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首页> 外文期刊>Deutsche Zeitschrift fur Sportmedizin >Ambulante Rehabilitation: Kosten/Nutzen-Relation der Herzgruppentherapie
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Ambulante Rehabilitation: Kosten/Nutzen-Relation der Herzgruppentherapie

机译：Ambulante康复:这些/ Nutzen-Relation《Herzgruppentherapie

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摘要

During the last ten years, the public discussion concerning the German health service has been restricting to economic reflections. According to a new law, especially preventive and rehabilitative measures are inquired after cost/benefit relations. In addition to surgical/pharmacological interventions, the ambulant rehabilitation of patients with chronic heart diseases in "heart-groups" has the aim to improve self-responsibility and self-competence for their illness and health situation by professional support. This long-lasting learning process should end in a wholesome behaviour appropriate to the illnes. The direct and indirect costs for "heartgroup" therapy amount to DM 1.300,- - 2.000,-/pat./yr. Though several studies set up out of the more than 5.000 "heart-groups" in Germany suggest direct (e.g. life quality) and indirect economic (e.g. return to work) benefits, data for a realistic bilance are still missing. The results of only few studies in the world show that costs for rehospitalizati-on and loss of productive capacity of patients in able-bodied age can be reduced. A longer life combined with an enhanced life quality can be reached by continuous ambulant rehabilitation over several years. This should be of value for the patients to bear a greater financial share, if necessary. At present it amounts to less than 10% of total costs.
机译：在过去的十年里,公众讨论关于德国的医疗服务限制经济反射。一项新的法律,特别是预防和康复措施后问道成本/收益的关系。手术/药理干预,ambulant慢性患者的康复心脏疾病“heart-groups”的目的提高自我负责和self-competence为他们的疾病和健康状况专业支持。过程应该结束在一个有益健康的行为适当的疾病。间接成本“heartgroup”疗法DM 1.300, - 2.000, - / pat. /年。研究建立了超过5.000建议直接在德国(如“heart-groups”。生活质量)和间接经济(例如回报工作福利,现实bilance数据人仍下落不明。研究表明,世界上的成本rehospitalizati-on和损失的生产力能力的病人在健全的时代减少了。生活质量可以达到连续的ambulant康复多年。应该为病人的价值了吗更大的金融股票,如果必要的。它达不到10%的总成本。

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