Wodurch wird die Kosteneffektivität physiotherapeutischer Maßnahmen bei Patienten mit lumbalen Rückenschmerzen beeinflusst?

Zusammenfassung

Neben der Frage, welche Faktoren die Effektivität einer physiotherapeutischen Maßnahme in Bezug auf die verursachten Kosten und erzielten Behandlungsergebnisse beeinflussen, verfolgt die Arbeit das Ziel, die Schwierigkeiten bei der Erhebung ökonomischer Studien im Bereich von Behandlungen lumbaler Beschwerden und die Verantwortung der Physiotherapeuten im gesundheitspolitischen Zusammenhang aufzuzeigen.

Die Beeinflussung der Kosteneffektivität findet auf verschiedenen Ebenen statt: Die Datenerhebung und die angewandte Methode ihrer statistischen Auswertung bestimmen darüber, ob die Intervention bezüglich ihrer beabsichtigten Wirkung effektiv ist oder nicht (Handlungsebene). Die bis heute nicht standardisierte Berechnung der zusätzlichen Kosteneffektivitäts- oder Kosten-Nutzen-Rate stellt eine weitere Möglichkeit der Beeinflussung dar (Wirtschaftsebene). Die 3. Ebene umfasst die Perspektive, aus welcher die Effektivität einer Intervention untersucht wird. Hier spielt der vom Entscheidungsträger zusätzlich zur Verfügung gestellte maximale Betrag die entscheidende Rolle (gesundheitspolitische Ebene).

Abstract

As well as addressing the question which factors influence the effectiveness of physiotherapeutic management in relation to costs and treatment outcome this literature review aims to illustrate the difficulties in collecting economic studies related to the treatment of lumbar complaints and to outline the physiotherapist’s area of responsibility in health-care policy.

Influence on cost-effectiveness takes place on various levels: Data collection and statistic analysis method used are decisive for the illustration of the intervention’s effectiveness (operational level). The currently not standardised methods for the calculation of additional cost-effectiveness or cost-benefit ratio are another possible influencing factor (economic level). The third level includes the perspective from which the evaluation of the intervention’s effectiveness was made. In this process the maximal sum paid for the intervention by the responsible body plays a vital role (health-policy level).

Schlüsselwörter

Kosteneffektivität - Physiotherapie - lumbale Rückenschmerzen

Key words

cost-effectiveness - physiotherapy - low back pain

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