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[Effect of Rehabilitation on the Delayed Entry into the Retirement due to Reduced Earning Capacity]
Julia Dannenmaier1, Lena Tepohl1, Desiree Immel2
1Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
Background:
Early retirements make up a large portion of indirect costs of illness caused by chronic back pain.
Methods:
Claims data from statutory health insurance and German Pension Fund provide the basis for analysis. Cox-Regression was performed for duration to early retirement, whereby beside sociodemographic and treatment characteristics, the effect of rehabilitation was considered.
Results:
Early retirement started on average 7.1 month later through rehabilitation. Therefore, rehabilitants made € 8,432.60 higher payments to statutory health insurance and German Pension Fund per rehabilitant. Based on the total number of 21,262 early retirees with orthopedic indications, this can save € 180.7 million. The timing of the early retirement was also affected by age and sickness benefits in the previous month. Savings by avoiding entry into early retirement have not yet been taken into account in this model.
Conclusion:
Rehabilitants receive later pensions due to reduced ability, which allow for more contributions to statutory health insurance and German Pension Fund. This indicates that medical rehabilitation is an economic and effective treatment.
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