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Gesundheitswesen. 2006 Jul;68(7):436-41.

[The Impact of Diseases (ICD-10) and Impairments of Activity and Participation (ICF) on the Long-Term Care Insurance in Germany (SGB XI)].

[Article in German]

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Medizinischer Dienst der Krankenkassen Berlin-Brandenburg e. V.


On the basis of a representative sample of expert records from the Medical Review Board of the statutory care insurance funds (MDK) it could be shown that in the year 2003 more diseases of dementia had been examined for the long-term care insurance. The diagnois of dementia is statistically significant as a determinat of exposition related to get benefit from the care insuance. Help assistance which is needed after suffering form fraturs of bones are significant too, but related to get no benefits. In Germany the expert records of the long-term care insurance investigate the help assistance defined by the Social Code (SGB XI) which is needed in the daily live of the disabled and handicaped people. The classification of the SGB XI for daily performances offers the required transparency by using the mulitvariate logistic regression analysis with the predictor to get benefits from the care insurance. The help assistance estimated in the sample was recoded with the International Classification of Functioning, Disability and Health (ICF). Within this classification activity and participation in daily life of disabled and handicapped people are investigated. It was found that there could be more subdivions for these performances. A new analysis of the body function recorded in the ICF could be of interest to explain significant variables relating to the amount of help assistance.

[Indexed for MEDLINE]

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