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Effective as of July 1, 2001, the new Book 9 of the German Social Code is designed to bring about fundamental improvements in the situation of people with disabilities or at risk of being disabled, to be realized by replacing welfare and provision by the notion of participation: By making available the social services and supports needed, people with disabilities are to be enabled to participate in the life of the community and, notably, in working life. Focussing on people with disabilities, the author outlines some of the reformatory approaches and innovations in Book 9 and describes the steps taken by the various rehabilitation carriers over the last few months in order to implement the legislator's intentions, hence to improve the situation of people with disabilities.  相似文献   

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Fuchs H 《Die Rehabilitation》2007,46(5):296-309
The legal foundations for provision and realization of geriatric rehabilitation benefits are contained in particular in Book 9 of the German social code, SGB IX (covering rehabilitation and participation of people with disabilities). This paper discusses claims foundations and benefit prerequisites of geriatric rehabilitation taking into consideration the relations between Book 5 (on health insurance) and Book 9 of the social code. The article includes a definition of "geriatric rehabilitation" in light of the SGB IX, describes the benefit carriers' obligations as well as the procedure in place for determining geriatric rehab need, in this context appraising the designation as "geriatric patient" in terms of its appropriateness as an identifying criterion in determining need. Provision of geriatric rehab benefits is contingent on a potential for attaining rehab goals as specified by SGB IX as well as on fulfillment of the benefit prerequisites. Responsibility for the content, extent and quality of geriatric rehabilitation lies with the benefit carriers, as is the case for the obligation to secure availability of the required numbers and quality of rehabilitation facilities and services. The article specifies the legal foundations of the various benefit types (ambulatory, mobile rehab, under a Personal Budget, integrated benefit provision, or early rehab), and discusses geriatric rehabilitation in the framework of an insurance-based medical care system as well as of activating care.  相似文献   

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Book 9 of the German Social Code, effective as of July 1, 2001, was designed to bring about fundamental improvements in the situation of people with disabilities or at risk of being disabled. Somewhat more than two years after having come into force an extensive hearing on political level took place concerning the translation into action of this code. At the same time the legislator is planning first amendments to the Code. The author draws an interim balance concerning the translation into action of Book 9 of the German Social Code. The main emphasis of this statement is on the establishment of common service points as well as on the state of the arrangement of common recommendations at the Federal Rehabilitation Council.  相似文献   

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After World War II, further development of the social protection schemes in place seemed an urgent requirement given a rapidly unfolding industrial society. At the request of Federal Chancellor Konrad Adenauer, four renowned social scientists drafted the "Rothenfelser Denkschrift" published in 1955, which, on the basis of thorough analysis, presented concrete proposals for reshaping the field of social protection. Quite a few of these suggestions have since been incorporated in various books of the German social code, and some of their ideas are quite topical also in the context of the statutory health insurance reform to come. So, curative treatment and rehabilitation might both be considered indispensable constituents of health and social provision, with seamless transitions required in the interest of those affected as well as of meaningful utilization of resources.  相似文献   

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In January 1991, the Government coalition parties agreed that the existing rehabilitation and severely disabled persons legislation should be rearranged in a distinct manner and integrated in the German Social Code as Book IX--Integration of disabled persons. This forthcoming codification moreover is intended as an opportunity for introducing appropriate adjustments and amendments, as well as for considering the possibilities for limited material reform. The Federal Rehabilitation Council has submitted a number of proposals to the Federal government aimed at settling various intersectoral aspects of rehabilitation legislation in the forthcoming Book IX.  相似文献   

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老龄化社会已经到来,我国社会发展面临着巨大的公共服务包括医疗护理服务提供的挑战。我国存在着极具价值的、潜在的护理服务产业,但是,目前护理服务的补偿机制违背经济规律。应明确我国护理服务业的发展策略,制定产业政策,并据此形成相应的人力资源政策。  相似文献   

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