{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T18:47:41Z","timestamp":1780080461074,"version":"3.54.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nZiel der Studie Aus Perspektive verschiedener Expertengruppen, die in der Versorgung onkologisch Erkrankter t\u00e4tig sind, werden Barrieren bei der Antragstellung zu onkologischen Rehabilitationsma\u00dfnahmen identifiziert. Darauf aufbauend werden Handlungsempfehlungen zur Optimierung abgeleitet. Die Studie wurde von der Deutschen Rentenversicherung Bund (DRV) gef\u00f6rdert.<\/jats:p><jats:p>\nMethodik Auf Basis einer Interviewstudie (N=61) wurde ein Fragebogeninstrument mit 55 Items zu m\u00f6glichen Barrieren im Antragstellungsprozess konzipiert und online eingesetzt. Teilnehmer mit mehr als 33% fehlenden Werten wurden von den Analysen ausgeschlossen. Mittelwertanalysen wurden zur Identifikation der bedeutsamsten Relevanz angewendet. Um \u00fcbergeordnete Dimensionen zu identifizieren, wurde eine exploratorische Faktorenanalyse durchgef\u00fchrt.<\/jats:p><jats:p>\nErgebnisse Insgesamt wurden 606 Experten aus dem onkologischen Bereich in die Auswertung eingeschlossen. Darunter waren 249 \u00c4rzte, 194 Sozialarbeiter, 105 Pflegefachkr\u00e4fte \/ Medizinische Fachangestellte, 55 Psychologen \/ Psychoonkologen und 3 sonstige Berufsgruppen. Die befragten Experten waren im Mittel 51 Jahre alt (SD=10,4) und seit 17 Jahren (SD=9,8) im onkologischen Bereich t\u00e4tig. Die Barrieren konnten folgenden 7 faktoranalytisch bestimmten Inhaltsbereichen zugeordnet werden: Krankheitsverarbeitung, Antragsverfahren, Rehaf\u00e4higkeit, Koordination, soziale Verpflichtungen, Patientenw\u00fcnsche und Stellenwert der Reha. Die Experten gaben an, dass insbesondere der Wunsch des Patienten nach Normalit\u00e4t, die zu starre Frist f\u00fcr die Anschlussrehabilitation (AHB) und das f\u00fcr Patienten mit Migrationshintergrund schlecht verst\u00e4ndliche Antragsverfahren einer Antragstellung entgegenstehen kann. Au\u00dferdem wurde darauf hingewiesen, dass die Vermittlung von multimorbiden Patienten in die Rehabilitationseinrichtungen schwierig sei.<\/jats:p><jats:p>\nSchlussfolgerung Aus der Expertenstudie k\u00f6nnen folgende Handlungsempfehlungen f\u00fcr einen erleichterten Rehabilitationszugang abgeleitet werden: Optimierung der Koordination zwischen verschiedenen Expertengruppen; Einrichtungen und mit den Kostentr\u00e4gern, Flexibilisierung der AHB-Frist, Vereinfachung der Antragstellung, Bereitstellung von Antr\u00e4gen \/ Informationsmaterialien in weiteren Sprachen, Ausrichtung der Reha-Kliniken auf spezifische Patientengruppen.<\/jats:p>","DOI":"10.1055\/a-1361-4050","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T22:39:41Z","timestamp":1618526381000},"page":"95-101","source":"Crossref","is-referenced-by-count":5,"title":["Barrieren der Antragstellung in der Onkologischen Rehabilitation: Eine bundesweite Expertenstudie"],"prefix":"10.1055","volume":"60","author":[{"given":"Joachim","family":"Weis","sequence":"first","affiliation":[{"name":"Stiftungsprofessur Selbsthilfeforschung, Medizinische Fakult\u00e4t, Universit\u00e4t Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Dresch","sequence":"first","affiliation":[{"name":"P\u00e4dagogische Hochschule, Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Helge","family":"Bartsch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr onkologische Rehabilitation, Universit\u00e4tsklinikum Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Kurlemann","sequence":"additional","affiliation":[{"name":"Deutsche Vereinigung f\u00fcr Soziale Arbeit im Gesundheitswesen e. 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