logistic model showed significant positive associations between their needs and utilization of rehabilitation for all subgroups. Further in-depth analysis of the need showed that something like under- and oversupply co-exist in migrant groups, while the foreign first-generation migrants with lower need were the only ones without rehabilitation usage. However, undersupply exists in all groups independent of migrant status. Concluding, all subgroups showed suitable use of rehabilitation according to their needs at first sight. Nevertheless, the utilization does not appear to have met all needs, and therefore, the need-oriented utilization of rehabilitation should be increased among all employees, e.g. by providing more information, removing barriers or identifying official need with uniform standards.

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Section: Discussionmentioning

confidence: 99%

Medical rehabilitation of older employees with migrant background in Germany: Does the utilization meet the needs?

2022

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“…Current projects concerning the use of ICF in Germany are also mainly in the field of rehabilitation or for children with chronic disease or disabilities [28]. Whereby, research is still needed on the concrete use of ICF-based instruments and its intended and unintended effects [29]. However, especially in the treatment of elderly people with multimorbidity in primary care, the inclusion of ICF principles may be a great opportunity, since activation, social participation as well as personal environment are crucial factors in their diseases and treatment.…”

Section: Implication For Practice and Policymentioning

confidence: 99%

Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?

et al. 2021

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Background Patients with multimorbidity (here defined as three or more chronic conditions) require constant treatment and care. Furthermore, they have to manage their health and diseases in daily life. Offering support to patients’ medical self-management is an important task of primary care. The aim of this study was to explore, what further support is needed from the perspective of patients’ and primary care practitioners. Methods A qualitative study using individual semi-structed interviews with 17 patients with multimorbidity and 7 practitioners (4 primary care physicians and 3 practice assistants) was conducted in Germany. Data were audio-recorded, pseudonymised and transcribed verbatim. Data analysis was performed using qualitative content analysis to structure data into themes and subthemes. All data were managed and organised in MAXQDA. Results The three broad themes: current status, challenges and further support emerged. Patients reported on unfulfilled needs regarding role or emotional management, like coping with loneliness, loss of independence and, changing habits. The importance of social contact was highlighted by patients and practitioners. Patients articulated further support from their primary care practitioners on coping with the disease. Practitioners’ wished for further support in aspects of social participation, public transport, and community resources. Conclusion Challenges regarding self-management of elderly patients with multimorbidity may be addressed by harnessing social support and community initiatives.

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Konzeptionelle Grundlagen

Bartelheimer¹,

Behrisch²,

Daßler³

et al. 2020

Teilhabe – Eine Begriffsbestimmung

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Nutzung der ICF in der medizinischen Rehabilitation in Deutschland: Anspruch und Wirklichkeit

Cited by 7 publications

References 42 publications

Medical rehabilitation of older employees with migrant background in Germany: Does the utilization meet the needs?

Medical rehabilitation of older employees with migrant background in Germany: Does the utilization meet the needs?

Self-management perspectives of elderly patients with multimorbidity and practitioners - status, challenges and further support needed?

Konzeptionelle Grundlagen

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