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BPMR- Berufsverband sterreichischer Fachrzte fr Physikalische Medizin und Rehabilitation

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div.WordSection1 {page:WordSection1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normale Tabelle"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman",serif;} </style> <![endif]--> <meta name=author content=kurt> <!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1026"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=DE-AT link="#231F20" vlink="#231F20" style='tab-interval:35.4pt'> <div> <p class=s2><span style='font-size:14.0pt'>Zum Stellenwert der stationren Rehabilitation in sterreich<o:p></o:p></span></p> <p class=s3><span style='font-size:12.0pt'>Gerold <span class=SpellE>Ebenbichler</span><o:p></o:p></span></p> <p class=s4>Berufsverband sterreichischer Fachrzte fr Physikalische Medizin und Rehabilitation</p> <p class=s4>ZUSAMMENFASSUNG</p> <p class=s4>Rehabilitation im Sinne der WHO-Definition bedeutet Behinderungen zu vermeiden oder zu reduzieren und die Funktionsfhigkeit zu verbessern und zu erhalten, sodass die soziale Partizipation mglichst ohne Einschrnkungen wahrgenommen werden kann. Die Auswahl von Manahmen der medizinischen Rehabilitation liegt im Verantwortungsbereich der rzteschaft. Der funktionale Gesundheitszustand einer Person, nicht die Gesundheitsstrung bedingende Erkrankung oder Verletzung, ist die wichtigste Indikation zur medizinischen Rehabilitation und zur Auswahl der Rehabilitationseinrichtung.</p> <p class=s4>Medizinische Rehabilitation ist in den nationalen Gesundheitswesen unterschiedlich organisiert. In sterreich sind traditionell Krankenanstalten fr die medizinische Rehabilitation stationrer Patienten meist fern von Ballungszentren und Akutkrankenhusern lokalisiert. Klare Richtlinien zur Feststellung der Ausprgung der funktionalen Gesundheit zum Zeitpunkt des Beginns von stationrer Rehabilitation sind wichtige Aspekte fr erfolgreiche Rehabilitationsergebnisse. Ein frhzeitiger Einsatz von rehabilitativen Interventionen im Akutkrankenhaus und ein Entlassungsmanagement unter der Aufsicht von Rehabilitationsmedizinern, die im Akutkrankenhaus rehabilitative Interventionen veranlassen und verantworten, knnte die Effizienz der medizinischen Rehabilitation verbessern. Darber hinaus ist aus demographischen, epidemiologischen und medizinischen Grnden eine Zunahme von Menschen mit eingeschrnkten Alltagsaktivitten und verminderter Teilhabe zu er- warten. Ein Ausbau und die Vernetzung von Einrichtungen zur medizinischen Rehabilitation stationrer, tagesklinischer und ambulanter Patienten sind notwendig, um Kosten fr Pflege zu verringern, und das Ziel, mglichst selbstndige und unabhngige Menschen zu erreichen.</p> <p class=s4>SCHLSSELWRTER: medizinische Rehabilitation, Gesundheitszustand, Teilhabe, Rehabilitationskrankaus</p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>IMPORTANCE OF THE IN-PATIENT REHABILITATION IN AUSTRIA<o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>According to the WHO definition, rehabilitation means to prevent or to reduce disablement and to improve functioning, so that social participation can be achieved without or least possible restrictions. The selection of medical rehabilitation interventions is the responsibility of the medical profession. The functional health condition of a person, not the disease or injury causing the health disorder, is the most important indication for medical rehabilitation and for selecting a rehabilitation facility. <o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>Medical rehabilitation is differently organised in the national health services. In Austria hospitals for medical rehabilitation of in-patients are localized traditionally far away from population centres and acute-care hospitals. Clear guidelines for the assessment of level of functional health and for the time of the starting of in-patient rehabilitation are important aspects for successful rehabilitation results. An early use of rehabilitative interventions in the acute hospital and patients management under the supervision of rehabilitation physicians who are responsible for providing the rehabilitative service in the acute hospital, could improve the efficiency of medical rehabilitation. In addition, an increase of people with limited activities of daily and reduced social participation is expected due to demographic, epidemiological and medical reasons. Expansion and the networking of facilities that provide medical rehabilitation at an inpatient, day unit or outpatient basis, are necessary to reduce costs for nursing care services and to achieve the goal of self-reliant and independently living people. <o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>KEYWORDS: medical Rehabilitation, health condition, participation, rehabilitation hospital<o:p></o:p></span></p> </div> </body> </html>