Cardiac rehabilitation in Germany
- 1 February 2007
- journal article
- review article
- Published by Oxford University Press (OUP) in European Journal of Preventive Cardiology
- Vol. 14 (1), 18-27
- https://doi.org/10.1097/hjr.0b013e3280128bde
Abstract
The purpose of this review is to give an overview of the rehabilitation measures provided for cardiac patients in Germany and to outline its legal basis and outcomes. In Germany the cardiac rehabilitation system is different from rehabilitation measures in other European countries. Cardiac rehabilitation in Germany since 1885 is based on specific laws and the regulations of insurance providers. Cardiac rehabilitation has predominantly been offered as an inpatient service, but has recently been complemented by outpatient services. A general agreement on the different indications for offering these two services has yet to be reached. Cardiac rehabilitation is mainly offered after an acute cardiac event and bypass surgery. It is also indicated in severe heart failure and special cases of percutaneous coronary intervention. Most patients are men (>65%) and the age at which events occur is increasing. The benefits obtained during the 3-4 weeks after an acute event, and confirmed in numerous studies, are often later lost under 'usual care' conditions. Many attempts have been made by rehabilitation institutions to improve this deficit by providing intensive aftercare. One instrument set up to achieve this is the nationwide institution currently comprising more than 6000 heart groups with approximately 120000 outpatients. After coronary artery bypass grafting or acute coronary syndrome cardiac rehabilitation can usually be started within 10 days. The multidisciplinary rehabilitation team consists of cardiologists, psychologists, exercise therapists, social workers, nutritionists and nurses. The positive effects of cardiac rehabilitation are also important economically, for example, for the improvement of secondary prevention and vocational integration.Keywords
This publication has 20 references indexed in Scilit:
- Veränderungen von Risikofaktoren nach stationärer Rehabilitation bei Patienten mit koronarer HerzkrankheitDeutsche Medizinische Wochenschrift (1946), 2003
- Effect of cardiac rehabilitation on functional outcomes after coronary revascularizationAmerican Heart Journal, 2003
- Teilstationäre kardiologische Rehabilitation - Akzeptanz und Bedingungskonfigurationen für die Settingentscheidung*Die Rehabilitation, 2002
- Mitteilungen der DGPRClinical Research in Cardiology, 2002
- Long-term effects of in-hospital cardiac rehabilitation on the cardiac risk profile. A case-control study in pairs of siblings with myocardial infarctionEuropean Heart Journal, 2001
- Return to work after myocardial infarction/coronary artery bypass grafting: patients’ and physicians’ initial viewpoints and outcome 12 months laterSocial Science & Medicine, 2001
- Cardiac risk factors, medication, and recurrent clinical events after acute coronary disease. A prospective cohort studyEuropean Heart Journal, 2001
- Einfluss eines optimierten Schnittstellenmanagements auf die Langzeiteffektivität der kardiologischen RehabilitationDeutsche Medizinische Wochenschrift (1946), 2000
- Ambulante kardiale Rehabilitation der Phase II — „Kölner Modell“ — einschließlich der Ergebnisse drei Jahre nach Abschluß der RehabilitationHerz, 1999
- Auswirkung stationärer Rehabilitation auf kardiovaskuläre Risikofaktoren bei Patienten mit koronarer HerzerkrankungDeutsche Medizinische Wochenschrift (1946), 1999