{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:11Z","timestamp":1787004851408,"version":"build-2736575974"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ziel der Studie Bisher wurden v. a. Einflussfaktoren der Antragstellung und Inanspruchnahme der medizinischen Rehabilitation wegen R\u00fcckenschmerzen untersucht. Potentielle Vorstufen der Leistungsbeantragung \u2013 Rehabilitationsbed\u00fcrfnis und Antragsintention \u2013 waren bislang weniger Forschungsgegenstand im Kontext des Rehabilitationszugangs bei R\u00fcckenschmerzen. Die Studie untersucht deshalb die H\u00e4ufigkeit und Determinanten dieser beiden Vorstufen.<\/jats:p>\n                  <jats:p>Methodik Die Daten entstammen einer durch die Deutsche Forschungsgemeinschaft gef\u00f6rderten Kohortenstudie von 45\u2009000 Versicherten der Deutschen Rentenversicherungen Nord und Mitteldeutschland. In die Analysen der Querschnittsdaten zum ersten Befragungszeitpunkt wurden 45- bis 59-j\u00e4hrige Personen mit R\u00fcckenschmerzen in den letzten 3 Monaten, ohne Erwerbsminderungsrente und ohne medizinische Rehabilitation in den letzten 4 Jahren eingeschlossen. Determinanten des Rehabilitationsbed\u00fcrfnisses bzw. der Antragsintention wurden in multivariaten logistischen Regressionsanalysen untersucht.<\/jats:p>\n                  <jats:p>Ergebnisse Von 6549 Personen mit R\u00fcckenschmerzen sahen sich 2348 (36%) als rehabilitationsbed\u00fcrftig. Hiervon beabsichtigten 774 (33%) einen Antrag auf medizinische Rehabilitation innerhalb der n\u00e4chsten 12 Monate zu stellen. Bei beiden Zielgr\u00f6\u00dfen bestanden starke Zusammenh\u00e4nge mit der sozialen Unterst\u00fctzung durch nahestehende Personen. Das Rehabilitationsbed\u00fcrfnis wurde zus\u00e4tzlich durch Vorerfahrungen mit medizinischer Rehabilitation determiniert. Der zweitwichtigste Einflussfaktor auf die Antragsintention war die Unterst\u00fctzung seitens \u00c4rzt\/innen und Therapeut\/innen. Weitere Einflussfaktoren wirkten unterschiedlich auf beide Zielgr\u00f6\u00dfen.<\/jats:p>\n                  <jats:p>Schlussfolgerung Um den bedarfsgerechten Rehabilitationszugang zu verbessern, sollten bereits seine Vorstufen, das subjektive Rehabilitationsbed\u00fcrfnis und die Antragsintention, mit ihren z. T. unterschiedlichen Determinanten beachtet werden. Dabei ist die Unterst\u00fctzung durch das private Umfeld sowie \u00c4rzt\/innen und Therapeut\/innen von gro\u00dfer Bedeutung. Dies ist ein weiterer Hinweis darauf, dass die Information und Einbeziehung dieser Akteure wichtige Bausteine sind, um einen bedarfsgerechten Zugang zu gew\u00e4hrleisten.<\/jats:p>","DOI":"10.1055\/a-1270-1808","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T19:06:40Z","timestamp":1604603200000},"page":"185-194","source":"Crossref","is-referenced-by-count":9,"title":["Determinanten des subjektiven Rehabilitationsbed\u00fcrfnisses und der Antragsintention bei Personen mit R\u00fcckenschmerzen"],"prefix":"10.1055","volume":"60","author":[{"given":"Nadine","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakult\u00e4t der Martin-Luther-Universit\u00e4t Halle-Wittenberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fauser","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Universit\u00e4t zu L\u00fcbeck"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Golla","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakult\u00e4t der Martin-Luther-Universit\u00e4t Halle-Wittenberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia-Marie","family":"Zimmer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakult\u00e4t der Martin-Luther-Universit\u00e4t Halle-Wittenberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Bethge","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Universit\u00e4t zu L\u00fcbeck"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfried","family":"Mau","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Rehabilitationsmedizin, Profilzentrum Gesundheitswissenschaften, Medizinische Fakult\u00e4t der Martin-Luther-Universit\u00e4t Halle-Wittenberg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,11,5]]},"reference":[{"key":"ref1","volume-title":"Rentenzugang 2018. 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