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5. [Current state, goals and quality standards of outpatient care in rheumatology: position paper of the Professional Association of German Rheumatologists (BDRh)].

Author

Fiehn C, Baraliakos X, Edelmann E, Froschauer S, Feist E, Karberg K, Ruehlmann JM, Schuch F, Welcker M, and Zinke S

Subjects
Ambulatory Care, Goals, Humans, Rheumatologists, Quality of Health Care standards, Rheumatic Diseases diagnosis, Rheumatic Diseases therapy, Rheumatology standards
Abstract

Even in the era of modern guidelines, the treatment of rheumatic diseases is only as good as the framework of rheumatological care within which the treatment is carried out. The access to high-quality medical treatment for all patients is therefore essentially decisive for the prognosis of the patients. This article describes the current state of outpatient treatment in rheumatology and demonstrates which quality projects, such as treatment contracts, outpatient specialized medical treatment (ASV), digitalization and training as specialized rheumatological assistant (RFA), have been created in order to ensure the treatment of our patients. Furthermore, standards are defined that can guarantee a contemporary and guideline-conform treatment in outpatient rheumatological units. As an example it is an affirmation of the Professional Association of German Rheumatologists (BDRh) for ensuring optimal care for all rheumatology patients through early or emergency rheumatology clinics, treat to target, appropriate delegation of medical duties and diversification of treatment, thus an assurance of the quality and comprehensive treatment in rheumatology. The important topic of safeguarding the next generation of rheumatologists, which is indispensable for this, is also discussed.

Published
2020
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7. [Position paper of the commission on digital rheumatology of the German Society of Rheumatology: tasks, targets and perspectives for a modern rheumatology]

Author

J, Knitza, J, Callhoff, G, Chehab, A, Hueber, U, Kiltz, A, Kleyer, M, Krusche, D, Simon, C, Specker, M, Schneider, A, Voormann, M, Welcker, and J G, Richter

Subjects
Rheumatology, Germany, Humans, Telemedicine
Abstract

Digitalization in the healthcare system is a great challenge for rheumatology as for other medical disciplines. The German Society for Rheumatology (DGRh) wants to actively participate in this process and benefit from it. By founding the commission on digital rheumatology, the DGRh has created a committee that deals with the associated tasks, advises the DGRh on questions and positions associated with digital health. For the DGRh, this affects the most diverse areas of digitalization in medicine and rheumatology. This position paper presents the topics and developments currently handled by the commission and the tasks identified.

Published
2020

8. [Treat to participation : Position paper of the German Society for Rheumatology on sustained improvement of functional health of patients with rheumatic and musculoskeletal diseases]

Author

W, Mau, W, Beyer, I, Ehlebracht-König, J-M, Engel, E, Genth, and U, Lange

Subjects
Rheumatology, Germany, Rheumatic Diseases, Activities of Daily Living, Outcome Assessment, Health Care, Practice Guidelines as Topic, Quality of Life, Humans, Musculoskeletal Diseases, Recovery of Function
Abstract

From the perspective of patients with rheumatic diseases, the reduction of inflammatory disease activity alone is not a sufficient treatment goal. In addition the functional health and participation also have to be improved. Starting with the first symptoms the empowerment for the self-management of the disease is important for the patients; therefore, the established treat to target-strategy has to be expanded by the functional dimension to treat to participation. The position paper of the German Society for Rheumatology (GSR) summarizes the relevant fields of the multiprofessional action that is frequently necessary. This includes the acquirement of function-related competencies during training, further education and advanced training as well as implementation in the everyday practice of patient care. Furthermore, the GSR acknowledges the need for research related to functional and sociomedical consequences of rheumatic diseases and to individual and combined function-related programs in outpatient and inpatient care in rheumatology.

