Outcome Assessment in der Rehabilitation – Eine empirische Untersuchung der Lebensqualität von Rehabilitanden mit orthopädischen Erkrankungen

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Abstract

Introduction:

Evaluation of health-related quality of life is of great importance as patients' morbidity has changed over the years. Due to the increase in chronic diseases, patient-reported outcomes are an important complementary outcome parameter in addition to the traditional mortality and morbidity data. The present study aims to investigate the changes in patients' health-related quality of life after orthopaedic rehabilitation.

Methods:

In a rehabilitation clinic, 100 orthopaedic patients were asked about their health-related quality of life using EQ-5D at admission (T1), discharge (T2) and six weeks after hospitalization (T3) (pre-post design with one follow-up measurement).

Results:

At the end of rehabilitation (T2), the surveyed sample shows a significantly higher quality of life compared to the commencement (T1) of the rehabilitative treatment. Six weeks after discharge from the rehabilitation hospital (T3) there are no remarkable quality of life gains; quality of life remains almost constant.

Conclusion:

Due to the increase in chronic diseases, an aging society and the need for appropriate economic allocation of available resources, it is increasingly important to generate empirical evidence on the effectiveness and efficiency of medical interventions and, specifically, rehabilitative measures. Both, the present work as well as other available empirical studies, have identified the need to optimize the enduring effects of rehabilitation. Therefore, future efforts should work on and enhance a multi-professional treatment, including appropriate follow-up activities, taking into account individual patient needs.

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