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Die Struktur der kardiologischen Rehabilitation in Deutschland

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1. Struktur (Phasen) der kardiologischen
Rehabilitation in Deutschland
2. Entwicklung, Einrichtung und
Anerkennung der Herzgruppen in RLP
3. Gesetzliche Grundlagen des Rehasports
in Deutschland
4. Rahmenvereinbarungen Rehasport
5. Rechts-, Versicherungs- und
Haftungsfragen
6. Der Landesverband
Behandlungsziele der
kardiologischen Rehabilitation
Medizinische
Ziele
Psychologische
Ziele
Sozio-
Ökonomische
Ziele
Prävention des
Herztodes
Wiederherstellung des
Selbstvertrauens
Wiedereingliederung in
den Arbeitsprozess,
Familie und Gesellschaft
Verminderung der
Morbidität
Befreiung von Angst und
Depressionen
Unabhängigkeit von
Dritten
Verminderung der
Reinfarktrate
Verbesserung der
Stressverarbeitung
Reduktion von direkten
medizinischen Kosten
Verminderung der
Stenosierung
Wiederherstellung der
Selbstverantwortung
Verminderung der
Symptome
Therapiestraße
in der kardiologischen Rehabilitation
Abb.: Therapiestraße nach E. O. Krasemann
Kardiologische Nachsorge
Klassisches Modell der Reha-Phasen (nach WHO*)
Akut-Klinik
stationär
Reha-Klinik
stationär
Hausarzt
ambulant
Herzgruppe
ambulant
I
II
III
* WHO: Weltgesundheitsorganisation (englisch World Health Organization
Kardiologische Nachsorge
Flexibilisierung der Reha-Phasen
Akut-Klinik
stationär
stationär teilstationär ambulant
(amb.) Herzgruppe
sonst. Träger
(amb.) Herzgruppe
Träger Sportverein
Reha-Klinik Ambulantes
Reha-Zentrum
Rehabilitation Phase II (WHO)
DGPR-Mitgliedskliniken 2019
Quelle: DGPR / Grafik: nach P. Ritter
101 Mitgliedskliniken/-
einrichtungen der
Deutschen Gesellschaft
für Prävention und
Rehabilitation von Herz-
Kreislauferkrankungen (DGPR)
per 31.12.2020
Deutschland gesamt:
ca. 170 kardiologische
Rehabilitationseinrichtungen
(Schätzwert, da aktuell keine
offiziellen Verzeichnisse der
Kostenträger mehr verfügbar)

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Die Struktur der kardiologischen Rehabilitation in Deutschland

  • 1. 1. Struktur (Phasen) der kardiologischen Rehabilitation in Deutschland 2. Entwicklung, Einrichtung und Anerkennung der Herzgruppen in RLP 3. Gesetzliche Grundlagen des Rehasports in Deutschland 4. Rahmenvereinbarungen Rehasport 5. Rechts-, Versicherungs- und Haftungsfragen 6. Der Landesverband
  • 2. Behandlungsziele der kardiologischen Rehabilitation Medizinische Ziele Psychologische Ziele Sozio- Ökonomische Ziele Prävention des Herztodes Wiederherstellung des Selbstvertrauens Wiedereingliederung in den Arbeitsprozess, Familie und Gesellschaft Verminderung der Morbidität Befreiung von Angst und Depressionen Unabhängigkeit von Dritten Verminderung der Reinfarktrate Verbesserung der Stressverarbeitung Reduktion von direkten medizinischen Kosten Verminderung der Stenosierung Wiederherstellung der Selbstverantwortung Verminderung der Symptome
  • 3. Therapiestraße in der kardiologischen Rehabilitation Abb.: Therapiestraße nach E. O. Krasemann
  • 4. Kardiologische Nachsorge Klassisches Modell der Reha-Phasen (nach WHO*) Akut-Klinik stationär Reha-Klinik stationär Hausarzt ambulant Herzgruppe ambulant I II III * WHO: Weltgesundheitsorganisation (englisch World Health Organization
  • 5. Kardiologische Nachsorge Flexibilisierung der Reha-Phasen Akut-Klinik stationär stationär teilstationär ambulant (amb.) Herzgruppe sonst. Träger (amb.) Herzgruppe Träger Sportverein Reha-Klinik Ambulantes Reha-Zentrum
  • 6. Rehabilitation Phase II (WHO) DGPR-Mitgliedskliniken 2019 Quelle: DGPR / Grafik: nach P. Ritter 101 Mitgliedskliniken/- einrichtungen der Deutschen Gesellschaft für Prävention und Rehabilitation von Herz- Kreislauferkrankungen (DGPR) per 31.12.2020 Deutschland gesamt: ca. 170 kardiologische Rehabilitationseinrichtungen (Schätzwert, da aktuell keine offiziellen Verzeichnisse der Kostenträger mehr verfügbar)
  • 7. Rehabilitation Phase III (WHO) Entwicklung der Herzgruppen in Deutschland – bis 2015* (*danach keine stat. Erfassung mehr durch die DGPR) (Grafik: Peter Ritter©, DGPR) Laut vdek: zum 01.01.2021 2.439 Vereine und 8.979 Herzgruppen, allerdings mit Doppelerfassungen