Published
2015

12. [Structural quality of rheumatology clinics for children and adolescents. Paper by a task force of the 'Society of Pediatric and Adolescent Rheumatology' and of the 'Association of Rheumatology Clinics in Germany']

Author

H, Michels, G, Ganser, G, Dannecker, J, Forster, R, Häfner, G, Horneff, R M, Küster, H-J, Lakomek, H, Lehmann, K, Minden, B, Rogalski, and M, Schöntube

Subjects
Patient Care Team, Health Services Needs and Demand, Adolescent, Quality Assurance, Health Care, Cost-Benefit Analysis, Hospital Departments, Hospitals, Pediatric, Hospitals, Special, Early Diagnosis, Germany, Rheumatic Diseases, Outcome Assessment, Health Care, Humans, Hospital Design and Construction, Child, Specialization
Abstract

Rheumatic diseases in childhood and adolescence differ from those of adulthood according to type, manifestation, treatment and course. A specialized therapy, starting as early as possible, improves the prognosis, can prevent long-term damage and saves the costs of long-term care. Only a specialized pediatric care system can guarantee optimum quality of the processes involved and the results for rheumatology in childhood and adolescence within a global financial system. This requires adequate structural quality of the specialized clinics and departments for pediatric rheumatology. The management of rheumatic diseases in childhood and adolescence is comprehensive and requires a multidisciplinary, specialized and engaged team which can cover the whole spectrum of rheumatic diseases with their various age-dependent aspects. In order to guarantee an adequate, cost-efficient routine, a specialized center which concentrates on inpatient care should treat at least 300 patients with pediatric rheumatic diseases per year. The diagnoses should be divided among the various disease categories with at least 70% of them involving inflammatory rheumatic diseases. For the inpatient care of small children, an accompanying person (parent) is necessary, requiring adequate structures and services. Patient rooms as well as diagnostic (radiography, sonography, etc.) and therapeutic services (physiotherapy, occupational therapy, pool, etc.) must be adequate for small children and school children as well as adolescents. Suitable mother-child units must also be provided and a school for patients is required within the clinic. A pediatric rheumatologist must be available 24 h a day, and it must be possible to reach other specialists within a short time. For painful therapeutic procedures, age-appropriate pain management is obligatory. A continuous adjustment of these recommendations to changing conditions in health politics is intended.

Published
2006

21. Rheumatologische Weiterbildungsstellen in Deutschland

Author

Pfeil, Alexander, Krusche, Martin, Proft, Fabian, Vossen, Diana, Braun, Jürgen, Baraliakos, Xenofon, Berliner, Michael N., Keyßer, Gernot, Krause, Andreas, Lorenz, Hanns-Martin, Manger, Bernhard, Schuch, Florian, Specker, Christof, Wollenhaupt, Jürgen, Voormann, Anna, and Fleck, Martin

Published
2023
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26. Ist eine Delegation ärztlicher Leistungen auf rheumatologische Fachassistenten bei der Evaluierung von Patienten mit Verdacht auf ankylosierende Spondylitis möglich? – Ergebnisse der PredAS-Studie.

Author

Kiltz, U., Spiller, I., Sieper, J., and Braun, J.

Abstract

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2020
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31. Strukturqualität akut-internistischer rheumatologischer Kliniken – Projektgruppenarbeit des VRA.

Author

Lakomek, Heinz-Jürgen, Neeck, Gunther, Lang, Bernhard, and Jung, Jürgen

Abstract

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2002
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32. Facharztweiterbildung quo vadis?

Author

Krusche, M., Sewerin, P., Kleyer, A., Mucke, J., Vossen, D., and Morf, H.

Abstract

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2019
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37. Aktuelle Zahlen zur rheumatologischen Versorgung – Jahresbericht aus der Kerndokumentation der regionalen kooperativen Rheumazentren

Author

Albrecht, Katinka, Thiele, Katja, Alexander, Tobias, Aringer, Martin, Eidner, Thorsten, Henes, Jörg, Hoese, Guido, Karberg, Kirsten, Kiltz, Uta, Krause, Andreas, Ochs, Wolfgang, Richter, Jutta G, Späthling-Mestekemper, Susanna, Steinmüller, Mirko, Wassenberg, Siegfried, Strangfeld, Anja, and Callhoff, Johanna

Published
2024
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