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[Thoughts on the problem of expert assessment of severe disability in very young children]
1Kinderarzt MDK Mecklenburg-Vorpommern, Neubrandenburg.
Insights
Determining the need for nursing care for severely disabled infants is complex. This study identifies developmental delays and handicaps to justify greater care needs compared to healthy infants.
Area of Science:
- Pediatrics
- Developmental Psychology
- Medical Social Work
Context:
- Assessing the necessity of nursing care for severely disabled infants under section 53 SGB V presents challenges for sickness insurance experts.
- Both healthy and disabled infants require significant care, making differentiation difficult.
Purpose:
- To identify factors substantiating a greater need for care in severely disabled infants compared to healthy infants of the same age.
- To explore aspects of developmental retardation and potential co-existing mental handicaps in these infants.
Summary:
- Evaluation of 17 cases of severely disabled infants.
- Analysis focused on developmental delays, mental handicaps, and care requirements.
- Comparison of care needs between disabled and healthy infants.
Impact:
- Provides a framework for experts to better assess nursing care needs for disabled infants.
- Aims to ensure appropriate support and resources for infants with significant disabilities.
- Contributes to evidence-based decision-making in social security and healthcare.
Abstract:
Opinions on the necessity of nursing severely disabled infants (section 53 SGB V) are very often difficult for experts of sickness insurances, because even healthy infants in their first years require a much assistance and must be permanently looked after. By evaluating 17 such cases an attempt is made to find aspects of retardation of development and possibly simultaneously existing mental handicaps and moreover factors to substantiate a considerably greater need for help compared to normal infants of the same age.