Funktionsmedizin und Versorgungsmanagement
摘要
The term “function” is widely used in manual medicine, orthopedics, and rehabilitation and represents a unifying, systemic approach to care management for all those involved in the rehabilitation process in the various organizational forms of rehabilitative intervention. Thinking in terms of functions is a complement and unifying element to pain medicine, and the recovery and stabilization of function is a positive goal. The central importance of functions – activities – participation in the individual context of the disease consequences model is reflected in the World Health Organization’s International Classification of Functioning, Disability and Health (ICF, 2001): People are viewed and treated from a lifespan perspective. This makes the restoration or promotion of physiological function a central criterion and goal in care management (treatment, prevention, prehabilitation, and rehabilitation) throughout a person’s life. Such “functional medicine” is a practical model for physicians and patients in communication and education. Function-oriented care management is presented using the specific example of patients with coxarthrosis and after endoprosthesis operations and their follow-up treatment.