Rehabilitee-Management-Categories (RMK) - Results of the Development Phase and of the First Clinical Implementation in Alcohol Rehabilitation Centres].

Due to the introduction of lump sum reimbursement systems for acute-care settings (DRGs), patient classification systems have been developed in Germany during the last 15 years to adapt a case-based lump sum system to the field of medical rehabilitation. The concept of Rehabilitee-Management-Categor...

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Publicado en:Rehabilitation Vol. 50; no. 5; pp. 298 - 308
Autores principales: Spyra K, Köhn S, Ammelburg N, Schmidt C, Missel P, Lindenmeyer J
Formato: research Journal Article
Publicado: Georg Thieme Verlag Stuttgart 2011 Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2011 Oct
      vid: 50
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      pub: Georg Thieme Verlag Stuttgart
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        atl: Rehabilitee-Management-Categories (RMK) - Results of the Development Phase and of the First Clinical Implementation in Alcohol Rehabilitation Centres].
      aug:
        au:
          Spyra K
          Köhn S
          Ammelburg N
          Schmidt C
          Missel P
          Lindenmeyer J
      sug:
        subj:
          Alcohol Rehabilitation Programs
          Case Management Economics
          National Health Programs Economics
          Rehabilitation Centers Economics
          Alcoholism Classification
          Alcoholism Economics
          Disability Evaluation
          Germany
          Health Resource Allocation Economics
          Health and Welfare Planning Economics
          Health Services Needs and Demand Economics
          Health Services Research Economics
          Human
          Patient Admission Economics
          Nursing Care Plans Economics
          Reimbursement Mechanisms Economics
          Economic and Social Security Economics
      ab: Due to the introduction of lump sum reimbursement systems for acute-care settings (DRGs), patient classification systems have been developed in Germany during the last 15 years to adapt a case-based lump sum system to the field of medical rehabilitation. The concept of Rehabilitee-Management-Categories (RMK), developed by the Charité - Universitätsmedizin Berlin, classifies rehabilitees primarily by their relevant impairments of activity and participation, as these factors mainly determine treatment needs and resources required in rehabilitation. It can, inter alia, be used to optimize the demand-related allocation of treatment services in the rehabilitation centres as well as lead to more transparency in the allocation process. RMK results are reported on the example of inpatient rehabilitation of alcohol dependence.Utilizing internationally established assessments, an RMK-assessment was developed that allows the assessment of rehab treatment needs of patients undergoing alcohol dependence rehabilitation. The RMK-assessment was completed by n=731 rehabilitees. Latent class analysis was applied to find groups of cases. To facilitate the RMK-patient classification a software-based algorithm was developed and implemented in 12 rehabilitation centres (implementation study). To validate the results of the first study phase, the data collected during implementation (n=1 533) was again analyzed using latent class analysis. Combined standardized and qualitative user surveys were conducted at the end of the implementation study.On the basis of 15 needs-related patient characteristics, 4 comparable case groups (AL-1 to AL-4) each were identified in 2 independent samples, groups that differed significantly in their degree of dependence-related, psychological and social impairment. The user survey confirmed the basic clinical plausibility of the 4 different case groups as well as the feasibility of the instruments applied in a rehabilitation setting.The RMK-concept offers a new approach for a demand-related patient classification in medical rehabilitation. The RMK-instruments allow a standardized initial assessment of impairment and treatment needs in alcohol rehabilitation and can hence be used for objective comparisons between rehabilitation centres. The results of the RMK-assessment provide relevant information about demand-related treatment requirements, which is a matter of great interest in the context of limited resources. Appropriate treatment requirements for the 4 RMK-case groups will be defined and verified in the next step of the RMK-concept. A financial evaluation of the RMK is possible in principal, will however require more extensive development, not least in order to model and evaluate the health-economic implications involved.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: German
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