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[Ambulatory geriatric rehabilitation--scope, models, prospects]
1Institut für Gerontologie, Universität Dortmund.
Zeitschrift Fur Gerontologie Und Geriatrie
|March 21, 1998
Summary
Outpatient geriatric rehabilitation faces challenges despite supportive policies. Infrastructure, coordination, and payment systems impede progress, necessitating new models for effective home-based and rehabilitation-focused elder care.
Area of Science:
- Gerontology
- Healthcare Policy
- Rehabilitation Medicine
Background:
- Current outpatient geriatric rehabilitation development is marked by conflicting trends.
- Policies advocate for prioritizing home care over institutional care and rehabilitation over nursing care.
- Existing systemic issues hinder the implementation of these core principles.
Purpose of the Study:
- To identify and analyze the barriers to outpatient geriatric rehabilitation.
- To propose framework conditions and models for advancing outpatient geriatric rehabilitation.
- To reconcile policy aims with practical implementation challenges.
Main Methods:
- Descriptive analysis of current challenges in outpatient geriatric rehabilitation.
- Identification of infrastructural, inter-organizational, and financial barriers.
- Conceptualization of facilitating framework conditions and specific models.
Main Results:
- Significant deficits exist in infrastructure, cooperation, and coordination among stakeholders.
- The current payment system for services acts as a barrier to effective rehabilitation.
- Policy intentions are frequently undermined by practical and systemic limitations.
Conclusions:
- Outpatient geriatric rehabilitation requires addressing systemic barriers to align with policy goals.
- Development of new models and supportive framework conditions are crucial for progress.
- Prioritizing rehabilitation and home care necessitates overcoming infrastructural and financial obstacles.