[MosaiK-Mobile geriatric rehabilitation in short-term care : Results of the process evaluation]

Rehabilitation measures in short-term care (KuP), e.g., in the form of mobile geriatric rehabilitation (MoGeRe), are rarely carried out. One of the reasons for this is that the need for rehabilitation is not identified in advance.

The MosaiK (mobile geriatric rehabilitation in short-term care) project aimed to identify the rehabilitation needs of people registered for a KuP at an early stage, initiate a MoGeRe and improve the quality of the two health service areas.

A checklist was used to identify the need for rehabilitation by the KuP admission management. If the results were positive, referring physicians were asked to apply for a MoGeRe for the future KuP guest. If the MoGeRe was approved, case conferences were held in which KuP personnel participated. Video visits between the MoGeRe and the patients and an arm and leg trainer for self-training during the therapy-free period supplemented the program. The processes were evaluated qualitatively in the form of focus groups as well as descriptively and quantitatively.

In 40 cases a review of the need for rehabilitation was suggested by the KuP admission management based on the results of the checklist. The MoGeRe was approved in 27 out of 28 applications. The joint case conference was held at least once for 70.0% of MosaiK patients and a video visit was carried out for 75.0%; the arm and leg trainer was used in 64% of cases.

The implementation of the newly implemented processes was largely successful and required relatively little additional effort compared to (remunerated) routine care. The approach should therefore also be transferable to other forms of MoGeRe.