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Welche Versorgungsstrukturen werden für ältere Patienten mit rheumatischen Erkrankungen benötigt?

Which kind of structures and facilities are needed for the care of elderly patients with rheumatic diseases?

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Zusammenfassung

In den nächsten Jahren wird die Zahl älterer Patienten mit rheumatischen Erkrankungen in Deutschland stetig steigen. Dies macht es nötig, dass die Versorgungsstrukturen für Rheumapatienten auf diese Herausforderung vorbereitet sind. Zwei wichtige Problemfelder sind dabei von besonderer Relevanz: Multimorbidität und die Verhinderung von Behinderung. Beide Punkte betreffen nicht nur ältere Patienten, sind aber bei diesen besonders wichtig. Zur Lösung müssen Strukturen gestärkt werden, die Interdisziplinarität ermöglichen. Darüber hinaus müssen die Institutionen für die Versorgung älterer Rheumapatienten genutzt werden, die Rehabilitation leisten können. Beides kann sowohl ambulant wie auch stationär erfolgen. Interdisziplinär arbeitende Rheumatologen sowie das rheumatologische Akutkrankenhaus nehmen dabei in der Versorgung älterer Rheumapatienten Schlüsselfunktionen ein. Sowohl die Praxen wie auch die Kliniken haben aber auch eine spezielle Problematik der Vergütung sowie die Schnittstellenproblematik zwischen den Sektoren zu lösen.

Abstract

In the coming years the number of elderly patients with rheumatic diseases in Germany will continuously increase. Therefore, it is necessary that the structures of the healthcare system for elderly patients with rheumatic diseases are prepared for this challenge. Two important fields are of particular relevance: multimorbidity and the prevention of disability. Both points do not only affect elderly patients but are particularly important in this group. In order to solve the problems structures which facilitate interdisciplinary care should be supported. Moreover, institutions which provide rehabilitation should be utilized for the care of elderly patients with rheumatic diseases. Both can be performed in either outpatient or inpatient settings. Rheumatologists working in interdisciplinary fields, in outpatient practices, and in specialized rheumatology hospitals have key functions in the care of elderly patients with rheumatic diseases. However, practices and hospitals both have to solve the special problems of reimbursement and interfaces between the sectors.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. C. Fiehn gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. ACURA-Rheumazentrum Baden-Baden, Rotenbachtalstr. 5, 76530, Baden-Baden, Deutschland

    C. Fiehn

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Fiehn, C. Welche Versorgungsstrukturen werden für ältere Patienten mit rheumatischen Erkrankungen benötigt?. Z. Rheumatol. 73, 217–224 (2014). https://doi.org/10.1007/s00393-013-1242-6

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  • DOI: https://doi.org/10.1007/s00393-013-1242-6

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