ABSTRACT
Reducing the paucity of German studies on the rehabilitation of alcohol-dependent patients, this article presents current data of Germany's national Pension Insurance Federal Institution. Numbers of applications, grants and use of rehabilitation, length and duration of treatment, percentage of nonattendance, comorbidity, and sociomedical course after 2 years are discussed. There has been a constant increase in numbers of rehabilitative treatment, especially in the outpatient setting with decreased treatment length, a high rate of comorbidity, and improvements in the sociomedical course and vocational integration. Two years after rehabilitation, 87% of inpatients and 92% of outpatients were recontributing to the pension system continuously or sporadically. Despite the still marked deficits in the provision of rehabilitative treatment for addicted patients, rehabilitation plays an important and established role in this field and shows promising clinical results.
Subject(s)
Alcoholism/rehabilitation , Length of Stay/statistics & numerical data , National Health Programs/statistics & numerical data , Rehabilitation Centers/statistics & numerical data , Social Security/statistics & numerical data , Substance-Related Disorders/rehabilitation , Adult , Aged , Alcoholism/epidemiology , Ambulatory Care/statistics & numerical data , Comorbidity , Female , Follow-Up Studies , Germany , Humans , Insurance Claim Review/statistics & numerical data , Long-Term Care/statistics & numerical data , Male , Middle Aged , Outcome Assessment, Health Care/statistics & numerical data , Patient Admission/statistics & numerical data , Substance-Related Disorders/epidemiology , Utilization Review/statistics & numerical dataABSTRACT
Using routine data collected in 2000 for the quality assurance programme of the German Pension Insurance subjective mental impairment and disorders documented in discharge letters of patients undergoing rehabilitation funded by the Federal Insurance Institute for Salaried Employees (BfA) (n = 19,272) were correlated with psychological treatment and inpatient somato-medical rehabilitation provided. The results show discrepancies between self-evaluation, original diagnosis and treatment received. The frequency of treatments varies between hospitals. The differences in treatment are attributed rather to a varying quality of implementation of the bio-psycho-social concept than to a lack of human resources.
