gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Quality of care in orthopedic rehabilitation facing the shortening of stay

Meeting Abstract

Suche in Medline nach

  • corresponding author J. Wilde - Klinikum Neustadt, Klinik für Orthopädische Rehabilitation, Neustadt in Holstein
  • P. Sand - Neustadt in Holstein
  • P. Dufek - Neustadt in Holstein

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novP02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter:

Veröffentlicht: 13. Juni 2005

© 2005 Wilde et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Recent changes in german health politics led through drastic cost reduction in health care. Especially post operative rehabilitation centers have to reduce the average time of stay continuously. Therefore we came up with the question if the high standard of quality in medical care can be kept facing the considerable reduction of average time stay.

In the Orthopedic Rehabilitation Center (Klinikum Neustadt) which is practicing Total Quality Management for years, a group of 115 in house rehabilitants from the year 1997 were retrospectively compared to a group of 220 rehabilitants of the year 2000. All of them had received a total knee replacement with PFC Sigma, DePuy in the Department of Orthopedics, Klinikum Neustadt in Holstein. Group one containing patients whose average total time stay was 37 days. Group two summed up patients whose average total time stay was 30,5 days.

Those Groups were compared in the Harris hip score related Staffelsteinscore and general satisfaction of the patient. It was shown that reduction of stay of 6,5 days does not lead to a significant reduction of the quality of health care. Further was shown that especialy the capacity increasement led to significant economic benefit.