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BÖPMR- Berufsverband Österreichischer Fachärzte für Physikalische Medizin und Rehabilitation

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WordSection1 {size:792.0pt 1224.0pt; margin:70.85pt 70.85pt 2.0cm 70.85pt; mso-header-margin:35.4pt; mso-footer-margin:35.4pt; mso-paper-source:0;} 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'>Gedanken zur Organisation des Gesundheitswesens<o:p></o:p></span></p> <p class=s3><span style='font-size:12.0pt'>Thomas <span class=SpellE>Bochdansky</span><o:p></o:p></span></p> <p class=s4>6800 Feldkirch, Österreich</p> <p class=s4 style='margin-right:-70.85pt'>ZUSAMMENFASSUNG</p> <p class=s4>Das Modell der nicht-unterbrochenen Gesundheitsversorgung (<span class=SpellE>continuum</span> <span class=SpellE>of</span> care) wird dargestellt und seine Bedeutung für die Zuordnung von Personen mit Gesundheitsstörungen in Krankenanstalten zur medizinischen Rehabilitation diskutiert. Die Allokation von Personen zu bestimmten Rehabilitationseinrichtungen ist vor allem von der Ausprägung der Funktionsfähigkeit des Rehabilitanden in allen Ebenen des bio-psychosozialen Gesundheitsmodells, aber auch von der Struktur und der Qualität der Interaktion im Behandlungsteam abhängig. Neuere Untersuchungen haben wahrscheinlich gemacht, dass diese Faktoren wesentlich die Wirksamkeit von rehabilitativen Interventionen bedingen. Schließlich sollten künftige demographische Entwicklungen, aber auch Fortschritte in technischen Hilfsmitteln und in der Kommunikationstechnologie in der Planung einer kontinuierlichen Gesundheitsversorgung berücksichtigt werden.</p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>SCHLÜSSELWÖRTER: <span class=SpellE>Gesundheitsversorgung</span>, Rehabilitation, <span class=SpellE>Kontextfaktoren</span><o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>THOUGHTS ON THE ORGANIZATION OF THE HEALTH CARE<o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>The model of continuum-of-care is presented and its importance is discussed for the assignment of persons with health problems to hospitals for medical rehabilitation. The allocation of individuals to specific rehabilitation facilities is primarily dependent on the level of the rehabilitee´s functioning in all domains of the bio psycho-social model of health, but also on the structure and the quality of interaction in the treatment team. New investigations have raised evidence that these factors are significantly contribute to the efficacy of rehabilitative interventions. Finally, future demographic developments, but also progress in technical aids and in communications technology should be considered in the planning of a continuous health care.<o:p></o:p></span></p> <p class=s4><span lang=EN-GB style='mso-ansi-language:EN-GB'>KEYWORDS: Public health, rehabilitation, context factors<o:p></o:p></span></p> </div> </body> </html>